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  1. Tubing misconnections: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
    December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

  2. Measuring patient safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
    June 29, 2011 - Commentary Measuring patient safety in the emergency department. Citation Text: Pham JC, Alblaihed L, Cheung DS, et al. Measuring patient safety in the emergency department. Am J Med Qual. 2014;29(2):99-104. doi:10.1177/1062860613489846. Copy Citation Format: DOI Google Sch…

  3. On the relationship between safety climate and occupational burnout in healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations
    February 08, 2023 - Study On the relationship between safety climate and occupational burnout in healthcare organizations. Citation Text: Zarei E, Khakzad N, Reniers G, et al. On the relationship between safety climate and occupational burnout in healthcare organizations. Saf Sci. 2016;89:1-10. doi:10.1016/…

  4. A systemic methodology for risk management in healthcare sector. | PSNet

    psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
    December 23, 2020 - Commentary A systemic methodology for risk management in healthcare sector. Citation Text: Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006. Copy Citation Format: DOI Go…

  5. Postoperative complications due to a retained surgical sponge. | PSNet

    psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
    February 23, 2011 - Commentary Postoperative complications due to a retained surgical sponge. Citation Text: Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4. Copy Citation Format: Google Scholar PubMed BibT…

  6. When should a leader apologize—and when not? | PSNet

    psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
    October 07, 2020 - Commentary When should a leader apologize—and when not? Citation Text: Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  7. Review article: the influence of psychology and human factors on education in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/review-article-influence-psychology-and-human-factors-education-anesthesiology
    January 13, 2010 - Review Review article: the influence of psychology and human factors on education in anesthesiology. Citation Text: Glavin R, Flin R. Review article: the influence of psychology and human factors on education in anesthesiology. Can J Anaesth. 2012;59(2):151-8. doi:10.1007/s12630-011-96…

  8. Patient safety in surgery: non-technical aspects of safe surgical performance. | PSNet

    psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
    June 12, 2008 - Review Patient safety in surgery: non-technical aspects of safe surgical performance. Citation Text: Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4. Copy Citation Format: …

  9. Wired hospitals: can high tech save your life? | PSNet

    psnet.ahrq.gov/issue/can-high-tech-save-your-life
    August 07, 2024 - Newspaper/Magazine Article Wired hospitals: can high tech save your life? Citation Text: Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-50, 52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  10. Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. | PSNet

    psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
    November 04, 2015 - Book/Report Classic Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Citation Text: Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…

  11. 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…

  12. Patient Safety and Quality Improvement Act of 2005: what you need to know. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
    December 17, 2014 - Commentary Patient Safety and Quality Improvement Act of 2005: what you need to know. Citation Text: Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2. Copy Citation Format: Google Scholar PubMed …

  13. Demanding Medical Excellence. Doctors and Accountability in the Information Age. | PSNet

    psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
    May 13, 2020 - Book/Report Classic Demanding Medical Excellence. Doctors and Accountability in the Information Age. Citation Text: Demanding Medical Excellence. Doctors and Accountability in the Information Age. Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISB…

  14. The role of automation in complex system failures. | PSNet

    psnet.ahrq.gov/issue/role-automation-complex-system-failures
    June 28, 2013 - Commentary The role of automation in complex system failures. Citation Text: Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…

  15. Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. | PSNet

    psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
    October 27, 2015 - Book/Report Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Citation Text: Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012. Copy Citatio…

  16. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  17. Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
    March 29, 2023 - Legislation/Case Law Classic Patient Safety and Quality Improvement Act of 2005. Citation Text: Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41.  Copy Citation Save Save to your library Print Download…

  18. Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…

  19. Critical incident stress debriefing after adverse patient safety events. | PSNet

    psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
    April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. Citation Text: Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. Copy Citation Format: Google Scholar PubMed BibTeX E…

  20. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. | PSNet

    psnet.ahrq.gov/issue/taking-action-against-clinician-burnout-systems-approach-professional-well-being
    September 12, 2018 - Book/Report Classic Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Citation Text: Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. National Academies of Sciences, Engineering, and Me…
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