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9881. Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... | PSNet
      psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
      October 23, 2018 - Commentary Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... Citation Text: Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…

9882. Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet
      psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
      June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …

9883. Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
      June 27, 2018 - Book/Report Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Citation Text: Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. Copy Cit…

9884. Human factors of complex sociotechnical systems. | PSNet
      psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
      June 09, 2021 - Commentary Human factors of complex sociotechnical systems. Citation Text: Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

9885. Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
      October 23, 2019 - Government Resource Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Citation Text: Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…

9886. Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. | PSNet
      psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
      October 06, 2016 - Government Resource Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Citation Text: Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…

9887. Physicians, information technology, and health care systems: a journey, not a destination. | PSNet
      psnet.ahrq.gov/issue/physicians-information-technology-and-health-care-systems-journey-not-destination
      May 04, 2010 - Commentary Physicians, information technology, and health care systems: a journey, not a destination. Citation Text: McDonald CJ, Overhage M, Mamlin BW, et al. Physicians, information technology, and health care systems: a journey, not a destination. J Am Med Inform Assoc. 2004;11(2):1…

9888. Taking aim at infusion confusion. | PSNet
      psnet.ahrq.gov/issue/taking-aim-infusion-confusion
      June 06, 2018 - Commentary Taking aim at infusion confusion. Citation Text: Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

9889. Surveys on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/surveys-patient-safety-culture
      December 24, 2008 - Measurement Tool/Indicator Classic Surveys on Patient Safety Culture. Citation Text: Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Downl…

9890. I thought Daniel was safe with the NHS. He wasn't. | PSNet
      psnet.ahrq.gov/issue/i-thought-daniel-was-safe-nhs-he-wasnt
      March 24, 2021 - Newspaper/Magazine Article I thought Daniel was safe with the NHS. He wasn't. Citation Text: I thought Daniel was safe with the NHS. He wasn't. Calvert J, Arbuthnott G. The Sunday Times (UK). March 1, 2020. Copy Citation Save Save to your library Print …

9891. Medicare failed to investigate suspicious infection cases from 96 hospitals. | PSNet
      psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
      May 29, 2019 - Newspaper/Magazine Article Medicare failed to investigate suspicious infection cases from 96 hospitals. Citation Text: Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017. Copy Citation Save Save t…

9892. Patient safety in the ambulatory OB/GYN setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
      November 16, 2022 - Commentary Patient safety in the ambulatory OB/GYN setting. Citation Text: Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol. 2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

9893. Assessing teamwork and communication in the authentic patient care learning environment. | PSNet
      psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
      July 02, 2014 - Commentary Assessing teamwork and communication in the authentic patient care learning environment. Citation Text: Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767. Co…

9894. Cutting out human error. | PSNet
      psnet.ahrq.gov/issue/cutting-out-human-error
      February 25, 2009 - Commentary Cutting out human error. Citation Text: Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

9895. Lax oversight leaves surgery center regulators and patients in the dark. | PSNet
      psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark
      May 17, 2017 - Newspaper/Magazine Article Lax oversight leaves surgery center regulators and patients in the dark. Citation Text: Lax oversight leaves surgery center regulators and patients in the dark. Jewett C, Alesia M. Kaiser Health News. August 9, 2018. Copy Citation Save S…

9896. It’s Not Just for Sci-Fi: Using Artificial Intelligence to Identify Kidney Disease | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
      January 01, 2020 - It’s Not Just for Sci-Fi: Using Artificial Intelligence to Identify Kidney Disease Successful development and implementation of an artificial intelligence-driven clinical decision support system for detection and treatment of acute kidney injury in the emergency department may improve the quality of kidney care an…

9897. 5 pandemic mistakes we keep repeating. We can learn from our failures. | PSNet
      psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
      March 10, 2021 - Newspaper/Magazine Article 5 pandemic mistakes we keep repeating. We can learn from our failures. Citation Text: 5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021 Copy Citation Save Save to you…

9898. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
      January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…

9899. Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/BEqfaqsota4EqjZDZkEHMm
      August 01, 2020 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation 1 www.uspreventiveservicestaskforce.org Clinician Summary of USPSTF Recommendation Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections August 2020 The USPSTF rec…

9900. Case Control Study | Digital Healthcare Research
      digital.ahrq.gov/research-method/case-control-study
      January 01, 2023 - Case Control Study Prediction of GutCheck NEC and its relation to severity of illness and measures of deterioration in necrotizing enterocolitis. Citation Gephart SM, Fleiner M, Msowoya A, Rothers J. Prediction of GutCheck NEC and its relation to severity of illness and measur…