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  1. "Canary measures" among the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - Study "Canary measures" among the AHRQ Patient Safety Indicators. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585. Copy Citation Format: DOI G…

  2. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
    November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…

  3. A critical review of the systems approach within patient safety research. | PSNet

    psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
    June 16, 2021 - Review A critical review of the systems approach within patient safety research. Citation Text: Waterson P. A critical review of the systems approach within patient safety research. Ergonomics. 2009;52(10):1185-1195. doi:10.1080/00140130903042782. Copy Citation Format: DO…

  4. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. | PSNet

    psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
    July 16, 2008 - Study Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Citation Text: Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:…

  5. Applying hierarchical task analysis to medication administration errors. | PSNet

    psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…

  6. Is health care getting safer? | PSNet

    psnet.ahrq.gov/issue/health-care-getting-safer
    December 14, 2016 - Commentary Is health care getting safer? Citation Text: Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  7. Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. | PSNet

    psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
    March 19, 2014 - Study Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. Citation Text: Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…

  8. Advances in perioperative quality and safety. | PSNet

    psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
    April 11, 2018 - Commentary Advances in perioperative quality and safety. Citation Text: Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006. Copy Citation Format: DOI Go…

  9. The effectiveness of management-by-walking-around: a randomized field study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
    October 01, 2014 - Study The effectiveness of management-by-walking-around: a randomized field study. Citation Text: Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. Copy Citation Format: DO…

  10. Identifying and addressing preventable process errors in trauma care. | PSNet

    psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
    June 17, 2015 - Study Identifying and addressing preventable process errors in trauma care. Citation Text: Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. Copy Citation Form…

  11. Frontline hospital workers and the worker safety/patient safety nexus. | PSNet

    psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypatient-safety-nexus
    July 05, 2017 - Commentary Frontline hospital workers and the worker safety/patient safety nexus. Citation Text: Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192. Copy Citation Format: …

  12. Managing risk in hazardous conditions: improvisation is not enough. | PSNet

    psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
    November 06, 2024 - Commentary Managing risk in hazardous conditions: improvisation is not enough. Citation Text: Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. Copy Citation Format: DO…

  13. Is WHO's surgical safety checklist being hyped? | PSNet

    psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
    February 07, 2018 - Commentary Is WHO's surgical safety checklist being hyped? Citation Text: Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  14. Medical errors recovered by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
    June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

  15. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

    psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
    February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

  16. Work-arounds observed by fourth-year nursing students. | PSNet

    psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
    July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…

  17. Reframing and addressing horizontal violence as a workplace quality improvement concern. | PSNet

    psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
    March 15, 2017 - Commentary Reframing and addressing horizontal violence as a workplace quality improvement concern. Citation Text: Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. Copy …

  18. Medication safety in the operating room: literature and expert-based recommendations. | PSNet

    psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
    October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…

  19. Scoring no goal—further adventures in transparency. | PSNet

    psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
    August 02, 2015 - Commentary Scoring no goal—further adventures in transparency. Citation Text: Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-8. doi:10.1056/NEJMp1510094. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  20. The quest for safe surgical care: are we missing the obvious? | PSNet

    psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
    September 12, 2018 - Commentary The quest for safe surgical care: are we missing the obvious? Citation Text: Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
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