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  1. Lost in Sign Out and Documentation | PSNet

    psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
    January 31, 2011 - Lost in Sign Out and Documentation Citation Text: Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  2. Add-on Case and the Missing Checklist | PSNet

    psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
    September 01, 2012 - Add-on Case and the Missing Checklist Citation Text: Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  3. Safety Problems With Your Child's Medical Device? | PSNet

    psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
    January 09, 2013 - Fact Sheet/FAQs Safety Problems With Your Child's Medical Device? Citation Text: Safety Problems With Your Child's Medical Device? Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013. Copy Citation Save Save to your library …

  4. Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. | PSNet

    psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
    July 14, 2021 - Book/Report Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Citation Text: Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Geneva, Switzer…

  5. Handoffs and fumbles. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-fumbles
    June 12, 2007 - Book/Report Handoffs and fumbles. Citation Text: Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004. Copy Citation …

  6. The normalization of deviance: what are the perioperative risks? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
    July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? Citation Text: McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009. Copy Citation Format: DOI Google Scholar Pu…

  7. When Things Go Wrong: Responding to Adverse Events. | PSNet

    psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
    November 19, 2014 - Book/Report Classic When Things Go Wrong: Responding to Adverse Events. Citation Text: When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. Copy Citation Save …

  8. Field Guide to Collaborative Care: Implementing the Future of Health Care. | PSNet

    psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
    March 09, 2018 - Book/Report Field Guide to Collaborative Care: Implementing the Future of Health Care. Citation Text: Field Guide to Collaborative Care: Implementing the Future of Health Care. Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290. Copy Citation …

  9. Quality, Value, and Patient Safety in Orthopedic Surgery. | PSNet

    psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
    April 21, 2021 - Special or Theme Issue Quality, Value, and Patient Safety in Orthopedic Surgery. Citation Text: Quality, Value, and Patient Safety in Orthopedic Surgery. Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552. Copy Citation Save Save to your library P…

  10. AORN guidance statement: creating a patient safety culture. | PSNet

    psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture
    March 14, 2018 - Organizational Policy/Guidelines AORN guidance statement: creating a patient safety culture. Citation Text: Nurses A of periOR. AORN guidance statement: creating a patient safety culture. AORN journal. 2006;83(4):936-42. Copy Citation Format: Google Scholar PubMed BibTeX …

  11. Iatrogenesis in Pediatrics. | PSNet

    psnet.ahrq.gov/issue/iatrogenesis-pediatrics
    April 24, 2024 - Special or Theme Issue Iatrogenesis in Pediatrics. Citation Text: Iatrogenesis in Pediatrics. Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842 Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  12. Care transitions: a threat and an opportunity for patient safety. | PSNet

    psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
    May 20, 2009 - Commentary Care transitions: a threat and an opportunity for patient safety. Citation Text: Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537. Copy Citation Format: DO…

  13. Osheroff_Respondent_DuBenske 4 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/web-based_osheroff_respondent.pdf
    January 01, 2009 - Osheroff_Respondent_DuBenske 4   Source:    Eisenberg  Center  Conference  Series  2009,  Translating  Information  Into  Action:  Improving  Quality  of   Care  Through  Interactive  Media,  Effective  Health  Care  Program  Web  site   (http://www.effectivehealthc…

  14. Perioperative Handoffs. | PSNet

    psnet.ahrq.gov/issue/perioperative-handoffs
    October 04, 2017 - Special or Theme Issue Perioperative Handoffs. Citation Text: Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434. Copy Citation Save Save to your library Print Download PDF Share Face…

  15. The growth of rapid response systems.  | PSNet

    psnet.ahrq.gov/issue/growth-rapid-response-systems
    April 24, 2018 - Meeting/Conference Proceedings The growth of rapid response systems.  Citation Text: Steel AC, Reynolds SF. The growth of rapid response systems. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  16. A team training program using human factors to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
    January 24, 2024 - Commentary A team training program using human factors to enhance patient safety. Citation Text: Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026. Copy Citation Format: DOI Goo…

  17. Standardizing safety. | PSNet

    psnet.ahrq.gov/issue/standardizing-safety
    January 13, 2021 - Newspaper/Magazine Article Standardizing safety. Citation Text: Meyers S. Standardizing safety. Trustee. 2006;59(7):12-4, 21, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  18. Managing risk at the point-of-care: preventing errors. | PSNet

    psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
    February 06, 2018 - Newspaper/Magazine Article Managing risk at the point-of-care: preventing errors. Citation Text: Managing risk at the point-of-care: preventing errors. Njoroge S; Nichols JH. Copy Citation Save Save to your library Print Download PDF Share Fa…

  19. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet

    psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
    September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons from three foreign systems. Citation Text: Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three foreign systems. Issue brief (Commonwealth Fund). 2011;1…

  20. The importance of simulation: preventing hand-off mistakes. | PSNet

    psnet.ahrq.gov/issue/importance-simulation-preventing-hand-mistakes
    May 20, 2009 - Commentary The importance of simulation: preventing hand-off mistakes. Citation Text: Clancy CM. The importance of simulation: preventing hand-off mistakes. AORN J. 2008;88(4):625-627. doi:10.1016/j.aorn.2008.09.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
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