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  1. Creating a just culture: the Ottawa Hospital's experience. | PSNet

    psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
    July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

  2. Words: the "drug" with the highest frequency of dispensing errors. | PSNet

    psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
    March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…

  3. Development and implementation of a hospital-based patient safety program. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
    June 21, 2006 - Commentary Development and implementation of a hospital-based patient safety program. Citation Text: Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. Copy Citation Format: Google Schol…

  4. Disclosure of harmful medical error to patients: a review with recommendations for pathologists. | PSNet

    psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
    September 21, 2022 - Review Disclosure of harmful medical error to patients: a review with recommendations for pathologists. Citation Text: Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…

  5. Clinical alarms: improving efficiency and effectiveness. | PSNet

    psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
    February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  6. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
    April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

  7. An elusive balance — residents' work hours and the continuity of care. | PSNet

    psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
    July 19, 2017 - Commentary An elusive balance — residents' work hours and the continuity of care. Citation Text: Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  8. Examining markers of safety in homecare using the international classification for patient safety. | PSNet

    psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
    March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…

  9. Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. | PSNet

    psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
    March 28, 2012 - Study Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. Citation Text: Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…

  10. Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? | PSNet

    psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
    May 18, 2022 - Review Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? Citation Text: Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…

  11. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. | PSNet

    psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
    January 14, 2011 - Study Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Citation Text: Renshaw AA, Gould EW. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Am J Clin Pathol.…

  12. Training situational awareness to reduce surgical errors in the operating room. | PSNet

    psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
    November 21, 2012 - Review Training situational awareness to reduce surgical errors in the operating room. Citation Text: Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. C…

  13. Surgeons don't know what they don't know about the safe use of energy in surgery. | PSNet

    psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
    April 05, 2017 - Study Surgeons don't know what they don't know about the safe use of energy in surgery. Citation Text: Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9. Copy Citation Form…

  14. Quality and safety in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
    January 19, 2011 - Review Quality and safety in the intensive care unit. Citation Text: Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  15. On patient safety: when are we too old to operate? | PSNet

    psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
    October 19, 2022 - Commentary On patient safety: when are we too old to operate? Citation Text: Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  16. EACTS guidelines for the use of patient safety checklists. | PSNet

    psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklists
    October 31, 2012 - Commentary EACTS guidelines for the use of patient safety checklists. Citation Text: Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. Copy Citation Format: …

  17. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  18. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

    psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
    June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

  19. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe
    March 02, 2011 - Commentary COVID-19 and patient safety- lessons from 2 efforts to keep people safe. Citation Text: Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. Copy Citation Format: …

  20. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet

    psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
    January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …
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