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  1. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
    March 15, 2017 - Study Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Citation Text: Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…

  2. What whiteboards in a trauma center operating suite can teach us about emergency department communication. | PSNet

    psnet.ahrq.gov/issue/what-whiteboards-trauma-center-operating-suite-can-teach-us-about-emergency-department
    August 29, 2011 - Study What whiteboards in a trauma center operating suite can teach us about emergency department communication. Citation Text: Xiao Y, Schenkel SM, Faraj S, et al. What whiteboards in a trauma center operating suite can teach us about emergency department communication. Ann Emerg Med.…

  3. Ask me if I cleaned my hands. | PSNet

    psnet.ahrq.gov/issue/ask-me-if-i-cleaned-my-hands
    December 07, 2022 - Commentary Ask me if I cleaned my hands. Citation Text: Gordon SC. A piece of my mind. Ask me if I cleaned my hands. JAMA. 2012;307(15):1591-2. doi:10.1001/jama.2012.474. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  4. The increased incidence of anesthetic adverse events in late afternoon surgeries. | PSNet

    psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
    October 19, 2022 - Commentary The increased incidence of anesthetic adverse events in late afternoon surgeries. Citation Text: Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. Copy Citation Format:…

  5. Dangerous deception--hiding the evidence of adverse drug events. | PSNet

    psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
    November 09, 2022 - Commentary Dangerous deception--hiding the evidence of adverse drug events. Citation Text: Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  6. ACOG Committee Opinion #730: fatigue and patient safety. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
    July 26, 2017 - Commentary ACOG Committee Opinion #730: fatigue and patient safety. Citation Text: ACOG Committee Opinion #730: fatigue and patient safety. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-e81. Copy Citation Save Sav…

  7. Disclosing adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients
    September 23, 2020 - Commentary Disclosing adverse events to patients. Citation Text: Cantor MD, Barach P, Derse A, et al. Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  8. Preventing complications of central venous catheterization. | PSNet

    psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
    September 02, 2015 - Review Preventing complications of central venous catheterization. Citation Text: McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  9. Medical emergency team: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-review-literature
    March 02, 2011 - Review Medical emergency team: a review of the literature. Citation Text: Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  10. Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. | PSNet

    psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
    September 04, 2013 - Commentary Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. Citation Text: Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…

  11. Medical errors, malpractice, and defensive medicine: an ill-fated triad. | PSNet

    psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-ill-fated-triad
    July 06, 2022 - Review Medical errors, malpractice, and defensive medicine: an ill-fated triad. Citation Text: Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. Copy Citation Format: DOI Google …

  12. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. | PSNet

    psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
    March 07, 2012 - Review The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Citation Text: Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…

  13. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. | PSNet

    psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
    May 09, 2014 - Commentary Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Citation Text: Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483. Copy…

  14. Patient safety strategies: a call for physician leadership. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
    January 13, 2021 - Commentary Patient safety strategies: a call for physician leadership. Citation Text: Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011. Copy Citation Format: DOI Google …

  15. Implementation of patient safety initiatives in US hospitals. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
    December 12, 2014 - Commentary Implementation of patient safety initiatives in US hospitals. Citation Text: McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052. Copy Citation Format: …

  16. When public health goes wrong: toward a new concept of public health error. | PSNet

    psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

  17. Medication errors: immunisation.  | PSNet

    psnet.ahrq.gov/issue/medication-errors-immunisation
    December 02, 2020 - Commentary Medication errors: immunisation.  Citation Text: Bird S. Medication errors: immunisation. Aust Fam Physician. 2006;35(9):735-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citati…

  18. Attending work hour restrictions: is it time? | PSNet

    psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
    November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  19. Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet

    psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
    May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…

  20. Measuring team performance in healthcare: review of research and implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/measuring-team-performance-healthcare-review-research-and-implications-patient-safety
    November 20, 2019 - Review Measuring team performance in healthcare: review of research and implications for patient safety. Citation Text: Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.10…
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