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Racial disparities in child abuse medicine. | PSNet

psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine

June 15, 2022 - Commentary Racial disparities in child abuse medicine. Citation Text: Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr. 2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601. Copy Citation Format: DOI Google Scholar BibTeX E…

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report

May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet

psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements

September 29, 2017 - Study Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Citation Text: Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …

Structured patient handoff on an internal medicine ward: a cluster randomized control trial. | PSNet

psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial

September 23, 2020 - Study Structured patient handoff on an internal medicine ward: a cluster randomized control trial. Citation Text: Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journa…

Disclosing adverse events to patients: international norms and trends. | PSNet

psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends

July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

Unexpected hypoglycemia in a critically ill patient. | PSNet

psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient

July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute

October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

High reliability pediatric heart centers: always working toward getting better. | PSNet

psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better

September 18, 2024 - Commentary High reliability pediatric heart centers: always working toward getting better. Citation Text: Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. Copy C…

Considerations for the design of safe and effective consumer health IT applications in the home. | PSNet

psnet.ahrq.gov/issue/considerations-design-safe-and-effective-consumer-health-it-applications-home

September 24, 2016 - Study Considerations for the design of safe and effective consumer health IT applications in the home. Citation Text: Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…

Adverse Events in Hospitals: State Reporting Systems. | PSNet

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January 14, 2009 - Book/Report Adverse Events in Hospitals: State Reporting Systems. Citation Text: Adverse Events in Hospitals: State Reporting Systems. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471. …

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected

January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability

September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet

psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices

October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation practices. Citation Text: Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice

August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

The tension between needing to improve care and knowing how to do it. | PSNet

psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it

June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

Evaluation of a measurement system to assess ICU team performance. | PSNet

psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance

November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

Comparing trainee and staff perceptions of patient safety culture. | PSNet

psnet.ahrq.gov/issue/comparing-trainee-and-staff-perceptions-patient-safety-culture

February 15, 2017 - Study Comparing trainee and staff perceptions of patient safety culture. Citation Text: Bump GM, Coots N, Liberi CA, et al. Comparing Trainee and Staff Perceptions of Patient Safety Culture. Acad Med. 2017;92(1):116-122. doi:10.1097/ACM.0000000000001255. Copy Citation Format: …

Promoting health care safety through training high reliability teams. | PSNet

psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams

January 06, 2018 - Commentary Promoting health care safety through training high reliability teams. Citation Text: Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. Copy Citation Format: …

Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. | PSNet

psnet.ahrq.gov/issue/need-systematically-identify-and-mitigate-risks-upon-hospitalisation-patients-chronic-health

August 04, 2021 - Commentary Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. Citation Text: Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions.…

Case outcomes in a communication-and-resolution program in New York hospitals. | PSNet

psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals

February 05, 2014 - Study Case outcomes in a communication-and-resolution program in New York hospitals. Citation Text: Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.1…

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