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  1. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
    February 15, 2023 - Organizational Policy/Guidelines Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Citation Text: Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…

  2. Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. | PSNet

    psnet.ahrq.gov/issue/pragmatic-insights-patient-safety-priorities-and-intervention-strategies-ambulatory-settings
    January 06, 2018 - Commentary Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. Citation Text: Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient…

  3. Wear face masks with no metal during MRI exams. | PSNet

    psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
    April 08, 2020 - Press Release/Announcement Wear face masks with no metal during MRI exams. Citation Text: Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. Copy Citation …

  4. First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
    July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

  5. Fentanyl transdermal system (marketed as Duragesic) information. | PSNet

    psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
    August 12, 2015 - Government Resource Fentanyl transdermal system (marketed as Duragesic) information. Citation Text: Fentanyl transdermal system (marketed as Duragesic) information. US Food and Drug Administration. MedWatch. July 10, 2015. Copy Citation Save Save to your library…

  6. Patient–pharmacist communication during a post-discharge pharmacist home visit. | PSNet

    psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
    May 28, 2015 - Study Patient–pharmacist communication during a post-discharge pharmacist home visit. Citation Text: Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…

  7. Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. | PSNet

    psnet.ahrq.gov/issue/hidden-curricula-ethics-and-professionalism-clinical-learning-environments-becoming-and-being
    June 19, 2019 - Commentary Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Citation Text: Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimi…

  8. A growth mindset approach to preparing trainees for medical error. | PSNet

    psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
    August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

  9. Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

    psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing
    July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

  10. Reducing medication errors in critical care: a multimodal approach. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
    March 27, 2019 - Review Reducing medication errors in critical care: a multimodal approach. Citation Text: Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. Copy Citation Format: DOI Goo…

  11. Identifying failure modes in telemedicine: an instructional needs assessment. | PSNet

    psnet.ahrq.gov/issue/identifying-failure-modes-telemedicine-instructional-needs-assessment
    August 23, 2023 - Study Identifying failure modes in telemedicine: an instructional needs assessment. Citation Text: Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365. C…

  12. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
    April 15, 2009 - Study Mix of methods is needed to identify adverse events in general practice: a prospective observational study. Citation Text: Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…

  13. Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. | PSNet

    psnet.ahrq.gov/issue/adverse-events-robotic-surgery-retrospective-study-14-years-fda-data
    June 24, 2020 - Study Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. Citation Text: Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470…

  14. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. | PSNet

    psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
    December 10, 2014 - Study Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Citation Text: Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…

  15. Opportunities for diagnostic improvement among pediatric hospital readmissions. | PSNet

    psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
    August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…

  16. Error codes at autopsy to study potential biases in diagnostic error. | PSNet

    psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
    November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

  17. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet

    psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
    July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

  18. A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-teamwork-training-program-triad-optimal-patient-safety-tops-experience
    February 12, 2018 - Study A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. Citation Text: Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 200…

  19. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
    September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

  20. 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…
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