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  1. America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Oakbrook Terrace, IL: The Joint Commission; November 2014. Copy Citatio…

  2. Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. | PSNet

    psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
    June 13, 2012 - Government Resource Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Citation Text: Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…

  3. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…

  4. Reframing and addressing horizontal violence as a workplace quality improvement concern. | PSNet

    psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
    March 15, 2017 - Commentary Reframing and addressing horizontal violence as a workplace quality improvement concern. Citation Text: Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. Copy …

  5. Video technology to advance safety in the operating room and perioperative environment. | PSNet

    psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
    April 27, 2010 - Commentary Video technology to advance safety in the operating room and perioperative environment. Citation Text: Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61. Copy Citati…

  6. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. | PSNet

    psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample
    February 24, 2011 - Study Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Citation Text: Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…

  7. Medication errors: an overview for clinicians. | PSNet

    psnet.ahrq.gov/issue/medication-errors-overview-clinicians
    September 20, 2011 - Review Medication errors: an overview for clinicians. Citation Text: Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  8. The quest for safe surgical care: are we missing the obvious? | PSNet

    psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
    September 12, 2018 - Commentary The quest for safe surgical care: are we missing the obvious? Citation Text: Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  9. Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
    March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

  10. A framework for classifying patient safety practices: results from an expert consensus process. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
    September 20, 2011 - Study A framework for classifying patient safety practices: results from an expert consensus process. Citation Text: Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10…

  11. The Impact of Complications on Surgeons. | PSNet

    psnet.ahrq.gov/issue/impact-complications-surgeons
    November 16, 2022 - Special or Theme Issue The Impact of Complications on Surgeons. Citation Text: The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320. doi:10.1016/j.urolonc.2024.05.016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

  12. The impact of surgical safety checklists on theatre departments: a critical review of the literature. | PSNet

    psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature
    October 19, 2012 - Review The impact of surgical safety checklists on theatre departments: a critical review of the literature. Citation Text: Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71. Copy Citation …

  13. Quick Response codes for surgical safety: a prospective pilot study. | PSNet

    psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
    June 07, 2016 - Study Quick Response codes for surgical safety: a prospective pilot study. Citation Text: Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. Copy Citatio…

  14. Current issues in patient safety in surgery: a review. | PSNet

    psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
    July 26, 2017 - Review Current issues in patient safety in surgery: a review. Citation Text: Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. Copy Citation Format: DOI Google Scholar …

  15. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. | PSNet

    psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
    March 24, 2012 - Study Catching and correcting near misses: the collective vigilance and individual accountability trade-off. Citation Text: Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…

  16. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
    April 07, 2019 - Study A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Citation Text: Kalina M, Tinkoff G, Gleason W, et al. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Ped Emerg …

  17. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. | PSNet

    psnet.ahrq.gov/issue/building-team-and-technical-competency-obstetric-emergencies-mobile-obstetric-emergencies
    March 21, 2017 - Commentary Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Citation Text: Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies …

  18. Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

    psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…

  19. Patient safety and collaboration of the intensive care unit team. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
    February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…

  20. Why do hundreds of US women die annually in childbirth? | PSNet

    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
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