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  1. ‘Ladder’-based safety culture assessments inversely predict safety outcomes. | PSNet

    psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
    January 22, 2025 - Commentary ‘Ladder’-based safety culture assessments inversely predict safety outcomes. Citation Text: Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…

  2. Assessing system failures in operating rooms and intensive care units. | PSNet

    psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
    June 15, 2011 - Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google Sch…

  3. Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. | PSNet

    psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
    March 31, 2022 - Review Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. Citation Text: Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…

  4. Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-johns-hopkins-disruptive-clinician-behavior-survey
    April 24, 2013 - Study Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Citation Text: Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/10628606145…

  5. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. | PSNet

    psnet.ahrq.gov/issue/how-improving-practice-relationships-among-clinicians-and-nonclinicians-can-improve-quality
    December 18, 2013 - Study How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Citation Text: Lanham H, McDaniel RR, Crabtree B, et al. How improving practice relationships among clinicians and nonclinicians can improve quality in primary care. Jt Comm…

  6. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. | PSNet

    psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
    December 23, 2011 - Study A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Citation Text: Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…

  7. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
    May 29, 2024 - Commentary 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. Citation Text: Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…

  8. Explainable artificial intelligence for safe intraoperative decision support. | PSNet

    psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
    October 13, 2015 - Commentary Explainable artificial intelligence for safe intraoperative decision support. Citation Text: Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. Copy Citation F…

  9. Using data to enhance performance and improve quality and safety in surgery. | PSNet

    psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery
    March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…

  10. Design of a safety dashboard for patients. | PSNet

    psnet.ahrq.gov/issue/design-safety-dashboard-patients
    March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  11. 'Trust but verify'—five approaches to ensure safe medical apps. | PSNet

    psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
    September 27, 2023 - Commentary 'Trust but verify'—five approaches to ensure safe medical apps. Citation Text: Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. Copy Citation Format: DOI Google Scholar PubM…

  12. Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. | PSNet

    psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application
    April 05, 2023 - Commentary Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. Citation Text: McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…

  13. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
    February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

  14. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. | PSNet

    psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior
    September 29, 2017 - Study Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. Citation Text: Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…

  15. Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

    psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
    August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

  16. Medication errors and adverse drug events in pediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
    January 19, 2011 - Study Classic Medication errors and adverse drug events in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. Copy Citation Format: …

  17. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
    December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

  18. Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

    psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
    June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

  19. Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
    September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

  20. Improving end of life care: an information systems approach to reducing medical errors. | PSNet

    psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
    November 04, 2015 - Study Improving end of life care: an information systems approach to reducing medical errors. Citation Text: Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. Copy C…
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