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  1. Chemotherapy medication errors. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-medication-errors
    May 19, 2014 - Review Emerging Classic Chemotherapy medication errors. Citation Text: Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. Copy Citation Format: DOI Google S…

  2. Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
    May 31, 2017 - Study Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. Citation Text: Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategi…

  3. A leadership framework for culture change in health care. | PSNet

    psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…

  4. Coupling policymaking with evaluation—the case of the opioid crisis. | PSNet

    psnet.ahrq.gov/issue/coupling-policymaking-evaluation-case-opioid-crisis
    September 29, 2017 - Commentary Coupling policymaking with evaluation—the case of the opioid crisis. Citation Text: Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. Copy Citation F…

  5. Implementing bedside handoff in the emergency department: a practice improvement project. | PSNet

    psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
    November 14, 2018 - Commentary Implementing bedside handoff in the emergency department: a practice improvement project. Citation Text: Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.…

  6. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. | PSNet

    psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
    December 01, 2021 - Review Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. Citation Text: Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…

  7. Disclosing harmful pathology errors to patients. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
    May 18, 2022 - Commentary Disclosing harmful pathology errors to patients. Citation Text: Dintzis SM, Gallagher TH. Disclosing harmful pathology errors to patients. Am J Clin Pathol. 2009;131(4):463-5. doi:10.1309/AJCPIO5SHDOD6URI. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  8. The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. | PSNet

    psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
    April 21, 2021 - Commentary The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. Citation Text: Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…

  9. A leadership initiative to improve communication and enhance safety. | PSNet

    psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
    March 11, 2009 - Commentary A leadership initiative to improve communication and enhance safety. Citation Text: Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. Copy…

  10. The aging surgeon. | PSNet

    psnet.ahrq.gov/issue/aging-surgeon
    February 22, 2019 - Review The aging surgeon. Citation Text: Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  11. Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

    psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
    February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

  12. A plan for achieving significant improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
    September 23, 2020 - Commentary A plan for achieving significant improvement in patient safety. Citation Text: Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  13. Obstetric medical emergency teams are a step forward in maternal safety! | PSNet

    psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
    November 04, 2020 - Review Obstetric medical emergency teams are a step forward in maternal safety! Citation Text: Al Kadri HMF. Obstetric medical emergency teams are a step forward in maternal safety!. J Emerg Trauma Shock. 2010;3(4):337-341. doi:10.4103/0974-2700.70755. Copy Citation Format: …

  14. Improving care teams' functioning: recommendations from team science. | PSNet

    psnet.ahrq.gov/issue/improving-care-teams-functioning-recommendations-team-science
    June 24, 2020 - Commentary Improving care teams' functioning: recommendations from team science. Citation Text: Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.00…

  15. What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

    psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
    November 16, 2022 - Commentary What is an ethically informed approach to managing patient safety risk during discharge planning? Citation Text: West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…

  16. Health literacy and medication understanding among hospitalized adults. | PSNet

    psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults
    April 05, 2013 - Study Health literacy and medication understanding among hospitalized adults. Citation Text: Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925. Copy Citation Format: …

  17. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
    July 23, 2014 - Study Oral chemotherapy safety practices at US cancer centres: questionnaire survey. Citation Text: Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. Copy Cita…

  18. Oversight Hearing on Recent Patient Safety Issues. | PSNet

    psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
    November 06, 2019 - Congressional Testimony Oversight Hearing on Recent Patient Safety Issues. Citation Text: Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…

  19. Drug Shortages: FDA's Ability to Respond Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
    April 15, 2009 - Congressional Testimony Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Citation Text: Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…

  20. Fixing healthcare from the inside, today. | PSNet

    psnet.ahrq.gov/issue/fixing-healthcare-inside-today
    February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today. Citation Text: Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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