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  1. Flaws in clinical reasoning: a common cause of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
    September 30, 2012 - Commentary Flaws in clinical reasoning: a common cause of diagnostic error. Citation Text: Wellbery C. Flaws in clinical reasoning: a common cause of diagnostic error. Am Fam Physician. 2011;84(9):1042-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  2. Back to basics: counting soft surgical goods. | PSNet

    psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
    March 17, 2021 - Commentary Back to basics: counting soft surgical goods. Citation Text: Spruce L. Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. doi:10.1016/j.aorn.2015.12.021. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  3. Guideline for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
    April 26, 2023 - Commentary Guideline for prevention of retained surgical items. Citation Text: Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  4. Office-based surgery and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
    October 06, 2021 - Review Office-based surgery and patient outcomes. Citation Text: Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol. 2018;31(6):707-712. doi:10.1097/ACO.0000000000000655. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  5. Medical error and vulnerable communities. | PSNet

    psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
    November 04, 2020 - Commentary Medical error and vulnerable communities. Citation Text: Medical error and vulnerable communities. Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  6. Physician Quality Officer: a new model for engaging physicians in quality improvement. | PSNet

    psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
    May 03, 2017 - Commentary Physician Quality Officer: a new model for engaging physicians in quality improvement. Citation Text: Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/10628…

  7. Silence Kills: The Seven Crucial Conversations for Healthcare. | PSNet

    psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
    July 09, 2012 - Book/Report Silence Kills: The Seven Crucial Conversations for Healthcare. Citation Text: Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.  Copy Citation …

  8. Communication failure: basic components, contributing factors, and the call for structure. | PSNet

    psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
    March 04, 2011 - Commentary Communication failure: basic components, contributing factors, and the call for structure. Citation Text: Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47. Copy Ci…

  9. Helping patients simplify and safely use complex prescription regimens. | PSNet

    psnet.ahrq.gov/issue/helping-patients-simplify-and-safely-use-complex-prescription-regimens
    December 19, 2017 - Study Helping patients simplify and safely use complex prescription regimens. Citation Text: Wolf MS, Curtis LM, Waite K, et al. Helping patients simplify and safely use complex prescription regimens. Arch Intern Med. 2011;171(4):300-5. doi:10.1001/archinternmed.2011.39. Copy Citation …

  10. Pediatric safety incidents from an intensive care reporting system. | PSNet

    psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
    May 27, 2011 - Study Pediatric safety incidents from an intensive care reporting system. Citation Text: Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW. Copy Citation Save Save to your library P…

  11. The less-discussed consequence of healthcare's labor shortage. | PSNet

    psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage
    April 12, 2023 - Newspaper/Magazine Article The less-discussed consequence of healthcare's labor shortage. Citation Text: The less-discussed consequence of healthcare's labor shortage. Bean M, Masson G. Becker's Hospital Review. October 4, 2021. Copy Citation Save Save to y…

  12. Impact of a successful speaking up program on health-care worker hand hygiene behavior. | PSNet

    psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
    February 11, 2015 - Commentary Impact of a successful speaking up program on health-care worker hand hygiene behavior. Citation Text: Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. Copy Citation …

  13. Governing the surgical count through communication interactions: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

  14. A simple checklist for preventing major complications associated with cesarean delivery. | PSNet

    psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
    January 10, 2024 - Commentary A simple checklist for preventing major complications associated with cesarean delivery. Citation Text: Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763. …

  15. Implementing a pediatric surgical safety checklist in the OR and beyond. | PSNet

    psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
    March 09, 2016 - Commentary Implementing a pediatric surgical safety checklist in the OR and beyond. Citation Text: Norton EK, Rangel SJ. Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. AORN J. 2010;92(1). doi:10.1016/j.aorn.2009.11.069. Copy Citation Format: DOI …

  16. Access to prescription opioids—Primum Non Nocere: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
    July 02, 2019 - Commentary Access to prescription opioids—Primum Non Nocere: a teachable moment. Citation Text: Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926. Copy Citatio…

  17. Hospitals slow to adopt patient apology policies. | PSNet

    psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
    April 22, 2016 - Newspaper/Magazine Article Hospitals slow to adopt patient apology policies. Citation Text: Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  18. Examining the Increase in Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/examining-increase-drug-shortages
    March 01, 2017 - Government Resource Examining the Increase in Drug Shortages. Citation Text: Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011). Copy Citation …

  19. Improving operating room safety. | PSNet

    psnet.ahrq.gov/issue/improving-operating-room-safety
    May 17, 2023 - Study Improving operating room safety. Citation Text: Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-9493-3-25. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  20. Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
    October 19, 2022 - Study Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. Citation Text: Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
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