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Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center

March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing

June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. | PSNet

psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry

March 07, 2018 - Study "We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. Citation Text: Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable

March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

Second victims need emotional support after adverse events: even in a just safety culture. | PSNet

psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture

April 12, 2023 - Commentary Second victims need emotional support after adverse events: even in a just safety culture. Citation Text: Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.11…

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. | PSNet

psnet.ahrq.gov/issue/new-2011-survey-patients-complex-care-needs-eleven-countries-finds-care-often-poorly

February 22, 2010 - Study New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Citation Text: Schoen C, Osborn R, Squires D, et al. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordi…

Adapting to new technologies in the operating room. | PSNet

psnet.ahrq.gov/issue/adapting-new-technologies-operating-room

January 16, 2017 - Study Classic Adapting to new technologies in the operating room. Citation Text: Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-613. doi:10.1518/001872096778827224. Copy Citation Format: DOI Google …

Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. | PSNet

psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions

August 03, 2017 - Review Classic Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. Citation Text: Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…

Approval and perceived impact of duty hour regulations: survey of pediatric program directors. | PSNet

psnet.ahrq.gov/issue/approval-and-perceived-impact-duty-hour-regulations-survey-pediatric-program-directors

February 27, 2013 - Study Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Citation Text: Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi…

ACGME duty-hour recommendations—a national survey of residency program directors. | PSNet

psnet.ahrq.gov/issue/acgme-duty-hour-recommendations-national-survey-residency-program-directors

December 21, 2014 - Study ACGME duty-hour recommendations—a national survey of residency program directors. Citation Text: Antiel RM, Thompson SM, Reed DA, et al. ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med. 2010;363(8):e12. doi:10.1056/NEJMp1008305. …

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

psnet.ahrq.gov/issue/us-internal-medicine-program-director-perceptions-alignment-graduate-medical-education-and

July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations

March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

Institution of just culture physician peer review in an academic medical center. | PSNet

psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center

October 20, 2021 - Study Institution of just culture physician peer review in an academic medical center. Citation Text: Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.00000000000…

Promising roles for pharmacists in addressing the U.S. opioid crisis. | PSNet

psnet.ahrq.gov/issue/promising-roles-pharmacists-addressing-us-opioid-crisis

May 19, 2021 - Commentary Promising roles for pharmacists in addressing the U.S. opioid crisis. Citation Text: Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. Copy…

Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. | PSNet

psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving

September 14, 2022 - Study Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…

Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. | PSNet

psnet.ahrq.gov/issue/drug-manufacturers-delayed-disclosure-serious-and-unexpected-adverse-events-us-food-and-drug

July 10, 2017 - Study Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. Citation Text: Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Adminis…

Making the transition to nursing bedside shift reports. | PSNet

psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports

September 29, 2017 - Study Making the transition to nursing bedside shift reports. Citation Text: Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. Copy Citation Format: Google Scholar PubMed BibTeX End…

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. | PSNet

psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module

June 03, 2013 - Study Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Citation Text: Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…

Test result communication in primary care: a survey of current practice. | PSNet

psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice

November 20, 2015 - Study Test result communication in primary care: a survey of current practice. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712. Copy Citati…

Pain states, the opioid epidemic, and the role of radiologists. | PSNet

psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-role-radiologists

September 01, 2013 - Review Pain states, the opioid epidemic, and the role of radiologists. Citation Text: Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x. Copy Citation Format:…

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