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  1. Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet

    psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
    March 14, 2018 - Study Classic Handoff strategies in settings with high consequences for failure: lessons for health care operations. Citation Text: Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual …

  2. Association of state opioid duration limits with postoperative opioid prescribing. | PSNet

    psnet.ahrq.gov/issue/association-state-opioid-duration-limits-postoperative-opioid-prescribing
    April 18, 2019 - Study Emerging Classic Association of state opioid duration limits with postoperative opioid prescribing. Citation Text: Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid Prescribing. JAMA Netw Open. 2019;2(…

  3. Real-time automated paging and decision support for critical laboratory abnormalities. | PSNet

    psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
    April 30, 2014 - Study Real-time automated paging and decision support for critical laboratory abnormalities. Citation Text: Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…

  4. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

    psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
    September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

  5. Managing cognitive biases during disaster response: the development of an aide memoire. | PSNet

    psnet.ahrq.gov/issue/managing-cognitive-biases-during-disaster-response-development-aide-memoire
    November 16, 2022 - Review Managing cognitive biases during disaster response: the development of an aide memoire. Citation Text: Brooks B, Curnin S, Owen C, et al. Managing cognitive biases during disaster response: the development of an aide memoire. Cogn Tech Work. 2020;22(2):249–261. doi:10.1007/s10111-…

  6. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid-19
    February 09, 2022 - Study Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Citation Text: Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Inter…

  7. A war on two fronts: cancer care in the time of COVID-19. | PSNet

    psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
    March 12, 2025 - Commentary A war on two fronts: cancer care in the time of COVID-19. Citation Text: Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133. Copy Citation Format: DOI Goo…

  8. Errors in drug computations during newborn intensive care. | PSNet

    psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care
    December 15, 2021 - Study Errors in drug computations during newborn intensive care. Citation Text: Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. Copy Citation …

  9. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

    psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
    June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

  10. Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? | PSNet

    psnet.ahrq.gov/issue/standardized-orders-titrating-vasopressors-do-efforts-improve-safety-slow-delivery-care
    March 20, 2019 - Commentary Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? Citation Text: Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):5…

  11. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

    psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
    January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

  12. Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units. | PSNet

    psnet.ahrq.gov/issue/review-application-safety-attitudes-questionnaire-saq-primary-care-systematic-synthesis
    November 13, 2024 - Review Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units. Citation Text: Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Saf…

  13. Developing perioperative Covid-19 testing protocols to restore surgical services. | PSNet

    psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
    February 12, 2020 - Commentary Developing perioperative Covid-19 testing protocols to restore surgical services. Citation Text: Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. Copy Citation Format: …

  14. Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet

    psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
    August 01, 2018 - Study Leveraging a safety event management system to improve organizational learning and safety culture. Citation Text: Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…

  15. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. | PSNet

    psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
    November 29, 2023 - Study Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. Citation Text: Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a med…

  16. FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). | PSNet

    psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
    August 05, 2020 - Press Release/Announcement FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). Citation Text: FDA Drug Safety Communication: FDA warns ab…

  17. Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. | PSNet

    psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
    July 23, 2018 - Study Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. Citation Text: Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.201…

  18. Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

    psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
    September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

  19. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet

    psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
    March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. Citation Text: de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…

  20. Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/healthcare-personnels-working-conditions-relation-risk-behaviours-organism-transmission-mixed
    June 15, 2022 - Study Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: a mixed-methods study. Citation Text: Arvidsson L, Lindberg M, Skytt B, et al. Healthcare personnel's working conditions in relation to risk behaviours for organism transmission: A m…
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