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  1. Digital Clinical Safety Strategy | PSNet

    psnet.ahrq.gov/issue/digital-clinical-safety-strategy
    March 01, 2023 - Book/Report Digital Clinical Safety Strategy Citation Text: Digital Clinical Safety Strategy NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021. Copy Citation Save Save to your library Print Download PDF Sha…

  2. Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. | PSNet

    psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups
    January 13, 2021 - Book/Report Classic Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. Citation Text: Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. Public Health England. London, UK: Crown Copyright; 2020. Copy Citation …

  3. Quality and patient safety teams in the perioperative setting. | PSNet

    psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
    October 19, 2022 - Commentary Quality and patient safety teams in the perioperative setting. Citation Text: Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. Copy Citation Format: DOI Google Scholar PubMed Bib…

  4. Twelve best practices for team training evaluation in health care. | PSNet

    psnet.ahrq.gov/issue/twelve-best-practices-team-training-evaluation-health-care
    July 02, 2014 - Commentary Twelve best practices for team training evaluation in health care. Citation Text: Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J Qual Patient Saf. 2011;37(8):341-9. Copy Citation Format: Google Scholar …

  5. On the scene at Children's Hospitals and Clinics of Minnesota. | PSNet

    psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
    September 24, 2010 - Commentary On the scene at Children's Hospitals and Clinics of Minnesota. Citation Text: Malone G, Akre M, Hauck M. On the scene at Children's Hospitals and Clinics of Minnesota. Nurs Adm Q. 2009;33(1):54-61. doi:10.1097/01.NAQ.0000343349.93537.08. Copy Citation Format: D…

  6. Understanding human factors in patient safety when prescribing. | PSNet

    psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing
    June 15, 2022 - Newspaper/Magazine Article Understanding human factors in patient safety when prescribing. Citation Text: Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). Copy Citation Format: DOI Google Sch…

  7. Speaking up to reduce noise in the OR. | PSNet

    psnet.ahrq.gov/issue/speaking-reduce-noise-or
    July 26, 2023 - Commentary Speaking up to reduce noise in the OR. Citation Text: Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  8. Handoffs: transitions of care for children in the emergency department. | PSNet

    psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
    July 03, 2016 - Organizational Policy/Guidelines Handoffs: transitions of care for children in the emergency department. Citation Text: Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…

  9. Diagnostic error and clinical reasoning. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
    February 06, 2013 - Review Diagnostic error and clinical reasoning. Citation Text: Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100. doi:10.1111/j.1365-2923.2009.03507.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  10. Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). | PSNet

    psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
    April 20, 2022 - Grant Announcement Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Citation Text: Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Rockville, MD: Age…

  11. The consequences of the hindsight bias in medical decision making. | PSNet

    psnet.ahrq.gov/issue/consequences-hindsight-bias-medical-decision-making
    July 14, 2010 - Commentary The consequences of the hindsight bias in medical decision making. Citation Text: Arkes HR. The Consequences of the Hindsight Bias in Medical Decision Making. Curr Direct Psychol Sci. 2013;22(5):356-360. doi:10.1177/0963721413489988. Copy Citation Format: DOI G…

  12. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. | PSNet

    psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
    January 02, 2017 - Study The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. Citation Text: Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…

  13. The role of apology laws in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
    July 29, 2020 - Commentary The role of apology laws in medical malpractice. Citation Text: The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414. Copy Citation Save Save to your library Print Download PD…

  14. Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. | PSNet

    psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
    December 07, 2022 - Study Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Citation Text: Time-ordered comorbidity correlations identify patients at risk of mis- and overdiagnosis. Jørgensen IF, Brunak S. NPJ Digital Med. 2021;4(1):12. Copy Citation …

  15. Governing the surgical count through communication interactions: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

  16. Josie's Story: A Patient Safety Curriculum. | PSNet

    psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
    July 24, 2019 - Toolkit Josie's Story: A Patient Safety Curriculum. Citation Text: Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013. Copy Citation Save Save to your librar…

  17. Implementing a systematic response to medication errors. | PSNet

    psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
    August 27, 2009 - Commentary Implementing a systematic response to medication errors. Citation Text: Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  18. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
    May 24, 2016 - Book/Report Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Carroll JS, R…

  19. Spinal surgery and patient safety: a systems approach. | PSNet

    psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
    January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  20. Expanded surgical time out: a key to real-time data collection and quality improvement. | PSNet

    psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
    March 02, 2010 - Study Expanded surgical time out: a key to real-time data collection and quality improvement. Citation Text: Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. Copy Cita…
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