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  1. On the quest for Six Sigma. | PSNet

    psnet.ahrq.gov/issue/quest-six-sigma
    January 04, 2010 - Commentary On the quest for Six Sigma. Citation Text: Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  2. Medical errors: mandatory reporting, voluntary reporting, or both? | PSNet

    psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
    February 28, 2024 - Commentary Medical errors: mandatory reporting, voluntary reporting, or both? Citation Text: Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8. Copy Citation Format: …

  3. 'Inattentional blindness': what captures your attention? | PSNet

    psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
    November 24, 2021 - Commentary 'Inattentional blindness': what captures your attention? Citation Text: Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  4. A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. | PSNet

    psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
    August 10, 2022 - Congressional Testimony A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. Citation Text: A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…

  5. Medicare cuts payments to nursing homes whose patients keep ending up in hospital. | PSNet

    psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital
    June 27, 2018 - Newspaper/Magazine Article Medicare cuts payments to nursing homes whose patients keep ending up in hospital. Citation Text: Medicare cuts payments to nursing homes whose patients keep ending up in hospital. Rau J. Kaiser Health News. December 3, 2018. Copy Citation Sav…

  6. Keeping track of aging patients’ medications. | PSNet

    psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
    December 23, 2020 - Newspaper/Magazine Article Keeping track of aging patients’ medications. Citation Text: Keeping track of aging patients’ medications. Cooney E. Telegram & Gazette. January 27, 2008. Copy Citation Save Save to your library Print Download PDF S…

  7. 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

    psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
    February 28, 2018 - Press Release/Announcement 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. Copy Citation Save Save to your library Pr…

  8. Please don't sleep through this wake-up call. | PSNet

    psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
    May 07, 2018 - Newspaper/Magazine Article Please don't sleep through this wake-up call. Citation Text: Please don't sleep through this wake-up call. ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.   Copy Citation Save Save to your library Print …

  9. Actively caring for safety: overcoming bystander apathy. | PSNet

    psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
    December 03, 2014 - Newspaper/Magazine Article Actively caring for safety: overcoming bystander apathy. Citation Text: Actively caring for safety: overcoming bystander apathy. ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3. Copy Citation Save Save to your …

  10. Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. | PSNet

    psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
    December 07, 2016 - Book/Report Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Citation Text: Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009. Copy Citation …

  11. Prohibition of Excessive Overtime for Nurses Act. | PSNet

    psnet.ahrq.gov/issue/prohibition-excessive-overtime-nurses-act
    August 01, 2007 - Legislation/Case Law Prohibition of Excessive Overtime for Nurses Act. Citation Text: Prohibition of Excessive Overtime for Nurses Act. The General Assembly of Pennsylvania. HB957 (2005). Copy Citation Save Save to your library Print Download PDF …

  12. Study: clinicians copy and paste about half of text in EHR progress notes. | PSNet

    psnet.ahrq.gov/issue/study-clinicians-copy-and-paste-about-half-text-ehr-progress-notes
    July 13, 2022 - Newspaper/Magazine Article Study: clinicians copy and paste about half of text in EHR progress notes. Citation Text: Study: clinicians copy and paste about half of text in EHR progress notes. Landi H. Healthcare Innovation. October 2, 2017. Copy Citation Save Sa…

  13. Improving Patient Safety with Human Factors Methods. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
    June 12, 2019 - United States Meeting/Conference Improving Patient Safety with Human Factors Methods. Citation Text: Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. Copy Citation Save Save …

  14. Medication reconciliation in the hospital: what, why, where, when, who and how? | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
    March 05, 2013 - Commentary Medication reconciliation in the hospital: what, why, where, when, who and how? Citation Text: Medication reconciliation in the hospital: what, why, where, when, who and how? Fernandes O; Shojania KG. Copy Citation Save Save to your library Pr…

  15. Will saying "I'm sorry" prevent a malpractice lawsuit? | PSNet

    psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
    October 23, 2018 - Commentary Will saying "I'm sorry" prevent a malpractice lawsuit? Citation Text: Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  16. Is employee discipline the solution for patient safety? | PSNet

    psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
    September 15, 2011 - Commentary Is employee discipline the solution for patient safety? Citation Text: Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  17. Exploring the role of patients in promoting safety: policy to practice. | PSNet

    psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
    March 13, 2024 - Commentary Exploring the role of patients in promoting safety: policy to practice. Citation Text: Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  18. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - Commentary Medication errors and drug-dispensing systems in a hospital pharmacy. Citation Text: Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. Copy Citation For…

  19. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. | PSNet

    psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
    September 12, 2016 - Commentary Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. Citation Text: Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…

  20. Classification of antecedents towards safety use of health information technology: a systematic review. | PSNet

    psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
    October 12, 2022 - Review Classification of antecedents towards safety use of health information technology: a systematic review. Citation Text: Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…
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