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  1. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet

    psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
    January 18, 2013 - Study Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. Citation Text: Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…

  2. Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. | PSNet

    psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
    October 13, 2018 - Commentary Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. Citation Text: Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471. Copy Citation Format: …

  3. Application of AHRQ patient safety indicators to English hospital data. | PSNet

    psnet.ahrq.gov/issue/application-ahrq-patient-safety-indicators-english-hospital-data
    September 20, 2011 - Study Application of AHRQ patient safety indicators to English hospital data. Citation Text: Bottle A, Aylin P. Application of AHRQ patient safety indicators to English hospital data. Qual Saf Health Care. 2009;18(4):303-8. doi:10.1136/qshc.2007.026096. Copy Citation Format: …

  4. Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' | PSNet

    psnet.ahrq.gov/issue/agency-information-collection-activities-proposed-collection-comment-request-hospital-survey
    December 21, 2022 - Press Release/Announcement Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' Citation Text: Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on…

  5. National Nursing Home COVID Action Network. | PSNet

    psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
    October 23, 2019 - Multi-use Website National Nursing Home COVID Action Network. Citation Text: National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. Copy Citation Save Save to your library Print Download P…

  6. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
    January 02, 2017 - Commentary Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. Citation Text: Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…

  7. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
    April 03, 2019 - Book/Report The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…

  8. Association of physician burnout with suicidal ideation and medical errors. | PSNet

    psnet.ahrq.gov/issue/association-physician-burnout-suicidal-ideation-and-medical-errors
    December 02, 2020 - Study Association of physician burnout with suicidal ideation and medical errors. Citation Text: Menon NK, Shanafelt TD, Sinsky CA, et al. Association of Physician Burnout With Suicidal Ideation and Medical Errors. JAMA Netw Open. 2020;3(12):e2028780. doi:10.1001/jamanetworkopen.2020.287…

  9. ​Pediatric chest radiographs: common and less common errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors
    September 02, 2020 - Commentary ​Pediatric chest radiographs: common and less common errors. Citation Text: Menashe SJ, Iyer RS, Parisi MT, et al. Pediatric Chest Radiographs: Common and Less Common Errors. AJR Am J Roentgenol. 2016;207(4):903-911. doi:10.2214/AJR.16.16449. Copy Citation Format: …

  10. Race as a social construct in psychiatry research and practice. | PSNet

    psnet.ahrq.gov/issue/race-social-construct-psychiatry-research-and-practice
    July 20, 2022 - Commentary Race as a social construct in psychiatry research and practice. Citation Text: Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877. Copy Citation Format: …

  11. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. | PSNet

    psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
    December 06, 2023 - Commentary Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. Citation Text: Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…

  12. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. | PSNet

    psnet.ahrq.gov/issue/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
    January 15, 2025 - Commentary Preventing surgical site infections: implementing strategies throughout the perioperative continuum. Citation Text: Rosa R, Sposato K, Abbo LM. Preventing surgical site infections: implementing strategies throughout the perioperative continuum. AORN J. 2023;117(5):300-311. doi…

  13. Management of the difficult airway: a closed claims analysis. | PSNet

    psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
    July 13, 2010 - Study Management of the difficult airway: a closed claims analysis. Citation Text: Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. Copy Citation Format: Google Scholar PubMed BibTeX…

  14. The Sorry Works! Coalition: making the case for full disclosure. | PSNet

    psnet.ahrq.gov/issue/sorry-works-coalition-making-case-full-disclosure
    May 18, 2022 - Commentary The Sorry Works! Coalition: making the case for full disclosure. Citation Text: Wojcieszak D, Banja J, Houk C. The Sorry Works! Coalition: Making the Case for Full Disclosure. The Joint Commission Journal on Quality and Patient Safety. 2016;32(6). doi:10.1016/s1553-7250(06)320…

  15. Patient safety in dermatology: a ten-year update. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update
    February 17, 2010 - Review Patient safety in dermatology: a ten-year update. Citation Text: Patient safety in dermatology: a ten-year update. Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). Copy Citation Save Save to your library Print Download PDF …

  16. Diagnostic reasoning in cardiovascular medicine. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
    October 27, 2021 - Review Diagnostic reasoning in cardiovascular medicine. Citation Text: Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

  17. A pause in pediatrics: implementation of a pediatric diagnostic time-out. | PSNet

    psnet.ahrq.gov/issue/pause-pediatrics-implementation-pediatric-diagnostic-time-out
    April 20, 2022 - Study A pause in pediatrics: implementation of a pediatric diagnostic time-out. Citation Text: Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. Copy Citation …

  18. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

  19. What is new in paediatric medication safety? | PSNet

    psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
    June 28, 2017 - Review What is new in paediatric medication safety? Citation Text: Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  20. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
    September 01, 2016 - Study Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Citation Text: Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…
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