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  1. Health care worker perspectives of their motivation to reduce health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
    June 02, 2019 - Study Health care worker perspectives of their motivation to reduce health care–associated infections. Citation Text: McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…

  2. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. | PSNet

    psnet.ahrq.gov/issue/using-met-service-manage-hemorrhage-post-percutaneous-liver-biopsy
    January 05, 2017 - Study Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Citation Text: Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. Copy Citation Format: Go…

  3. The relationship between early emergency team calls and serious adverse events. | PSNet

    psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
    June 02, 2010 - Study The relationship between early emergency team calls and serious adverse events. Citation Text: Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…

  4. Applying modern error theory to the problem of missed injuries in trauma. | PSNet

    psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
    June 15, 2011 - Study Applying modern error theory to the problem of missed injuries in trauma. Citation Text: Clarke DL, Gouveia J, Thomson SR, et al. Applying modern error theory to the problem of missed injuries in trauma. World J Surg. 2008;32(6):1176-82. doi:10.1007/s00268-008-9543-7. Copy Cita…

  5. The clinical and medicolegal implications of radiology results communication. | PSNet

    psnet.ahrq.gov/issue/clinical-and-medicolegal-implications-radiology-results-communication
    August 20, 2018 - Review The clinical and medicolegal implications of radiology results communication. Citation Text: Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09…

  6. From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

    psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

  7. The 2011 duty-hour requirements—a survey of residency program directors. | PSNet

    psnet.ahrq.gov/issue/2011-duty-hour-requirements-survey-residency-program-directors
    December 02, 2014 - Study The 2011 duty-hour requirements—a survey of residency program directors. Citation Text: Drolet BC, Khokhar MT, Fischer SA. The 2011 duty-hour requirements--a survey of residency program directors. N Engl J Med. 2013;368(8):694-7. doi:10.1056/NEJMp1214483. Copy Citation Form…

  8. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
    May 26, 2016 - Review The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surg…

  9. Leader communication approaches and patient safety: an integrated model. | PSNet

    psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
    July 01, 2019 - Study Leader communication approaches and patient safety: an integrated model. Citation Text: Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008. Copy Citation Forma…

  10. Medication errors in neonatal and paediatric intensive-care units. | PSNet

    psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
    February 03, 2011 - Study Classic Medication errors in neonatal and paediatric intensive-care units. Citation Text: Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. Copy Citation Format: …

  11. Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. | PSNet

    psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
    August 24, 2022 - Study Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. Citation Text: Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …

  12. The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet

    psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
    March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…

  13. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet

    psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…

  14. Changes in intern attitudes toward medical error and disclosure. | PSNet

    psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
    November 10, 2021 - Study Changes in intern attitudes toward medical error and disclosure. Citation Text: Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. Copy Citation Fo…

  15. Duty-hours monitoring revisited: self-report may not be adequate. | PSNet

    psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
    April 24, 2018 - Study Duty-hours monitoring revisited: self-report may not be adequate. Citation Text: Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. Copy Citation Format: …

  16. Framework for analysing risk and safety in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
    February 19, 2014 - Commentary Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. Copy Citation Format: Google Scholar PubMed BibTeX E…

  17. Inter-rater reliability of a classification system for hospital adverse drug event reports. | PSNet

    psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
    March 30, 2011 - Study Inter-rater reliability of a classification system for hospital adverse drug event reports. Citation Text: Haynes K, Hennessy S, Morales KH, et al. Inter-rater reliability of a classification system for hospital adverse drug event reports. Clin Pharmacol Ther. 2008;83(3):485-8. …

  18. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. | PSNet

    psnet.ahrq.gov/issue/changes-practice-and-organisation-surrounding-blood-transfusion-nhs-trusts-england-1995-2005
    August 04, 2021 - Study Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Citation Text: Taylor CJC, Murphy MF, Lowe D, et al. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Qual Saf Health Care. 2…

  19. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
    August 21, 2024 - Commentary Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Citation Text: Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…

  20. Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. | PSNet

    psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
    December 15, 2021 - Study Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. Citation Text: Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…
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