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  1. 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…

  2. 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…

  3. When I say…diagnostic error. | PSNet

    psnet.ahrq.gov/issue/when-i-saydiagnostic-error
    January 26, 2022 - Commentary When I say…diagnostic error. Citation Text: Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

  4. 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/…

  5. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet

    psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
    November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

  6. Patient safety answers require outreach, in-reach, and partnerships. | PSNet

    psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
    August 23, 2023 - Commentary Patient safety answers require outreach, in-reach, and partnerships. Citation Text: Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. Copy Citation Format: DOI Google …

  7. Medication bar coding: to scan or not to scan? | PSNet

    psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
    October 19, 2022 - Commentary Medication bar coding: to scan or not to scan? Citation Text: Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  8. Adverse Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-0
    September 20, 2011 - Multi-use Website Adverse Events. Citation Text: Adverse Events. United States Office of the Inspector General: 2010-2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

  9. Systems science: a primer on high reliability. | PSNet

    psnet.ahrq.gov/issue/systems-science-primer-high-reliability
    March 23, 2022 - Review Systems science: a primer on high reliability. Citation Text: Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  10. Safe operation as a social construct. | PSNet

    psnet.ahrq.gov/issue/safe-operation-social-construct
    August 07, 2019 - Commentary Safe operation as a social construct. Citation Text: Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  11. Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. | PSNet

    psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
    May 11, 2019 - Commentary Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Citation Text: Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…

  12. From Safety-I to Safety-II: A White Paper. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
    July 22, 2019 - Book/Report From Safety-I to Safety-II: A White Paper. Citation Text: From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. Copy Citation Save Save to your library Print Dow…

  13. 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 …

  14. 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 …

  15. Moving towards a Safety II approach. | PSNet

    psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
    May 18, 2022 - Commentary Moving towards a Safety II approach. Citation Text: Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  16. Handbook of Perioperative and Procedural Patient Safety. | PSNet

    psnet.ahrq.gov/issue/handbook-perioperative-and-procedural-patient-safety
    December 01, 2021 - Book/Report Handbook of Perioperative and Procedural Patient Safety. Citation Text: Handbook of Perioperative and Procedural Patient Safety. Sanchez JA, Higgins RSD, Kent PS, eds. St Louis, MO: Elsevier; 2024.  ISBN: 9780323661799. Copy Citation Save Save t…

  17. Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
    January 08, 2014 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…

  18. Measuring communication in the surgical ICU: better communication equals better care. | PSNet

    psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
    April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

  19. In Conversation with…William B. Munier, MD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
    July 01, 2011 - trusted colleagues. 5  The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear

  20. Becoming a Patient Safety Organization | PSNet

    psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - trusted colleagues. 5  The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear
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