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  1. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet

    psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
    December 09, 2020 - Newspaper/Magazine Article A system-based approach to managing patient safety in ambulatory care (and beyond). Citation Text: A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…

  2. 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…

  3. Nursing handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
    January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

  4. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. | PSNet

    psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
    October 02, 2024 - Special or Theme Issue Life of the Mother. How Abortion Bans Lead to Preventable Deaths. Citation Text: Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. Copy Citation Format: …

  5. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet

    psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
    October 07, 2020 - Study How safety is compromised when hospital equipment is a poor fit for patients who are obese. Citation Text: Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4. Copy Cita…

  6. The content and context of change of shift report on medical and surgical units. | PSNet

    psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units
    September 24, 2016 - Study The content and context of change of shift report on medical and surgical units. Citation Text: Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a. Copy Citatio…

  7. The impact of a pharmacist's participation on hospitalists' rounds. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacists-participation-hospitalists-rounds
    March 16, 2022 - Study The impact of a pharmacist's participation on hospitalists' rounds. Citation Text: Patel R, Butler K, Garrett D, et al. The Impact of a Pharmacist's Participation on Hospitalists' Rounds. Hosp Pharm. 2010;45(2). doi:10.1310/hpj4502-129. Copy Citation Format: DOI Goog…

  8. 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…

  9. Patient safety movement: history and future directions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
    February 21, 2015 - Review Patient safety movement: history and future directions. Citation Text: Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. Copy Citation Format: DOI Google Scholar BibTe…

  10. The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. | PSNet

    psnet.ahrq.gov/issue/impact-sensory-stimuli-healthcare-workers-and-outcomes-trauma-rooms-focus-group-study
    April 03, 2019 - Study The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. Citation Text: Bayramzadeh S, Ahmadpour S. The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. HERD. 2024;17(2):115-128. doi:10.…

  11. The architecture of safety: an emerging priority for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
    June 09, 2011 - Review The architecture of safety: an emerging priority for improving patient safety. Citation Text: Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…

  12. Postoperative opioid prescribing: Getting it RIGHTT. | PSNet

    psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
    August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…

  13. Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study. | PSNet

    psnet.ahrq.gov/issue/nurses-perception-shift-handovers-europe-results-european-nurses-early-exit-study
    September 24, 2016 - Study Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study. Citation Text: Meissner A, Hasselhorn H-M, Estryn-Behar M, et al. Nurses' perception of shift handovers in Europe: results from the European Nurses' Early Exit Study. J Adv Nurs.…

  14. Sleep deprivation, elective surgical procedures, and informed consent. | PSNet

    psnet.ahrq.gov/issue/sleep-deprivation-elective-surgical-procedures-and-informed-consent
    December 21, 2017 - Commentary Sleep deprivation, elective surgical procedures, and informed consent. Citation Text: Nurok M, Czeisler CA, Lehmann LS. Sleep deprivation, elective surgical procedures, and informed consent. N Engl J Med. 2010;363(27):2577-9. doi:10.1056/NEJMp1007901. Copy Citation For…

  15. Error and cognitive bias in diagnostic radiology. | PSNet

    psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology
    August 07, 2013 - Commentary Error and cognitive bias in diagnostic radiology. Citation Text: Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320. Copy Citation Format: DOI Google Scholar …

  16. Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." | PSNet

    psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
    March 02, 2010 - Commentary Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." Citation Text: Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…

  17. Critical role of the surgeon–anesthesiologist relationship for patient safety. | PSNet

    psnet.ahrq.gov/issue/critical-role-surgeon-anesthesiologist-relationship-patient-safety
    November 11, 2020 - Commentary Critical role of the surgeon–anesthesiologist relationship for patient safety. Citation Text: Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. Copy Citation Fo…

  18. Report on the Burden of Endemic Health Care–Associated Infection Worldwide. | PSNet

    psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
    November 02, 2022 - Book/Report Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Citation Text: Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Allegranzi B, Nejad SB, Castillejos GG, Kilpatrick C, Kelley E, Mathai E; Clean Care is Safer Care Team. …

  19. Failure mode and effects analysis application to critical care medicine. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine
    June 10, 2013 - Review Failure mode and effects analysis application to critical care medicine. Citation Text: Duwe B, Fuchs BD, Hansen-Flaschen J. Failure mode and effects analysis application to critical care medicine. Crit Care Clin. 2005;21(1):21-30, vii. Copy Citation Format: Google…

  20. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
    November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital. Citation Text: Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…
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