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  1. In situ simulation: a method of experiential learning to promote safety and team behavior. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-method-experiential-learning-promote-safety-and-team-behavior
    September 03, 2011 - Commentary In situ simulation: a method of experiential learning to promote safety and team behavior. Citation Text: Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…

  2. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
    August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

  3. Patient safety and workplace bullying: an integrative review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
    March 11, 2020 - Review Patient safety and workplace bullying: an integrative review. Citation Text: Houck NM, Colbert AM. Patient Safety and Workplace Bullying: An Integrative Review. J Nurs Care Qual. 2017;32(2):164-171. doi:10.1097/NCQ.0000000000000209. Copy Citation Format: DOI Google S…

  4. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. | PSNet

    psnet.ahrq.gov/issue/predictors-treatment-error-children-uncomplicated-malaria-seen-outpatients-blantyre-district
    May 18, 2022 - Study Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Citation Text: Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre dis…

  5. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet

    psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
    August 12, 2020 - Study Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Citation Text: Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…

  6. Unexpected hypoglycemia in a critically ill patient. | PSNet

    psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
    July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  7. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. | PSNet

    psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
    September 27, 2016 - Study Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Citation Text: Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in f…

  8. The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. | PSNet

    psnet.ahrq.gov/issue/first-curriculum-cultivating-speaking-behaviors-clinical-learning-environment
    May 25, 2022 - Commentary The FIRST curriculum: cultivating speaking up behaviors in the Clinical Learning Environment. Citation Text: Best JA, Kim S. The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. J Contin Educ Nurs. 2019;50(8):355-361. doi:10.3928/002201…

  9. Compliance with central line maintenance bundle and infection rates. | PSNet

    psnet.ahrq.gov/issue/compliance-central-line-maintenance-bundle-and-infection-rates
    August 16, 2023 - Study Compliance with central line maintenance bundle and infection rates. Citation Text: Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688. Copy Citation Form…

  10. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. | PSNet

    psnet.ahrq.gov/issue/filling-gap-simulation-based-crisis-resource-management-training-emergency-medicine-residents
    March 19, 2018 - Commentary Filling the gap: simulation-based crisis resource management training for emergency medicine residents. Citation Text: Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…

  11. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

    psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
    March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

  12. Intimidation: practitioners speak up about this unresolved problem. | PSNet

    psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
    September 26, 2017 - Study Intimidation: practitioners speak up about this unresolved problem. Citation Text: Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. Copy Citation Forma…

  13. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet

    psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
    September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

  14. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
    July 28, 2021 - Review Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Citation Text: Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…

  15. Towards a more patient-centered approach to medication safety. | PSNet

    psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
    January 22, 2025 - Review Towards a more patient-centered approach to medication safety. Citation Text: Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. Copy Citation Format: DOI Googl…

  16. Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. | PSNet

    psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-instructions-use-safety-scalpel
    August 20, 2021 - Press Release/Announcement Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. Citation Text: Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…

  17. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/automated-dispensing-cabinet-overrides-evaluation-necessity-pediatric-emergency-department
    October 21, 2020 - Study Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. Citation Text: Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…

  18. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

  19. Prevalence of polypharmacy exposure among hospitalized children in the United States. | PSNet

    psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
    August 20, 2016 - Study Prevalence of polypharmacy exposure among hospitalized children in the United States. Citation Text: Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…

  20. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

    psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
    September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…
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