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  1. 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: …

  2. 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…

  3. 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…

  4. 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…

  5. 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 …

  6. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet

    psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
    December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

  7. Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

    psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
    March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

  8. 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…

  9. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

    psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

  10. Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet

    psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
    October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…

  11. Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2007-comparative-database-report
    February 12, 2019 - Government Resource Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Sorra J, Nieva V, Famolaro T, et al. Rockville, MD: Agency for Healthcare; 2007. AHRQ publication, …

  12. Measuring and comparing safety climate in intensive care units. | PSNet

    psnet.ahrq.gov/issue/measuring-and-comparing-safety-climate-intensive-care-units
    January 05, 2011 - Study Measuring and comparing safety climate in intensive care units. Citation Text: France DJ, Greevy RA, Liu X, et al. Measuring and comparing safety climate in intensive care units. Med Care. 2010;48(3):279-84. doi:10.1097/MLR.0b013e3181c162d6. Copy Citation Format: DOI…

  13. Managing risk in hazardous conditions: improvisation is not enough. | PSNet

    psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
    November 06, 2024 - Commentary Managing risk in hazardous conditions: improvisation is not enough. Citation Text: Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. Copy Citation Format: DO…

  14. Challenges faced in providing safe care in rural perinatal settings. | PSNet

    psnet.ahrq.gov/issue/challenges-faced-providing-safe-care-rural-perinatal-settings
    June 14, 2017 - Study Challenges faced in providing safe care in rural perinatal settings. Citation Text: Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. MCN Am J Matern Child Nurs. 2009;34(6):365-371. doi:10.1097/01.NMC.0000363685.20315.0e. Copy Citation …

  15. The effect of collaboration on obstetric patient safety in three academic facilities. | PSNet

    psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
    October 19, 2022 - Commentary The effect of collaboration on obstetric patient safety in three academic facilities. Citation Text: Raab CA, Will SEB, Richards SL, et al. The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. Journal of Obstetric, Gynecologic & Neonatal Nursi…

  16. Deaths in Acute Hospitals: Caring to the End? | PSNet

    psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
    March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

  17. Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet

    psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
    November 22, 2017 - Book/Report Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Citation Text: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …

  18. The ethical imperative to think about thinking. | PSNet

    psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
    June 27, 2018 - Commentary The ethical imperative to think about thinking. Citation Text: Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061. Copy Citation …

  19. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. | PSNet

    psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
    September 23, 2020 - Commentary Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Citation Text: Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…

  20. Empowering patient safety outreach through interprofessional partnerships: educating our communities. | PSNet

    psnet.ahrq.gov/issue/empowering-patient-safety-outreach-through-interprofessional-partnerships-educating-our
    August 17, 2022 - Commentary Empowering patient safety outreach through interprofessional partnerships: educating our communities. Citation Text: Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional Partnerships: Educating Our Communities. J Hosp Librariansh. …
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