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7361. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet
      psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
      May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…

7362. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet
      psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
      June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

7363. Barriers to adverse event and error reporting in anesthesia. | PSNet
      psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
      April 19, 2017 - Study Barriers to adverse event and error reporting in anesthesia. Citation Text: Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8. Copy Citation Format: D…

7364. Between a rock and a hard place: disclosing medical errors. | PSNet
      psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
      October 19, 2022 - Commentary Between a rock and a hard place: disclosing medical errors. Citation Text: Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

7365. Many people of color worry good health care is tied to their appearance. | PSNet
      psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
      September 20, 2023 - Newspaper/Magazine Article Many people of color worry good health care is tied to their appearance. Citation Text: Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023 Copy Citation Save Save to y…

7366. Defending a "never event." | PSNet
      psnet.ahrq.gov/issue/defending-never-event
      February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7367. Mistakes, Errors and Failures across Cultures. | PSNet
      psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
      January 20, 2021 - Book/Report Mistakes, Errors and Failures across Cultures. Citation Text: Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 Copy Citation Save Save to your library P…

7368. Judging whether a patient is actually improving: more pitfalls from the science of human perception. | PSNet
      psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
      September 04, 2019 - Review Judging whether a patient is actually improving: more pitfalls from the science of human perception. Citation Text: Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…

7369. The technologist's role in patient safety and quality in medical imaging. | PSNet
      psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
      May 15, 2024 - Commentary The technologist's role in patient safety and quality in medical imaging. Citation Text: Watson L, Odle TG. The technologist's role in patient safety and quality in medical imaging. Radiol Technol. 2013;84(5):536-41. Copy Citation Format: Google Scholar PubMed …

7370. Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. | PSNet
      psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
      October 14, 2015 - Study Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. Citation Text: Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. …

7371. Human reliability analysis: a critique and review for managers. | PSNet
      psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
      November 21, 2021 - Review Human reliability analysis: a critique and review for managers. Citation Text: French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008. Copy Citation Format: DOI Go…

7372. Hospitalized patients' understanding of their plan of care. | PSNet
      psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-plan-care
      June 11, 2010 - Study Hospitalized patients' understanding of their plan of care. Citation Text: O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232. Copy Citation Format: DOI Goo…

7373. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet
      psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
      November 18, 2011 - Book/Report Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Citation Text: Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…

7374. Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet
      psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
      August 21, 2019 - Book/Report Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Citation Text: Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …

7375. Building high reliability teams: progress and some reflections on teamwork training. | PSNet
      psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
      March 21, 2017 - Commentary Building high reliability teams: progress and some reflections on teamwork training. Citation Text: Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015. Copy C…

7376. A cycle of redemption in a medical error disclosure and apology program. | PSNet
      psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
      July 17, 2024 - Commentary A cycle of redemption in a medical error disclosure and apology program. Citation Text: Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869. Copy Citation Format: Google Scholar PubMed BibTeX En…

7377. Error disclosure and apology in radiology: the case for further dialogue. | PSNet
      psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
      October 19, 2022 - Commentary Error disclosure and apology in radiology: the case for further dialogue. Citation Text: Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126. Copy Citation …

7378. 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

7379. 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

7380. 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…