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Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. | PSNet

psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated

July 18, 2014 - Study Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. Citation Text: Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…

Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet

psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19

April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…

From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. | PSNet

psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients

December 20, 2017 - Study From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. Citation Text: Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated

January 15, 2014 - Study Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Citation Text: Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems

January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

A hospitalization from hell: a patient's perspective on quality. | PSNet

psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality

July 19, 2023 - Commentary Classic A hospitalization from hell: a patient's perspective on quality. Citation Text: Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39. Copy Citation Format: Google Scholar…

Resident work hour limits and patient safety. | PSNet

psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety

July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…

Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. | PSNet

psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication

January 03, 2017 - Study Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. Citation Text: Armstrong GE, Dietrich M, Norman L, et al. Nursesʼ Perceived Skills and Attitudes About Updated Safety Concepts. J Nurs Care Qual. 2016;32(…

Medication errors involving nursing students: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review

March 09, 2022 - Review Medication errors involving nursing students: a systematic review. Citation Text: Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. Copy Citation …

Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case

January 22, 2017 - Study Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. Citation Text: Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…

"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. | PSNet

psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox

September 23, 2020 - Commentary "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. Citation Text: Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…

Defining attributes of patient safety through a concept analysis. | PSNet

psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis

May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

A model for the departmental quality management infrastructure within an academic health system. | PSNet

psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system

August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

Safe Administration of Medication in School: Policy Statement. | PSNet

psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement

May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

The costs of adverse drug events in community hospitals. | PSNet

psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals

February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Reducing health care hazards: lessons from the Commercial Aviation Safety Team. | PSNet

psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team

September 17, 2010 - Commentary Reducing health care hazards: lessons from the Commercial Aviation Safety Team. Citation Text: Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hl…

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency

July 12, 2023 - Commentary Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Citation Text: Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence

October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system

April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection

May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

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