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  1. McGinn, Thomas G. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/mcginn-thomas-g
    January 01, 2024 - McGinn, Thomas G. Universal clinical decision support tool for thromboprophylaxis in hospitalized COVID-19 patients: Post hoc analysis of the IMPROVE-DD cluster randomized trial. Citation Goldin M, Tsaftaridis N, Koulas I, Solomon J, Qiu M, Leung T, Smith K, Ochani K, McGinn T…

  2. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
    July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…

  3. AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
    April 30, 2008 - Toolkit AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Citation Text: AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. Copy Citation …

  4. To err is human, to apologize is hard. | PSNet

    psnet.ahrq.gov/issue/err-human-apologize-hard
    September 28, 2022 - Commentary To err is human, to apologize is hard. Citation Text: Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  5. Moving patient safety into ambulatory settings and beyond. | PSNet

    psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
    October 02, 2019 - Commentary Moving patient safety into ambulatory settings and beyond. Citation Text: Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329. Copy Citation Format: DOI Google Sc…

  6. FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

    psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
    June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

  7. Silence Kills: The Seven Crucial Conversations for Healthcare. | PSNet

    psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
    July 09, 2012 - Book/Report Silence Kills: The Seven Crucial Conversations for Healthcare. Citation Text: Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.  Copy Citation …

  8. Communication failure: basic components, contributing factors, and the call for structure. | PSNet

    psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
    March 04, 2011 - Commentary Communication failure: basic components, contributing factors, and the call for structure. Citation Text: Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47. Copy Ci…

  9. Reducing medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
    March 21, 2012 - Review Reducing medical errors and adverse events. Citation Text: Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  10. Preventing vincristine administration errors: does evidence support minibag infusions? | PSNet

    psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
    January 01, 2008 - Commentary Preventing vincristine administration errors: does evidence support minibag infusions? Citation Text: Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …

  11. Second victim: a traumatic experience. | PSNet

    psnet.ahrq.gov/issue/second-victim-traumatic-experience
    October 06, 2016 - Commentary Second victim: a traumatic experience. Citation Text: Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  12. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). | PSNet

    psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
    January 02, 2017 - Commentary A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Citation Text: Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29. Copy Citation Forma…

  13. Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. | PSNet

    psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed
    September 05, 2012 - Book/Report Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Citation Text: Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Kohn LT. Washington, DC: United States Government Acc…

  14. Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. | PSNet

    psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
    February 14, 2024 - Newspaper/Magazine Article Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. Citation Text: Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. McFarling UL. Stat.…

  15. Decision Making in Emergency Medicine: Biases, Errors and Solutions. | PSNet

    psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
    January 20, 2021 - Book/Report Decision Making in Emergency Medicine: Biases, Errors and Solutions. Citation Text: Decision Making in Emergency Medicine: Biases, Errors and Solutions. Raz M, Pouryahya P, eds. Singapore; Springer Nature Singapore Pte Ltd; 2021. ISBN 9789811601422. Copy Citation …

  16. Developing process-support tools for patient safety: finding the balance between validity and feasibility. | PSNet

    psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
    January 20, 2010 - Commentary Developing process-support tools for patient safety: finding the balance between validity and feasibility. Citation Text: Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility.…

  17. Operating room briefings. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings
    January 02, 2017 - Commentary Operating room briefings. Citation Text: Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  18. Sensemaking in Organizations. | PSNet

    psnet.ahrq.gov/issue/sensemaking-organizations
    June 20, 2018 - Book/Report Classic Sensemaking in Organizations. Citation Text: Sensemaking in Organizations. Weick KE. Thousand Oaks, CA: Sage Publications; 1995. ISBN: 9780803971776. Copy Citation Save Save to your library Print Download PDF…

  19. Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. | PSNet

    psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
    June 14, 2023 - Book/Report Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Citation Text: Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018. Copy…

  20. Overview of progress on patient safety. | PSNet

    psnet.ahrq.gov/issue/overview-progress-patient-safety
    September 28, 2010 - Review Overview of progress on patient safety. Citation Text: Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
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