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  1. The gaps in specialists' diagnoses. | PSNet

    psnet.ahrq.gov/issue/gaps-specialists-diagnoses
    July 28, 2021 - Commentary The gaps in specialists' diagnoses. Citation Text: Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

  2. Not thinking clearly? Play a game, seriously! | PSNet

    psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
    January 17, 2018 - Commentary Not thinking clearly? Play a game, seriously! Citation Text: Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  3. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet

    psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
    September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

  4. Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation. | PSNet

    psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-medicolegal-death
    December 14, 2016 - Commentary Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation. Citation Text: Wolf DA, Drake SA, Snow FK. Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation. Am J Forensic …

  5. Using care bundles to reduce in-hospital mortality: quantitative survey. | PSNet

    psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey
    April 25, 2018 - Study Using care bundles to reduce in-hospital mortality: quantitative survey. Citation Text: Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234. Copy Citation Format: …

  6. The practice of medicine: understanding diagnostic error. | PSNet

    psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
    July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  7. A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet

    psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care
    September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

  8. Ensuring staff safety when treating potentially violent patients. | PSNet

    psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
    July 14, 2010 - Commentary Ensuring staff safety when treating potentially violent patients. Citation Text: Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. Copy Citation Format: DOI G…

  9. Partial codes—when "less" may not be "more." | PSNet

    psnet.ahrq.gov/issue/partial-codes-when-less-may-not-be-more
    August 28, 2024 - Commentary Partial codes—when "less" may not be "more." Citation Text: Rousseau P. Partial Codes-When "Less" May Not Be "More". JAMA Intern Med. 2016;176(8):1057-8. doi:10.1001/jamainternmed.2016.2522. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  10. Citing harms, momentum grows to remove race from clinical algorithms. | PSNet

    psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms
    January 31, 2011 - Commentary Citing harms, momentum grows to remove race from clinical algorithms. Citation Text: Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. Copy Citation Format: DOI Google Scholar B…

  11. Medication reconciliation in the emergency department: opportunities for workflow redesign. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-emergency-department-opportunities-workflow-redesign
    August 04, 2021 - Commentary Medication reconciliation in the emergency department: opportunities for workflow redesign. Citation Text: Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.11…

  12. Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. | PSNet

    psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
    August 09, 2017 - Commentary Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. Citation Text: Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…

  13. Why your doctor's white coat can be a threat to your health. | PSNet

    psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
    November 18, 2016 - Newspaper/Magazine Article Why your doctor's white coat can be a threat to your health. Citation Text: Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373. Copy Citation Forma…

  14. Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. | PSNet

    psnet.ahrq.gov/issue/consensus-based-recommendations-standardizing-terminology-and-reporting-adverse-events
    December 22, 2018 - Commentary Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. Citation Text: Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminol…

  15. Infusing fun into quality and safety initiatives. | PSNet

    psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
    October 19, 2022 - Commentary Infusing fun into quality and safety initiatives. Citation Text: Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux). 2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9. Copy Citation Format: DOI Goo…

  16. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet

    psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
    August 12, 2020 - Newspaper/Magazine Article 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. Citation Text: 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…

  17. What's changed 1 year after RaDonda Vaught's conviction? | PSNet

    psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction
    October 13, 2021 - Newspaper/Magazine Article What's changed 1 year after RaDonda Vaught's conviction? Citation Text: What's changed 1 year after RaDonda Vaught's conviction? Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023. Copy Citation Save Save to your library …

  18. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. | PSNet

    psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
    February 26, 2009 - Study A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Citation Text: Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Anesthesiology. 2007;106(6):1096-1104. Copy Citation Format: Google S…

  19. A national survey of safe practice with epidural analgesia in obstetric units. | PSNet

    psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
    July 28, 2021 - Study A national survey of safe practice with epidural analgesia in obstetric units. Citation Text: Jones R, Swales HA, Lyons GR. A national survey of safe practice with epidural analgesia in obstetric units. Anaesthesia. 2008;63(5):516-9. doi:10.1111/j.1365-2044.2007.05398.x. Copy C…

  20. A national survey of obstetric anaesthetic handovers. | PSNet

    psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
    July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…
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