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9881. Supervision, autonomy, and medical error in the teaching clinic. | PSNet
      psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
      November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

9882. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet
      psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
      June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

9883. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
      July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

9884. The impact of electronic health records on diagnosis. | PSNet
      psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
      May 19, 2019 - Review The impact of electronic health records on diagnosis. Citation Text: Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012. Copy Citation Format: DOI Google Scholar PubMed B…

9885. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. | PSNet
      psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
      January 14, 2011 - Study Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Citation Text: Renshaw AA, Gould EW. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Am J Clin Pathol.…

9886. Reducing administrative harm in medicine - clinicians and administrators together. | PSNet
      psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
      February 23, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators together. Citation Text: O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174. Copy Citation …

9887. Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
      November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey Search All Impact Case Studies November 2012 Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …

9888. Improving communication in the emergency department. | PSNet
      psnet.ahrq.gov/issue/improving-communication-emergency-department
      September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

9889. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet
      psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
      July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…

9890. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. | PSNet
      psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
      January 18, 2023 - Commentary Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Citation Text: Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention …

9891. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet
      psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
      February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…

9892. Infection control hazards and near misses reported by nursing students. | PSNet
      psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
      February 11, 2009 - Study Infection control hazards and near misses reported by nursing students. Citation Text: Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001. Copy Cit…

9893. Zero Suicide Initiative. | PSNet
      psnet.ahrq.gov/issue/zero-suicide-initiative
      July 03, 2013 - Grant Announcement Zero Suicide Initiative. Citation Text: Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. Copy Citation Save Save to your library Print…

9894. Interruptions and medication administration in critical care. | PSNet
      psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
      December 08, 2021 - Review Interruptions and medication administration in critical care. Citation Text: Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. Copy Citation Format: DOI Google Scho…

9895. Lessons Learned From Implementation Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
      August 01, 2022 - Demonstration Grants Final Evaluation Report Lessons Learned From Implementation Challenges Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability L…

9896. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet
      psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
      May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …

9897. Appendix M. Endoscopy Infographic - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
      May 01, 2017 - Appendix M. Endoscopy Infographic - Implementation Guide Preventing Infections in Endoscopic Procedures More than 20 million gastrointestinal (GI) endoscopic procedures are performed annually in the United States. While rare, patients have acquired infections from these procedures due to: Poor…

9898. Creating a just culture: the Ottawa Hospital's experience. | PSNet
      psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
      July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

9899. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. | PSNet
      psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
      May 04, 2010 - Study The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Citation Text: Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…

9900. Getting moving on patient safety—harnessing electronic data for safer care. | PSNet
      psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care
      April 05, 2013 - Commentary Getting moving on patient safety—harnessing electronic data for safer care. Citation Text: Jha AK, Classen D. Getting moving on patient safety--harnessing electronic data for safer care. N Engl J Med. 2011;365(19):1756-8. doi:10.1056/NEJMp1109398. Copy Citation Format:…