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For whom the Bell Commission tolls: unintended effects of limiting residents' hours. | PSNet

psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours

April 20, 2011 - Commentary For whom the Bell Commission tolls: unintended effects of limiting residents' hours. Citation Text: Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. Copy Citation Format: Google Sc…

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes

August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-team-briefing-new-communication-routine-results-improved-clinical

April 06, 2011 - Study Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. Citation Text: Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BM…

Quality improvement implementation and hospital performance on patient safety indicators. | PSNet

psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators

January 12, 2022 - Study Classic Quality improvement implementation and hospital performance on patient safety indicators. Citation Text: Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance on patient safety indicators. Med Care …

Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. | PSNet

psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological

April 06, 2011 - Study Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Citation Text: Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…

The incorporation of patient safety into board certification examinations. | PSNet

psnet.ahrq.gov/issue/incorporation-patient-safety-board-certification-examinations

October 26, 2010 - Commentary The incorporation of patient safety into board certification examinations. Citation Text: Kachalia A, Johnson J, Miller ST, et al. The incorporation of patient safety into board certification examinations. Acad Med. 2006;81(4):317-25. Copy Citation Format: Goog…

Patient and family empowerment as agents of ambulatory care safety and quality. | PSNet

psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality

December 15, 2021 - Commentary Patient and family empowerment as agents of ambulatory care safety and quality. Citation Text: Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. C…

Consensus bundle on prevention of surgical site infections after major gynecologic surgery. | PSNet

psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery

January 15, 2014 - Commentary Consensus bundle on prevention of surgical site infections after major gynecologic surgery. Citation Text: Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. d…

Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. | PSNet

psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical

March 06, 2019 - Study Emerging Classic Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. Citation Text: Chang B, Kaye AD, Diaz JH, et al. Interventional Procedures Outside of the Operating Room: Results Fro…

The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet

psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework

March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration framework. Citation Text: Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…

Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. | PSNet

psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement

January 02, 2017 - Commentary Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us. Citation Text: Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Te…

The role of safety culture in influencing provider perceptions of patient safety. | PSNet

psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-perceptions-patient-safety

November 09, 2016 - Study The role of safety culture in influencing provider perceptions of patient safety. Citation Text: Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. Copy Citation Format: Google Schol…

A scoping review of the hidden curriculum in pharmacy education. | PSNet

psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education

November 16, 2022 - Review A scoping review of the hidden curriculum in pharmacy education. Citation Text: Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999. Copy Citation Format: …

Medication errors resulting from computer entry by nonprescribers. | PSNet

psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers

January 02, 2017 - Study Medication errors resulting from computer entry by nonprescribers. Citation Text: Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. Copy Citation …

Frequency of prescribing errors by medical residents in various training programs. | PSNet

psnet.ahrq.gov/issue/frequency-prescribing-errors-medical-residents-various-training-programs

November 05, 2014 - Study Frequency of prescribing errors by medical residents in various training programs. Citation Text: Honey BL, Bray WM, Gomez MR, et al. Frequency of prescribing errors by medical residents in various training programs. J Patient Saf. 2015;11(2):100-4. doi:10.1097/PTS.0000000000000048…

Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. | PSNet

psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience

September 05, 2009 - Study Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. Citation Text: Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…

From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective

April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. | PSNet

psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance

August 04, 2021 - Study Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. Citation Text: Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…

An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. | PSNet

psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety

May 08, 2013 - Study An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. Citation Text: Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…

Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. | PSNet

psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric

June 27, 2011 - Study Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Citation Text: Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…

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