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  1. Patient safety knowledge and its determinants in medical trainees. | PSNet

    psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
    July 29, 2020 - Study Patient safety knowledge and its determinants in medical trainees. Citation Text: Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. Copy Citation Format: Google Scholar Pu…

  2. Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
    September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…

  3. Directed peer review in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
    December 03, 2014 - Commentary Directed peer review in surgical pathology. Citation Text: Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  4. High reliability leadership: a conceptual framework. | PSNet

    psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
    March 09, 2022 - Commentary High reliability leadership: a conceptual framework. Citation Text: Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. Copy Citation Format: DOI Google Scholar …

  5. Safety considerations for challenges when using smart infusion pumps. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-challenges-when-using-smart-infusion-pumps
    October 26, 2022 - Newspaper/Magazine Article Safety considerations for challenges when using smart infusion pumps. Citation Text: Safety considerations for challenges when using smart infusion pumps. ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. Copy Citation …

  6. Computer-assisted diagnostic checklist in clinical neurology. | PSNet

    psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology
    January 23, 2019 - Commentary Computer-assisted diagnostic checklist in clinical neurology. Citation Text: Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist. 2016;21(2):23-7. doi:10.1097/NRL.0000000000000071. Copy Citation Format: DOI Google Scho…

  7. Error tracking in a clinical biochemistry laboratory. | PSNet

    psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
    June 10, 2020 - Study Error tracking in a clinical biochemistry laboratory. Citation Text: Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  8. How is medication prescribing ceased? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
    June 14, 2019 - Review How is medication prescribing ceased? A systematic review. Citation Text: Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e. Copy Citation Format: DOI Google…

  9. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

    psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
    August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

  10. Finding antecedents of psychological safety: a step toward quality improvement. | PSNet

    psnet.ahrq.gov/issue/finding-antecedents-psychological-safety-step-toward-quality-improvement
    October 02, 2013 - Review Finding antecedents of psychological safety: a step toward quality improvement. Citation Text: Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. Copy Citation …

  11. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. | PSNet

    psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
    June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…

  12. Balancing innovation and safety when integrating digital tools into health care. | PSNet

    psnet.ahrq.gov/issue/balancing-innovation-and-safety-when-integrating-digital-tools-health-care
    July 01, 2011 - Commentary Balancing innovation and safety when integrating digital tools into health care. Citation Text: Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. Co…

  13. Events that inspired change: the importance of sharing what happened to stop it from happening again. | PSNet

    psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
    August 07, 2024 - Commentary Events that inspired change: the importance of sharing what happened to stop it from happening again. Citation Text: Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…

  14. Safety analysis over time: seven major changes to adverse event investigation. | PSNet

    psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
    September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…

  15. A model for developing high-reliability teams. | PSNet

    psnet.ahrq.gov/issue/model-developing-high-reliability-teams
    September 01, 2018 - Commentary A model for developing high-reliability teams. Citation Text: Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. Copy Citation Format: DOI Google Scholar Pub…

  16. Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. | PSNet

    psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-maternal-transport-briefing-form-and
    September 08, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. Citation Text: Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obst…

  17. Simulation to Improve Patient Safety: Getting Started. | PSNet

    psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
    June 26, 2024 - Book/Report Simulation to Improve Patient Safety: Getting Started. Citation Text: Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. Copy Citation Format: …

  18. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness
    December 20, 2017 - Review Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. Citation Text: Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. Copy Citation …

  19. 'Between the flags': implementing a rapid response system at scale. | PSNet

    psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
    June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…

  20. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and
    March 23, 2011 - Study Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. Citation Text: Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…
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