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  1. Medical emergency team: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-review-literature
    March 02, 2011 - Review Medical emergency team: a review of the literature. Citation Text: Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  2. Risk of mistaken DNR orders. | PSNet

    psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  3. Audit of handover in an ENT unit. | PSNet

    psnet.ahrq.gov/issue/audit-handover-ent-unit
    October 28, 2020 - Study Audit of handover in an ENT unit. Citation Text: Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  4. Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-ed
    March 09, 2018 - Book/Report Classic Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Citation Text: Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 97814…

  5. High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. | PSNet

    psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
    October 09, 2013 - Book/Report High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. Citation Text: High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…

  6. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
    April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

  7. Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. | PSNet

    psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
    December 10, 2024 - Book/Report Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Citation Text: Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025. …

  8. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet

    psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
    February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

  9. Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. | PSNet

    psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
    September 07, 2016 - Book/Report Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Citation Text: Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…

  10. How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. | PSNet

    psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
    August 16, 2016 - Book/Report How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Citation Text: How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…

  11. An organizational learning framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
    November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  12. Perinatal high reliability. | PSNet

    psnet.ahrq.gov/issue/perinatal-high-reliability
    September 29, 2010 - Review Perinatal high reliability. Citation Text: Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  13. Algorithmic Bias Playbook. | PSNet

    psnet.ahrq.gov/issue/algorithmic-bias-playbook
    May 13, 2020 - Book/Report Algorithmic Bias Playbook. Citation Text: Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021. Copy Citation Save Save to your library Print Download PD…

  14. Becoming a high-reliability organization through shared learning of safety events | PSNet

    psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
    February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

  15. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet

    psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
    November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…

  16. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  17. Inpatient notes: diagnostic excellence starts with an incessant watch. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-diagnostic-excellence-starts-incessant-watch
    August 31, 2022 - Commentary Inpatient notes: diagnostic excellence starts with an incessant watch. Citation Text: Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. Copy Citation Form…

  18. Hidden danger, obvious opportunity: error and risk in the management of cancer. | PSNet

    psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
    June 07, 2018 - Commentary Hidden danger, obvious opportunity: error and risk in the management of cancer. Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google Scholar PubMe…

  19. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet

    psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
    March 10, 2021 - Commentary Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. Citation Text: Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2. Copy Citation Format: DOI G…

  20. Acting Locally: Working in Clinical Microsystems CD-ROM. | PSNet

    psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom
    May 20, 2019 - Special or Theme Issue Acting Locally: Working in Clinical Microsystems CD-ROM. Citation Text: Acting Locally: Working in Clinical Microsystems CD-ROM. Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. Copy Citation Save Save to yo…
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