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A simulation-based approach to training in heuristic clinical decision-making. | PSNet

psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making

January 31, 2024 - Study A simulation-based approach to training in heuristic clinical decision-making. Citation Text: Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084. Copy Citation…

Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. | PSNet

psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events

September 07, 2016 - Book/Report Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Citation Text: Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-1…

Failure mode and effects analysis: too little for too much? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much

November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. | PSNet

psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-residents-help-ensure-safe-patient-care

July 06, 2011 - Book/Report Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. Citation Text: Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C…

Should patients have a role in patient safety? A safety engineering view. | PSNet

psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view

June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet

psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety

August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. | PSNet

psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens

August 15, 2007 - Book/Report Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Citation Text: Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…

Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

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July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

Older adults' perceptions of feeling safe in urban and rural acute care. | PSNet

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October 17, 2018 - Study Older adults' perceptions of feeling safe in urban and rural acute care. Citation Text: Lasiter S, Duffy J. Older adults' perceptions of feeling safe in urban and rural acute care. J Nurs Adm. 2013;43(1):30-6. doi:10.1097/NNA.0b013e3182786013. Copy Citation Format: D…

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. | PSNet

psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety

January 25, 2023 - Study Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. Citation Text: Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…

To err is human, but what happens when surgeons err? | PSNet

psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err

August 04, 2021 - Study To err is human, but what happens when surgeons err? Citation Text: Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. Copy Citation Format: DOI Google Scholar Bib…

Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. | PSNet

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December 08, 2021 - Book/Report Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Citation Text: Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Tran Y, Ellis LA, Clay-Willia…

Examining nurses' decision process for medication management in home care. | PSNet

psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care

December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …

Accountability in nursing practice: why it is important for patient safety. | PSNet

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April 07, 2021 - Commentary Accountability in nursing practice: why it is important for patient safety. Citation Text: Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. Copy Citation Format…

Severe hyperglycemia in patients incorrectly using insulin pens at home. | PSNet

psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home

December 15, 2021 - Press Release/Announcement Severe hyperglycemia in patients incorrectly using insulin pens at home. Citation Text: Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…

Guideline implementation: team communication. | PSNet

psnet.ahrq.gov/issue/guideline-implementation-team-communication

October 15, 2014 - Commentary Guideline implementation: team communication. Citation Text: Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet

psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events

April 17, 2024 - Study 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Citation Text: Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…

Quality, patient safety, and the cardiac surgical team. | PSNet

psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team

October 07, 2013 - Review Quality, patient safety, and the cardiac surgical team. Citation Text: Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Medication orders with future start dates: how far away is too far? | PSNet

psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far

March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…

Usability study of two common defibrillators reveals hazards. | PSNet

psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards

June 16, 2009 - Study Usability study of two common defibrillators reveals hazards. Citation Text: Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029. Copy Citation Form…

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