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9601. How communication among members of the health care team affects maternal morbidity and mortality. | PSNet
      psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
      November 12, 2014 - Commentary How communication among members of the health care team affects maternal morbidity and mortality. Citation Text: Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…

9602. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet
      psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
      October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

9603. Unmet Needs: Teaching Physicians to Provide Safe Patient Care. | PSNet
      psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
      November 07, 2012 - Book/Report Classic Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Citation Text: Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. Copy Cita…

9604. Disclosing medical errors: prioritising the needs of patients and families. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
      November 11, 2020 - Commentary Disclosing medical errors: prioritising the needs of patients and families. Citation Text: Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. C…

9605. Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. | PSNet
      psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
      October 20, 2021 - Book/Report Classic Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. Citation Text: Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Brist…

9606. Redesigning surgical decision making for high-risk patients. | PSNet
      psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
      July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

9607. Clinical Learning Environment Review (CLER) Program. | PSNet
      psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
      November 18, 2020 - Multi-use Website Clinical Learning Environment Review (CLER) Program. Citation Text: Clinical Learning Environment Review (CLER) Program. Accreditation Council for Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF …

9608. The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
      November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…

9609. The 80-hour duty week: rationale, early attitudes, and future questions. | PSNet
      psnet.ahrq.gov/issue/80-hour-duty-week-rationale-early-attitudes-and-future-questions
      September 28, 2010 - Commentary The 80-hour duty week: rationale, early attitudes, and future questions. Citation Text: Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. Copy Citation Format: Google Scholar PubMe…

9610. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet
      psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
      November 03, 2015 - Study Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. Citation Text: Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…

9611. Elimination of emergency department medication errors due to estimated weights. | PSNet
      psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
      July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…

9612. Opioid prescribing patterns and complications in the dermatology Medicare population. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-patterns-and-complications-dermatology-medicare-population
      May 25, 2022 - Study Opioid prescribing patterns and complications in the dermatology Medicare population. Citation Text: Cao S, Karmouta R, Li DG, et al. Opioid Prescribing Patterns and Complications in the Dermatology Medicare Population. JAMA Dermatol. 2018;154(3):317-322. doi:10.1001/jamadermatol.2…

9613. Cognitive bias in clinical medicine. | PSNet
      psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
      February 20, 2019 - Commentary Classic Cognitive bias in clinical medicine. Citation Text: O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306. Copy Citation Format: DOI Google Sch…

9614. Pediatric medication safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department-0
      November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

9615. What prevents incident disclosure, and what can be done to promote it? | PSNet
      psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
      February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? Citation Text: Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417. Copy Citation Format: G…

9616. Variation in surgical time-out and site marking within pediatric otolaryngology. | PSNet
      psnet.ahrq.gov/issue/variation-surgical-time-out-and-site-marking-within-pediatric-otolaryngology
      October 27, 2010 - Study Variation in surgical time-out and site marking within pediatric otolaryngology. Citation Text: Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/a…

9617. In Conversation with...Atul Gawande, MD, MA, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
      September 01, 2007 - The physicians and leaders are suddenly sharing information, traveling to other places, seeing what the

9618. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - Here, the balance is sharing the results of error analyses with the patient versus the institution wanting

9619. In Conversation with…Thomas H. Gallagher, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
      January 01, 2009 - Here, the balance is sharing the results of error analyses with the patient versus the institution wanting

9620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866841/psn-pdf
      September 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary September 23, 2024 https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and- intervention-innovation Summary UNC Health is a nonprofit healthcare system of more than 500 clinics and…