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  1. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  2. Accountability sought by patients following adverse events from medical care: the New Zealand experience. | PSNet

    psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
    June 25, 2010 - Study Accountability sought by patients following adverse events from medical care: the New Zealand experience. Citation Text: Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…

  3. Patient safety climate in hospitals: act locally on variation across units. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
    August 27, 2012 - Study Patient safety climate in hospitals: act locally on variation across units. Citation Text: Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26. Copy Citation Format:…

  4. A description of medical malpractice claims involving advanced practice providers. | PSNet

    psnet.ahrq.gov/issue/description-medical-malpractice-claims-involving-advanced-practice-providers
    August 19, 2020 - Study A description of medical malpractice claims involving advanced practice providers. Citation Text: Myers LC, Sawicki D, Heard L, et al. A description of medical malpractice claims involving advanced practice providers. J Healthc Risk Manag. 2021;40(3):8-16. doi:10.1002/jhrm.21412. …

  5. Surgeon's vigilance in the operating room. | PSNet

    psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
    November 12, 2014 - Study Surgeon's vigilance in the operating room. Citation Text: Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  6. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. | PSNet

    psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
    October 14, 2015 - Study Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Citation Text: Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…

  7. Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. | PSNet

    psnet.ahrq.gov/issue/emergency-department-image-interpretation-accuracy-influence-immediate-reporting-radiology
    November 09, 2022 - Study Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. Citation Text: Snaith B, Hardy M. Emergency department image interpretation accuracy: The influence of immediate reporting by radiology. Int Emerg Nurs. 2014;22(2):63-8. doi:10.10…

  8. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2016
    November 10, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Oakbrook Terrace, IL: The Joint Commission; November 2016. Copy Citation …

  9. Medical device alarm safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
    December 23, 2016 - Sentinel Event Alerts Medical device alarm safety in hospitals. Citation Text: Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Oakbrook Terrace, IL: The Joint Commission; November 2015. Copy Citation …

  11. 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…

  12. Fake it 'til you make it: pressures to measure up in surgical training. | PSNet

    psnet.ahrq.gov/issue/fake-it-til-you-make-it-pressures-measure-surgical-training
    October 25, 2023 - Study Emerging Classic Fake it 'til you make it: pressures to measure up in surgical training. Citation Text: Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical Training. Acad Med. 2018;93(5):769-774. doi:…

  13. Health literacy and medication understanding among hospitalized adults. | PSNet

    psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults
    April 05, 2013 - Study Health literacy and medication understanding among hospitalized adults. Citation Text: Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925. Copy Citation Format: …

  14. Understanding middle managers' influence in implementing patient safety culture. | PSNet

    psnet.ahrq.gov/issue/understanding-middle-managers-influence-implementing-patient-safety-culture
    March 24, 2012 - Commentary Understanding middle managers' influence in implementing patient safety culture. Citation Text: Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. Copy Citat…

  15. 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…

  16. Underdiagnosis of hypertension using electronic health records. | PSNet

    psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
    November 16, 2022 - Study Underdiagnosis of hypertension using electronic health records. Citation Text: Banerjee D, Chung S, Wong EC, et al. Underdiagnosis of hypertension using electronic health records. Am J Hypertens. 2012;25(1):97-102. doi:10.1038/ajh.2011.179. Copy Citation Format: DOI…

  17. 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…

  18. 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…

  19. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  20. Presenting complaint: use of language that disempowers patients. | PSNet

    psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
    July 13, 2022 - Commentary Presenting complaint: use of language that disempowers patients. Citation Text: doi:10.1136/bmj-2021-066720. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to …
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