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  1. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet

    psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
    October 07, 2020 - Study How safety is compromised when hospital equipment is a poor fit for patients who are obese. Citation Text: Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4. Copy Cita…

  2. "It is the left eye, right?" | PSNet

    psnet.ahrq.gov/issue/it-left-eye-right
    September 06, 2023 - Study "It is the left eye, right?" Citation Text: Pikkel D, Sharabi-Nov A, Pikkel J. "It is the left eye, right?". Risk Manag Healthc Policy. 2014;7:77-80. doi:10.2147/RMHP.S60728. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  3. Will human factors restore faith in the GMC? | PSNet

    psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
    January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  4. The human factors of home health care: a conceptual model for examining safety and quality concerns. | PSNet

    psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
    November 21, 2018 - Commentary The human factors of home health care: a conceptual model for examining safety and quality concerns. Citation Text: Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a. Copy Citatio…

  5. Patient safety and leadership: do you walk the walk? | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
    November 04, 2020 - Commentary Patient safety and leadership: do you walk the walk? Citation Text: Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  6. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
    November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. Citation Text: Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4. Copy Citation …

  7. Operating room briefings: working on the same page. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
    September 28, 2010 - Commentary Operating room briefings: working on the same page. Citation Text: Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. Copy Citation Format: Google Scholar PubMed BibTeX …

  8. Reduced verification of medication alerts increases prescribing errors. | PSNet

    psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
    January 09, 2019 - Study Reduced verification of medication alerts increases prescribing errors. Citation Text: Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009. Copy Citation Format: …

  9. The opioid epidemic: what can surgeons do about it? | PSNet

    psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
    March 27, 2019 - Commentary The opioid epidemic: what can surgeons do about it? Citation Text: The opioid epidemic: what can surgeons do about it? Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18. Copy Citation Save Save to your library Print Dow…

  10. Interruptions and multi-tasking: moving the research agenda in new directions. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
    March 23, 2011 - Commentary Interruptions and multi-tasking: moving the research agenda in new directions. Citation Text: Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. Copy Citation Format…

  11. Duty hour reform in a shifting medical landscape. | PSNet

    psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
    June 08, 2022 - Commentary Duty hour reform in a shifting medical landscape. Citation Text: Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  12. Simulation to Improve Patient Safety: Getting Started. | PSNet

    psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
    June 26, 2024 - Book/Report Simulation to Improve Patient Safety: Getting Started. Citation Text: Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. Copy Citation Format: …

  13. Moving beyond readmission penalties: creating an ideal process to improve transitional care. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
    June 14, 2017 - Commentary Moving beyond readmission penalties: creating an ideal process to improve transitional care. Citation Text: Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…

  14. Patient expectations of fair complaint handling in hospitals: empirical data. | PSNet

    psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empirical-data
    September 25, 2024 - Study Patient expectations of fair complaint handling in hospitals: empirical data. Citation Text: Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106. Copy Citation Format: Google Scholar Pub…

  15. Miles to go: an introduction to the 5 Million Lives Campaign. | PSNet

    psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
    April 04, 2011 - Commentary Miles to go: an introduction to the 5 Million Lives Campaign. Citation Text: McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84. Copy Citation Format: Google Scholar Pub…

  16. ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
    December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…

  17. The need for organizational change in patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
    May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

  18. Rapid response systems: from implementation to evidence base. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
    September 24, 2010 - Commentary Rapid response systems: from implementation to evidence base. Citation Text: Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual Patient Saf. 2010;36(11):514-7, 481. Copy Citation Format: Google Scholar PubMed BibTeX E…

  19. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet

    psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - Newspaper/Magazine Article Safety with nebulized medications requires an interdisciplinary team approach. Citation Text: Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. Copy Ci…

  20. Case study: preventing surgical complications at Baystate Medical Center. | PSNet

    psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
    May 27, 2011 - Commentary Case study: preventing surgical complications at Baystate Medical Center. Citation Text: Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…
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