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  1. A framework for operationalizing risk: a practical approach to patient safety.  | PSNet

    psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
    October 13, 2018 - Commentary A framework for operationalizing risk: a practical approach to patient safety.  Citation Text: Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…

  2. Implementation of safety checklists in surgery: a realist synthesis of evidence. | PSNet

    psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
    November 20, 2015 - Review Implementation of safety checklists in surgery: a realist synthesis of evidence. Citation Text: Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9. Copy Citation …

  3. Work-arounds observed by fourth-year nursing students. | PSNet

    psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
    July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…

  4. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. | PSNet

    psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
    November 11, 2020 - Commentary Using simulation to teach nursing students and licensed clinicians obstetric emergencies. Citation Text: Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…

  5. The sterile cockpit: an effective approach to reducing medication errors? | PSNet

    psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
    April 24, 2018 - Commentary The sterile cockpit: an effective approach to reducing medication errors? Citation Text: Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. Copy Ci…

  6. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
    December 30, 2014 - Study An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. Citation Text: Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. …

  7. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/surgeons-leadership-style-and-team-behavior-hybrid-operating-room-prospective-cohort-study
    August 31, 2022 - Study Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Citation Text: Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e…

  8. Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet

    psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes
    September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

  9. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet

    psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
    June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…

  10. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet

    psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
    April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…

  11. A patient safety toolkit for family practices. | PSNet

    psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices
    August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

  12. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet

    psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
    September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…

  13. A vision for patient-centered health information systems. | PSNet

    psnet.ahrq.gov/issue/vision-patient-centered-health-information-systems
    April 12, 2011 - Commentary A vision for patient-centered health information systems. Citation Text: Krist AH, Woolf SH. A vision for patient-centered health information systems. JAMA. 2011;305(3):300-1. doi:10.1001/jama.2010.2011. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  14. Managing health IT risks: reflections and recommendations. | PSNet

    psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
    July 10, 2024 - Commentary Managing health IT risks: reflections and recommendations. Citation Text: Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  15. Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet

    psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
    September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…

  16. Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. | PSNet

    psnet.ahrq.gov/issue/development-web-based-surgical-booking-and-informed-consent-system-reduce-potential-error-and
    November 16, 2022 - Study Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. Citation Text: Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…

  17. Interruptions in clinical nursing practice. | PSNet

    psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
    September 26, 2018 - Study Interruptions in clinical nursing practice. Citation Text: Sørensen EE, Brahe L. Interruptions in clinical nursing practice. J Clin Nurs. 2014;23(9-10):1274-82. doi:10.1111/jocn.12329. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  18. The impact of patient and public involvement on UK NHS health care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-patient-and-public-involvement-uk-nhs-health-care-systematic-review
    January 15, 2025 - Study The impact of patient and public involvement on UK NHS health care: a systematic review. Citation Text: Mockford C, Staniszewska S, Griffiths F, et al. The impact of patient and public involvement on UK NHS health care: a systematic review. Int J Qual Health Care. 2012;24(1):28-38.…

  19. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet

    psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
    December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

  20. Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
    July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…
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