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  1. Explaining ethnic disparities in patient safety: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
    April 14, 2021 - Study Explaining ethnic disparities in patient safety: a qualitative analysis. Citation Text: Suurmond J, Uiters E, de Bruijne M, et al. Explaining ethnic disparities in patient safety: a qualitative analysis. Am J Public Health. 2010;100 Suppl 1:S113-7. doi:10.2105/AJPH.2009.167064. …

  2. Diagnostic error in stroke — reasons and proposed solutions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
    March 01, 2023 - Review Diagnostic error in stroke — reasons and proposed solutions. Citation Text: Bakradze E, Liberman AL. Diagnostic Error in Stroke-Reasons and Proposed Solutions. Curr Atheroscler Rep. 2018;20(2):11. doi:10.1007/s11883-018-0712-3. Copy Citation Format: DOI Google Schola…

  3. Using Medical Emergency Teams to detect preventable adverse events. | PSNet

    psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-adverse-events
    December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

  4. A public health approach to patient safety reporting systems is urgently needed. | PSNet

    psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
    January 14, 2014 - Review A public health approach to patient safety reporting systems is urgently needed. Citation Text: Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. …

  5. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

    psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

  6. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

  7. Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

    psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
    October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

  8. Measuring communication in the surgical ICU: better communication equals better care. | PSNet

    psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
    April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

  9. Safety in the academic medical center: transforming challenges into ingredients for improvement. | PSNet

    psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
    February 17, 2011 - Review Safety in the academic medical center: transforming challenges into ingredients for improvement. Citation Text: Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. Copy Citation …

  10. Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet

    psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
    September 01, 2018 - Study Changes in physician practice patterns after implementation of a communication-and-resolution program. Citation Text: Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…

  11. Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

    psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions
    February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

  12. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? | PSNet

    psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical
    March 21, 2017 - Study Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? Citation Text: Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…

  13. Investigating the safety of medication administration in adult critical care settings. | PSNet

    psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
    June 01, 2022 - Review Investigating the safety of medication administration in adult critical care settings. Citation Text: Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…

  14. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare
    October 26, 2022 - Commentary 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. Citation Text: Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…

  15. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

  16. Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

    psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
    March 01, 2011 - Study Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. Citation Text: Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…

  17. Identification of poor performance in a national medical workforce over 11 years: an observational study. | PSNet

    psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
    August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…

  18. Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
    January 06, 2016 - Study Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. Citation Text: Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication E…

  19. Safety of inpatient care in surgical settings: cohort study. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

  20. A survey of factors affecting clinician acceptance of clinical decision support. | PSNet

    psnet.ahrq.gov/issue/survey-factors-affecting-clinician-acceptance-clinical-decision-support
    July 10, 2008 - Study A survey of factors affecting clinician acceptance of clinical decision support. Citation Text: Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.…
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