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  1. FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
    September 01, 2021 - Press Release/Announcement FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. Citation Text: FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

  2. Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. | PSNet

    psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
    September 23, 2020 - Study Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. Citation Text: Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …

  3. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet

    psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
    January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. Citation Text: Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…

  4. Voluntary electronic reporting of medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
    March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…

  5. Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/reviewing-impact-computerized-provider-order-entry-clinical-outcomes-quality-systematic
    May 21, 2009 - Review Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. Citation Text: Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int…

  6. Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. | PSNet

    psnet.ahrq.gov/issue/safety-during-night-shifts-cross-sectional-survey-junior-doctors-preparation-and-practice
    August 18, 2021 - Study Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. Citation Text: Jackson EJ, Moreton A. Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. BMJ Open. 2013;3(9):e003567. doi:10.1136/bmjope…

  7. Bridging the gap between hospital and primary care: the pharmacist home visit. | PSNet

    psnet.ahrq.gov/issue/bridging-gap-between-hospital-and-primary-care-pharmacist-home-visit
    April 10, 2019 - Commentary Bridging the gap between hospital and primary care: the pharmacist home visit. Citation Text: Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093…

  8. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. | PSNet

    psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
    May 18, 2022 - Commentary Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Citation Text: Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…

  9. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. | PSNet

    psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative
    July 21, 2021 - Study The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. Citation Text: Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative e…

  10. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. | PSNet

    psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
    March 15, 2023 - Study Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Citation Text: Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…

  11. Evaluation of a physician informatics tool to improve patient handoffs. | PSNet

    psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs
    January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. Citation Text: Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. Copy C…

  12. The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-management-patients
    December 21, 2014 - Study The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. Citation Text: Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results …

  13. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. | PSNet

    psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
    March 09, 2022 - Study Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Citation Text: Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…

  14. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
    May 08, 2017 - Commentary Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. Citation Text: Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …

  15. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet

    psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
    April 29, 2018 - Commentary Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. Citation Text: Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…

  16. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…

  17. Exploring the intersection of structural racism and ageism in healthcare. | PSNet

    psnet.ahrq.gov/issue/exploring-intersection-structural-racism-and-ageism-healthcare
    January 18, 2023 - Commentary Exploring the intersection of structural racism and ageism in healthcare. Citation Text: Farrell TW, Hung WW, Unroe KT, et al. Exploring the intersection of structural racism and ageism in healthcare. J Am Geriatr Soc. 2022;70(12):3366-3377. doi:10.1111/jgs.18105. Copy Citat…

  18. Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet

    psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
    April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

  19. Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet

    psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
    October 29, 2017 - Study Suicide and suicide attempts on hospital grounds and clinic areas. Citation Text: Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. Copy Citation Format: …

  20. Unintended consequences of online consultations: a qualitative study in UK primary care. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-online-consultations-qualitative-study-uk-primary-care
    November 16, 2022 - Study Unintended consequences of online consultations: a qualitative study in UK primary care. Citation Text: Turner A, Morris R, Rakhra D, et al. Unintended consequences of online consultations: a qualitative study in UK primary care. Br J Gen Pract. 2021;72(715):e128-e137. doi:10.3399/…
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