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  1. Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. | PSNet

    psnet.ahrq.gov/issue/evaluation-organizational-culture-among-different-levels-healthcare-staff-participating
    February 01, 2012 - Study Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. Citation Text: Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture amo…

  2. Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet

    psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
    July 03, 2014 - Study Evaluation of wound photography for remote postoperative assessment of surgical site infections. Citation Text: Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do…

  3. Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. | PSNet

    psnet.ahrq.gov/issue/large-scale-deployment-global-trigger-tool-across-large-hospital-system-refinements
    November 23, 2014 - Study Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. Citation Text: Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trig…

  4. Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

    psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
    February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

  5. Good people who try their best can have problems: recognition of human factors and how to minimise error. | PSNet

    psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise
    October 29, 2017 - Review Good people who try their best can have problems: recognition of human factors and how to minimise error. Citation Text: Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Ma…

  6. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

    psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
    November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

  7. Patient safety rounds in a pediatric tertiary care center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center
    September 09, 2008 - Study Patient safety rounds in a pediatric tertiary care center. Citation Text: Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX…

  8. Serious experience events: applying patient safety concepts to improve patient experience. | PSNet

    psnet.ahrq.gov/issue/serious-experience-events-applying-patient-safety-concepts-improve-patient-experience
    August 04, 2021 - Commentary Serious experience events: applying patient safety concepts to improve patient experience. Citation Text: Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…

  9. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. | PSNet

    psnet.ahrq.gov/issue/surgical-team-member-assessment-safety-surgery-practice-38-south-carolina-hospitals
    May 11, 2016 - Study Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Citation Text: Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-3…

  10. Leading successful rapid response teams: a multisite implementation evaluation. | PSNet

    psnet.ahrq.gov/issue/leading-successful-rapid-response-teams-multisite-implementation-evaluation
    August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

  11. Missed nursing care in emergency departments: a scoping review. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-emergency-departments-scoping-review
    November 03, 2021 - Review Missed nursing care in emergency departments: a scoping review. Citation Text: Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. Copy Citation Format: …

  12. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
    December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

  13. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic
    October 19, 2022 - Study A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Citation Text: Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic me…

  14. Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

    psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
    October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

  15. Safety Climate Survey: reliability of results from a multicenter ICU survey. | PSNet

    psnet.ahrq.gov/issue/safety-climate-survey-reliability-results-multicenter-icu-survey
    June 13, 2012 - Study Safety Climate Survey: reliability of results from a multicenter ICU survey. Citation Text: Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316. Copy Citation Format…

  16. The dilemma of patient safety work: perceptions of hospital middle managers. | PSNet

    psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
    February 03, 2015 - Study The dilemma of patient safety work: perceptions of hospital middle managers. Citation Text: Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325. Copy Ci…

  17. The hidden costs of reconciling surgical sponge counts. | PSNet

    psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
    May 08, 2013 - Study The hidden costs of reconciling surgical sponge counts. Citation Text: Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002. Copy Citation Format: DOI Goo…

  18. ICU nurses' acceptance of electronic health records. | PSNet

    psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records
    December 31, 2014 - Study ICU nurses' acceptance of electronic health records. Citation Text: Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018. Copy Citation Format: DOI Google…

  19. Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
    March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

  20. Procedural timeout compliance is improved with real-time clinical decision support. | PSNet

    psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support
    October 11, 2017 - Study Procedural timeout compliance is improved with real-time clinical decision support. Citation Text: Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…
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