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  1. Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. | PSNet

    psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
    October 29, 2014 - Study Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. Citation Text: Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…

  2. Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

    psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
    May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

  3. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. | PSNet

    psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
    November 21, 2014 - Study Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. Citation Text: Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…

  4. Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. | PSNet

    psnet.ahrq.gov/issue/little-shop-errors-innovative-simulation-patient-safety-workshop-community-health-care
    October 14, 2009 - Commentary Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. Citation Text: Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient safety workshop for community health care pro…

  5. A piece of my mind. Writing the wrong. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
    January 24, 2024 - Commentary A piece of my mind. Writing the wrong. Citation Text: Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  6. Computerized clinical decision support for medication prescribing and utilization in pediatrics. | PSNet

    psnet.ahrq.gov/issue/computerized-clinical-decision-support-medication-prescribing-and-utilization-pediatrics
    July 16, 2015 - Study Computerized clinical decision support for medication prescribing and utilization in pediatrics. Citation Text: Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…

  7. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. | PSNet

    psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
    March 17, 2021 - Study Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Citation Text: Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …

  8. Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. | PSNet

    psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident
    March 26, 2014 - Study Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. Citation Text: Renkema E, Broekhuis MH, Ahaus K. Explaining the unexplainable - the impact of physicians' attitude towards litigation on their incident disclos…

  9. Errors as allies: error management training in health professions education. | PSNet

    psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
    January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

  10. A quality improvement approach to standardization and sustainability of the hand-off process. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
    May 15, 2019 - Commentary A quality improvement approach to standardization and sustainability of the hand-off process. Citation Text: Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…

  11. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. | PSNet

    psnet.ahrq.gov/issue/twitter-tool-enhance-student-engagement-during-interprofessional-patient-safety-course
    July 08, 2020 - Study Twitter as a tool to enhance student engagement during an interprofessional patient safety course. Citation Text: Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. J Interprof Care. 2014;28(6):56…

  12. Operative team communication during simulated emergencies: too busy to respond? | PSNet

    psnet.ahrq.gov/issue/operative-team-communication-during-simulated-emergencies-too-busy-respond
    March 04, 2020 - Study Operative team communication during simulated emergencies: too busy to respond? Citation Text: Davis A, Jones S, Crowell-Kuhnberg AM, et al. Operative team communication during simulated emergencies: Too busy to respond? Surgery. 2017;161(5):1348-1356. doi:10.1016/j.surg.2016.09.02…

  13. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. | PSNet

    psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
    April 30, 2014 - Study Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. Copy…

  14. Patients' experiences of dental diagnostic failures: a qualitative study using social media. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-media
    September 06, 2017 - Study Patients' experiences of dental diagnostic failures: a qualitative study using social media. Citation Text: Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a qualitative study using social media. J Patient Saf. 2024;20(3):177-185. …

  15. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
    December 22, 2021 - Study Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. Citation Text: Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. J Healthc Qual. 2023;45(3):…

  16. The bare minimum: the reality of global anaesthesia and patient safety. | PSNet

    psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
    April 22, 2015 - Commentary The bare minimum: the reality of global anaesthesia and patient safety. Citation Text: McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. Copy Citatio…

  17. Description and yield of current quality and safety review in selected US academic emergency departments. | PSNet

    psnet.ahrq.gov/issue/description-and-yield-current-quality-and-safety-review-selected-us-academic-emergency
    July 13, 2016 - Study Description and yield of current quality and safety review in selected US academic emergency departments. Citation Text: Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Sa…

  18. Clinical decision support: a 25 year retrospective and a 25 year vision. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-25-year-retrospective-and-25-year-vision
    May 20, 2019 - Review Clinical decision support: a 25 year retrospective and a 25 year vision. Citation Text: Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. Copy Citation …

  19. A systematic review of teamwork training interventions in medical student and resident education. | PSNet

    psnet.ahrq.gov/issue/systematic-review-teamwork-training-interventions-medical-student-and-resident-education
    November 18, 2016 - Review A systematic review of teamwork training interventions in medical student and resident education. Citation Text: Chakraborti C, Boonyasai R, Wright SM, et al. A systematic review of teamwork training interventions in medical student and resident education. J Gen Intern Med. 2008…

  20. Systematic evaluation of errors occurring during the preparation of intravenous medication. | PSNet

    psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
    October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…
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