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  1. ASHP guidelines on managing drug product shortages. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
    September 06, 2023 - Commentary ASHP guidelines on managing drug product shortages. Citation Text: Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. Copy Citation Format: DOI Google Scholar PubMed Bi…

  2. Improving patient safety in developing countries—moving towards an integrated approach. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
    December 02, 2020 - Review Improving patient safety in developing countries—moving towards an integrated approach. Citation Text: Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2…

  3. Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
    November 30, 2016 - Commentary Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Citation Text: Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601. Copy Citation Save Save to your library Print Download…

  4. Patient safety: disclosure of medical errors and risk mitigation. | PSNet

    psnet.ahrq.gov/issue/patient-safety-disclosure-medical-errors-and-risk-mitigation
    June 07, 2017 - Commentary Patient safety: disclosure of medical errors and risk mitigation. Citation Text: Moffatt-Bruce SD, Ferdinand FD, Fann J. Patient Safety: Disclosure of Medical Errors and Risk Mitigation. Ann Thorac Surg. 2016;102(2):358-62. doi:10.1016/j.athoracsur.2016.06.033. Copy Citation…

  5. Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet

    psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
    March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…

  6. How well do health professionals interpret diagnostic information? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
    August 03, 2022 - Review How well do health professionals interpret diagnostic information? A systematic review. Citation Text: Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…

  7. Cultivating a culture of medication safety in prelicensure nursing students. | PSNet

    psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
    July 25, 2018 - Commentary Cultivating a culture of medication safety in prelicensure nursing students. Citation Text: Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. C…

  8. A model for building a standardized hand-off protocol.  | PSNet

    psnet.ahrq.gov/issue/model-building-standardized-hand-protocol
    September 22, 2010 - Commentary A model for building a standardized hand-off protocol.  Citation Text: Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf. 2006;32(11):646-655. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  9. Impact of patient safety mandates on medical education in the United States. | PSNet

    psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
    June 01, 2011 - Review Impact of patient safety mandates on medical education in the United States. Citation Text: Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5. Copy Citation…

  10. Implementing handoff communication. | PSNet

    psnet.ahrq.gov/issue/implementing-handoff-communication
    August 25, 2010 - Commentary Implementing handoff communication. Citation Text: Ardoin KB, Broussard L. Implementing handoff communication. J Nurses Staff Dev. 2011;27(3):128-35. doi:10.1097/NND.0b013e318217b3dd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  11. Another surgeon's error: must you tell the patient? | PSNet

    psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
    October 02, 2013 - Commentary Another surgeon's error: must you tell the patient? Citation Text: Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073. Copy Citation Format: DOI Go…

  12. Disclosing harmful pathology errors to patients. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
    May 18, 2022 - Commentary Disclosing harmful pathology errors to patients. Citation Text: Dintzis SM, Gallagher TH. Disclosing harmful pathology errors to patients. Am J Clin Pathol. 2009;131(4):463-5. doi:10.1309/AJCPIO5SHDOD6URI. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  13. Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
    October 12, 2022 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Washington DC: Un…

  14. The new CMS hospital quality star ratings: the stars are not aligned. | PSNet

    psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
    May 26, 2021 - Commentary The new CMS hospital quality star ratings: the stars are not aligned. Citation Text: Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. Copy Citation Format: DO…

  15. The Economics of Diagnostic Safety. | PSNet

    psnet.ahrq.gov/issue/economics-diagnostic-safety
    July 28, 2021 - Book/Report The Economics of Diagnostic Safety. Citation Text: de Bienassis K, Slawomirski L, Kelly D, et al. The Economics Of Diagnostic Safety. Paris, France: OECD Publishing; 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  16. Patient safety professionals as the third victims of adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
    July 07, 2021 - Commentary Patient safety professionals as the third victims of adverse events. Citation Text: Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. Copy Citation Format: …

  17. The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. | PSNet

    psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap
    May 26, 2021 - Commentary The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Citation Text: The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248. Copy…

  18. Education and reporting of diagnostic errors among physicians in internal medicine training programs. | PSNet

    psnet.ahrq.gov/issue/education-and-reporting-diagnostic-errors-among-physicians-internal-medicine-training
    July 17, 2019 - Study Education and reporting of diagnostic errors among physicians in internal medicine training programs. Citation Text: Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178…

  19. Artificial intelligence and surgical decision-making. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making
    September 11, 2019 - Review Classic Artificial intelligence and surgical decision-making. Citation Text: Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917. Copy Citation …

  20. Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. | PSNet

    psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
    September 07, 2016 - Book/Report Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Citation Text: Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23-1…
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