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  1. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

    psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

  2. Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. | PSNet

    psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-creating-national-agenda-systemic-change-enhanced
    April 28, 2021 - Book/Report Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. Citation Text: Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change …

  3. National Report of Findings 2016: Issue Brief No. 2: Patient Safety. | PSNet

    psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
    November 18, 2020 - Book/Report National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Citation Text: National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016. Copy Citat…

  4. Pro/con debate: color-coded medication labels. | PSNet

    psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …

  5. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  6. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. | PSNet

    psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
    October 06, 2021 - Book/Report Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Citation Text: Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…

  7. Patient harm in general surgery--a prospective study. | PSNet

    psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
    November 16, 2022 - Study Patient harm in general surgery--a prospective study. Citation Text: Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  8. Improving Diagnostic Quality and Safety Final Report. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
    September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety Final Report. Citation Text: Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017. Copy Citation Save Save to your lib…

  9. Transformation of health care at the front line. | PSNet

    psnet.ahrq.gov/issue/transformation-health-care-front-line
    July 24, 2017 - Commentary Transformation of health care at the front line. Citation Text: Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  10. Patient safety beyond the hospital. | PSNet

    psnet.ahrq.gov/issue/patient-safety-beyond-hospital
    August 24, 2011 - Commentary Patient safety beyond the hospital. Citation Text: Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  11. Sepsis: recognizing the next event. | PSNet

    psnet.ahrq.gov/issue/sepsis-recognizing-next-event
    July 13, 2010 - Commentary Sepsis: recognizing the next event. Citation Text: Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  12. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
    October 21, 2016 - Government Resource Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…

  13. Handoff Communication Tools. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…

  14. Common formats for patient safety data collection and event reporting. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
    July 03, 2013 - Press Release/Announcement Common formats for patient safety data collection and event reporting. Citation Text: Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…

  15. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  16. Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

    psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
    September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

  17. Why patient safety is such a tough nut to crack. | PSNet

    psnet.ahrq.gov/issue/why-patient-safety-such-tough-nut-crack
    May 03, 2023 - Commentary Why patient safety is such a tough nut to crack. Citation Text: Leistikow IP, Kalkman CJ, de Bruijn H. Why patient safety is such a tough nut to crack. BMJ. 2011;342:d3447. doi:10.1136/bmj.d3447. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  18. National Center for Patient Safety Falls Toolkit 2004. | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
    May 24, 2017 - Toolkit National Center for Patient Safety Falls Toolkit 2004. Citation Text: National Center for Patient Safety Falls Toolkit 2004. Department of Veterans Affairs (VA) National Center for Patient Safety Copy Citation Save Save to your library Print Down…

  19. Is an indication-based prescribing system in our future? | PSNet

    psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
    February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

  20. Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. | PSNet

    psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
    May 24, 2015 - Multi-use Website Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Citation Text: Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…
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