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  1. Problems with medical devices may be severely under-reported. | PSNet

    psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported
    November 16, 2022 - Study Problems with medical devices may be severely under-reported. Citation Text: Vicente KJ, Kern S. Problems with medical devices may be severely under-reported. Nurs Leadersh (Tor Ont). 2005;18(1):82-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  2. Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. | PSNet

    psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
    July 12, 2018 - Commentary Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. Citation Text: Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining L…

  3. Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-initiatives-future-practice-surgery-meeting-patient-demands-enhanced
    August 04, 2021 - Commentary Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Citation Text: Russell TR. Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Surg Tod…

  4. Enhanced detection of blood bank sample collection errors with a centralized patient database. | PSNet

    psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
    March 20, 2019 - Study Enhanced detection of blood bank sample collection errors with a centralized patient database. Citation Text: MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…

  5. Five strategies for a safer EHR modernization journey. | PSNet

    psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
    November 11, 2020 - Commentary Five strategies for a safer EHR modernization journey. Citation Text: Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. Copy Citation Format: DOI Google Sch…

  6. Experimental evidence for structured information-sharing networks reducing medical errors. | PSNet

    psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
    December 15, 2021 - Study Experimental evidence for structured information-sharing networks reducing medical errors. Citation Text: Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…

  7. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
    July 08, 2020 - Study Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Citation Text: Kepner S, Bennett A, Jones RM. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. Patient Safety. 2024;6(1). doi:10.33940/001c.116555. Copy …

  8. Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
    October 12, 2022 - Book/Report Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Citation Text: Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Washington, DC: Veterans Affairs Office of Inspector General; 2…

  9. Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-home-safety-educational-framework-healthcare-providers-patients-and
    January 25, 2023 - Review Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. Citation Text: Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.…

  10. Evidence of bias and variation in diagnostic accuracy studies. | PSNet

    psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
    February 15, 2023 - Review Evidence of bias and variation in diagnostic accuracy studies. Citation Text: Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. Copy Citation Format: DOI Googl…

  11. Advancing diagnostic safety research: results of a systematic research priority setting exercise. | PSNet

    psnet.ahrq.gov/issue/advancing-diagnostic-safety-research-results-systematic-research-priority-setting-exercise
    April 05, 2023 - Commentary Advancing diagnostic safety research: results of a systematic research priority setting exercise. Citation Text: Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic research priority setting exercise. J Gen Intern Med. 2021;36(1…

  12. Drone delivery of medications: review of the landscape and legal considerations. | PSNet

    psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
    May 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…

  13. Identification of adverse events in ground transport emergency medical services. | PSNet

    psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
    August 26, 2020 - Study Identification of adverse events in ground transport emergency medical services. Citation Text: Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…

  14. The coronavirus and the risks to the elderly in long-term care. | PSNet

    psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
    July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

  15. A blueprint for leadership during COVID-19. | PSNet

    psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19
    December 15, 2021 - Commentary A blueprint for leadership during COVID-19. Citation Text: Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage. 2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  16. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

    psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
    March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

  17. Mitigating the July effect. | PSNet

    psnet.ahrq.gov/issue/mitigating-july-effect
    August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  18. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. | PSNet

    psnet.ahrq.gov/issue/integrative-systematic-review-employee-silence-and-voice-healthcare-what-are-we-really
    August 03, 2022 - Review An integrative systematic review of employee silence and voice in healthcare: what are we really measuring. Citation Text: Lainidi O, Jendeby MK, Montgomery A, et al. An integrative systematic review of employee silence and voice in healthcare: what are we really measuring? Front …

  19. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. | PSNet

    psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
    October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …

  20. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
    October 12, 2022 - Review Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. Citation Text: Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …
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