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  1. Patient Safety Organizations: Hospital Participation, Value, and Challenges. | PSNet

    psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
    February 11, 2015 - Book/Report Patient Safety Organizations: Hospital Participation, Value, and Challenges. Citation Text: Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…

  2. Trends in adverse events over time: why are we not improving? | PSNet

    psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
    October 02, 2019 - Commentary Trends in adverse events over time: why are we not improving? Citation Text: Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. Copy Citation Format: DOI Google Sc…

  3. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. | PSNet

    psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
    January 04, 2019 - Commentary Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Citation Text: Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/…

  4. Revitalizing an established rapid response team. | PSNet

    psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
    September 23, 2020 - Commentary Revitalizing an established rapid response team. Citation Text: Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c. Copy Citation Format: DOI Google …

  5. Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. | PSNet

    psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
    May 20, 2020 - Newspaper/Magazine Article Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Citation Text: Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Levy S. Drug Topics. July 9, 2007 Copy…

  6. Behind Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/behind-human-error-second-edition
    April 13, 2018 - Book/Report Classic Behind Human Error, Second Edition. Citation Text: Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. Copy Citation Save Save to your lib…

  7. Safe Practices for Better Healthcare: 2010 Update. | PSNet

    psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update
    March 23, 2012 - Book/Report Safe Practices for Better Healthcare: 2010 Update. Citation Text: Safe Practices for Better Healthcare: 2010 Update. Washington, DC: National Quality Forum; 2010. Copy Citation Save Save to your library Print Download PDF Share …

  8. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. | PSNet

    psnet.ahrq.gov/issue/unleash-power-patients-make-care-safer-around-world-essay-helen-haskell
    January 08, 2020 - Commentary Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. Citation Text: Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565. Copy Citation …

  9. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
    June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…

  10. Impact of a standard medication chart on prescribing errors: a before-and-after audit. | PSNet

    psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
    May 02, 2012 - Study Impact of a standard medication chart on prescribing errors: a before-and-after audit. Citation Text: Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.11…

  11. The cognitive health system. | PSNet

    psnet.ahrq.gov/issue/cognitive-health-system
    September 04, 2024 - Commentary The cognitive health system. Citation Text: Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. | PSNet

    psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
    March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …

  13. Algorithmic Bias Playbook. | PSNet

    psnet.ahrq.gov/issue/algorithmic-bias-playbook
    May 13, 2020 - Book/Report Algorithmic Bias Playbook. Citation Text: Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021. Copy Citation Save Save to your library Print Download PD…

  14. How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. | PSNet

    psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
    August 16, 2016 - Book/Report How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Citation Text: How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…

  15. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet

    psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
    January 16, 2019 - Book/Report Emerging Classic Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Citation Text: Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…

  16. Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
    January 13, 2021 - Book/Report Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…

  17. Perinatal high reliability. | PSNet

    psnet.ahrq.gov/issue/perinatal-high-reliability
    September 29, 2010 - Review Perinatal high reliability. Citation Text: Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  18. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  19. Diagnostic excellence through the lens of patient-centeredness. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
    June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…

  20. Safer Healthcare: Strategies for the Real World. | PSNet

    psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
    March 23, 2022 - Book/Report Classic Safer Healthcare: Strategies for the Real World. Citation Text: Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 Copy Citation Save Save to your library Pr…
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