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  1. Can teamwork promote safety in organizations? | PSNet

    psnet.ahrq.gov/issue/can-teamwork-promote-safety-organizations
    April 24, 2019 - Review Emerging Classic Can teamwork promote safety in organizations? Citation Text: Salas E, Bisbey TM, Traylor AM, et al. Can teamwork promote safety in organizations? . Ann Rev Org Psychol Org Behav. 2020;7(1):283-313. doi:10.1146/annurev-orgpsych-012119-0454…

  2. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet

    psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
    June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

  3. Creating an oversight infrastructure for electronic health record–related patient safety hazards. | PSNet

    psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
    May 22, 2015 - Commentary Creating an oversight infrastructure for electronic health record–related patient safety hazards. Citation Text: Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …

  4. Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions
    March 02, 2016 - Study Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. Citation Text: Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.10…

  5. Seeking high reliability in primary care: leadership, tools, and organization. | PSNet

    psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
    October 13, 2018 - Study Seeking high reliability in primary care: leadership, tools, and organization. Citation Text: Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. Copy Citation F…

  6. Timing and interventions of emergency teams during the MERIT study. | PSNet

    psnet.ahrq.gov/issue/timing-and-interventions-emergency-teams-during-merit-study
    June 02, 2010 - Study Timing and interventions of emergency teams during the MERIT study. Citation Text: Flabouris A, Chen J, Hillman K, et al. Timing and interventions of emergency teams during the MERIT study. Resuscitation. 2010;81(1):25-30. doi:10.1016/j.resuscitation.2009.09.025. Copy Citation …

  7. 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…

  8. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. | PSNet

    psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
    December 14, 2016 - Study How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Citation Text: Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…

  9. Nature, causes and consequences of unintended events in surgical units. | PSNet

    psnet.ahrq.gov/issue/nature-causes-and-consequences-unintended-events-surgical-units
    September 07, 2016 - Study Nature, causes and consequences of unintended events in surgical units. Citation Text: van Wagtendonk I, Smits M, Merten H, et al. Nature, causes and consequences of unintended events in surgical units. Br J Surg. 2010;97(11):1730-40. doi:10.1002/bjs.7201. Copy Citation Form…

  10. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet

    psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
    June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

  11. A systematic review of patient tracking systems for use in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
    August 03, 2022 - Review A systematic review of patient tracking systems for use in the pediatric emergency department. Citation Text: Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…

  12. 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…

  13. Making it easier to do the right thing: a modern communication QI agenda. | PSNet

    psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
    January 20, 2016 - Commentary Making it easier to do the right thing: a modern communication QI agenda. Citation Text: Wynia M. Making it easier to do the right thing: a modern communication QI agenda. Patient Educ Couns. 2012;88(3):364-6. doi:10.1016/j.pec.2012.06.027. Copy Citation Format: …

  14. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perceptions-survey-iowa-physicians-pharmacists-and-nurses
    February 01, 2012 - Study Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Citation Text: Durbin J, Hansen MM, Sinkowitz-Cochran R, et al. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Am J Infect Control. 2006;34(1):25-30. Copy Citati…

  15. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet

    psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
    January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

  16. Distractions and surgical proficiency: an educational perspective. | PSNet

    psnet.ahrq.gov/issue/distractions-and-surgical-proficiency-educational-perspective
    February 18, 2009 - Study Distractions and surgical proficiency: an educational perspective. Citation Text: Szafranski C, Kahol K, Ghaemmaghami V, et al. Distractions and surgical proficiency: an educational perspective. Am J Surg. 2009;198(6):804-10. doi:10.1016/j.amjsurg.2009.04.027. Copy Citation …

  17. 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…

  18. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. | PSNet

    psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict
    December 21, 2014 - Study Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Citation Text: Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg.…

  19. Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
    March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…

  20. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet

    psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
    April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…
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