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9941. Preventing medication errors at small and rural hospitals. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
      May 19, 2021 - Newspaper/Magazine Article Preventing medication errors at small and rural hospitals. Citation Text: Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. Copy Citatio…

9942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33620/psn-pdf
      September 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005) September 1, 2005 Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005 In response to "Getting to the R…

9943. Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet
      psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
      October 15, 2014 - Study Classic Medication error prevention by clinical pharmacists in two children's hospitals. Citation Text: Medication error prevention by clinical pharmacists in two children's hospitals. Folli HL; Poole RL; Benitz WE; Russo JC Copy Citation …

9944. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet
      psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
      February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

9945. Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. | PSNet
      psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
      February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…

9946. Using "near misses" analysis to prevent wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
      April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…

9947. The costs of developing, implementing, and operating a safety learning system in community practice. | PSNet
      psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
      March 21, 2012 - Study The costs of developing, implementing, and operating a safety learning system in community practice. Citation Text: O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):2…

9948. Improving patient safety in the ED waiting room. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-ed-waiting-room
      January 07, 2011 - Commentary Improving patient safety in the ED waiting room. Citation Text: Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2007;33(4):331-5…

9949. Doctors debate safety of their white coats. | PSNet
      psnet.ahrq.gov/issue/doctors-debate-safety-their-white-coats
      June 08, 2022 - Newspaper/Magazine Article Doctors debate safety of their white coats. Citation Text: Butler DL, Major Y, Bearman G, et al. Transmission of nosocomial pathogens by white coats: an in-vitro model. The Journal of hospital infection. 2010;75(2):137-8. doi:10.1016/j.jhin.2009.11.024. Copy …

9950. High-reliability and the I-PASS communication tool. | PSNet
      psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
      June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. Citation Text: Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. Copy Citation Format: DOI Goo…

9951. Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. | PSNet
      psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
      June 01, 2012 - Study Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. Citation Text: Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1…

9952. Exploring the causes of adverse events in hospitals and potential prevention strategies. | PSNet
      psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
      February 20, 2013 - Study Exploring the causes of adverse events in hospitals and potential prevention strategies. Citation Text: Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…

9953. Ending extra payment for "never events"—stronger incentives for patients' safety. | PSNet
      psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
      November 13, 2024 - Commentary Ending extra payment for "never events"—stronger incentives for patients' safety. Citation Text: Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125. Copy Citation F…

9954. Assumptions of quality medicine: the role of uncertainty. | PSNet
      psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty
      October 31, 2014 - Commentary Assumptions of quality medicine: the role of uncertainty. Citation Text: Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. Copy Citation Format:…

9955. Electronic medical record availability and primary care depression treatment. | PSNet
      psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
      November 16, 2022 - Study Electronic medical record availability and primary care depression treatment. Citation Text: Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0. Copy …

9956. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. | PSNet
      psnet.ahrq.gov/issue/safety-culture-healthcare-review-concepts-dimensions-measures-and-progress
      November 21, 2014 - Review Safety culture in healthcare: a review of concepts, dimensions, measures and progress. Citation Text: Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011;20(4):338-43. doi:10.1136/bmjqs.2010.040964. C…

9957. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. | PSNet
      psnet.ahrq.gov/issue/identifying-nontechnical-skills-associated-safety-emergency-department-scoping-review
      December 12, 2012 - Review Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Citation Text: Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of…

9958. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet
      psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
      August 23, 2017 - Study Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Citation Text: Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…

9959. Peer Review of a Report on Strategies to Improve Patient Safety. | PSNet
      psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
      May 19, 2021 - Book/Report Peer Review of a Report on Strategies to Improve Patient Safety. Citation Text: Peer Review of a Report on Strategies to Improve Patient Safety. Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808. Copy Citation …

9960. Rapid response teams and continuous quality improvement. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
      April 05, 2023 - Study Rapid response teams and continuous quality improvement. Citation Text: Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. Copy Citation Save Save to your l…