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  1. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet

    psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
    December 13, 2023 - Review Role of intraoperative cholangiography in avoiding bile duct injury. Citation Text: Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64. Copy Citation Format: Google Scholar PubMed BibTeX En…

  2. Opportunities to improve informed consent with AHRQ training modules. | PSNet

    psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
    December 31, 2014 - Study Opportunities to improve informed consent with AHRQ training modules. Citation Text: Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. Copy…

  3. A leadership framework for culture change in health care. | PSNet

    psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…

  4. Debriefing in the OR: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
    April 24, 2018 - Commentary Debriefing in the OR: a quality improvement project. Citation Text: Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. Copy Citation Format: DOI Google Scholar PubMed …

  5. Patient safety in obstetrics and obstetric anesthesia. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
    August 04, 2021 - Review Patient safety in obstetrics and obstetric anesthesia. Citation Text: Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017. Copy Citation Format: DOI Google Scholar PubMed B…

  6. Conflict resolution: applying aviation crew resource management in healthcare. | PSNet

    psnet.ahrq.gov/issue/conflict-resolution-applying-aviation-crew-resource-management-healthcare
    October 22, 2010 - Commentary Conflict resolution: applying aviation crew resource management in healthcare. Citation Text: Braverman A. Conflict resolution: applying aviation crew resource management in healthcare. Nurs Manage. 2021;52(9):30-34. doi:10.1097/01.numa.0000771740.79361.1c. Copy Citation …

  7. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet

    psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
    January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

  8. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
    September 23, 2020 - Study Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Citation Text: Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…

  9. Portable advanced medical simulation for new emergency department testing and orientation. | PSNet

    psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
    September 23, 2020 - Commentary Portable advanced medical simulation for new emergency department testing and orientation. Citation Text: Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. C…

  10. Pediatric medication safety and the media: what does the public see? | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
    November 25, 2009 - Study Pediatric medication safety and the media: what does the public see? Citation Text: Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017. Copy Citation Format: …

  11. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  12. Processes for effective communication in primary care. | PSNet

    psnet.ahrq.gov/issue/processes-effective-communication-primary-care
    December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  13. Perioperative patient safety: a multisite qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
    September 20, 2023 - Study Perioperative patient safety: a multisite qualitative analysis. Citation Text: Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  14. Monitoring for medication errors in outpatient settings. | PSNet

    psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
    December 31, 2014 - Review Monitoring for medication errors in outpatient settings. Citation Text: Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. Copy Citation Format: D…

  15. The wisdom of patients and families: ignore it at our peril. | PSNet

    psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
    March 13, 2013 - Commentary The wisdom of patients and families: ignore it at our peril. Citation Text: Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573. Copy Citation Format: DOI Google Scholar PubMe…

  16. Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
    March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…

  17. Preventing medication errors in neonatology: is it a dream? | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
    April 21, 2021 - Review Preventing medication errors in neonatology: is it a dream? Citation Text: Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37. Copy Citation Format: DOI Google Scholar …

  18. Risk management, or just a different risk? | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk
    April 12, 2011 - Study Risk management, or just a different risk? Citation Text: Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  19. Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. | PSNet

    psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
    March 06, 2019 - Review Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. Citation Text: Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 20…

  20. Randomized trial to improve prescribing safety during pregnancy. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-during-pregnancy
    October 06, 2011 - Study Randomized trial to improve prescribing safety during pregnancy. Citation Text: Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450. Copy Citation Format: Google Schola…
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