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  1. SHOT Annual Report. | PSNet

    psnet.ahrq.gov/issue/shot-annual-report-2019
    July 10, 2019 - Book/Report SHOT Annual Report. Citation Text: SHOT Annual Report. S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. Copy Citation Save Save to your library Print Download PDF Share …

  2. 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? | PSNet

    psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
    July 19, 2023 - Newspaper/Magazine Article 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Citation Text: 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Renault M. STAT. February 6, 2023. Copy Citation …

  3. Making checklists work: South Carolina's statewide experiment. | PSNet

    psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
    April 01, 2015 - Newspaper/Magazine Article Making checklists work: South Carolina's statewide experiment. Citation Text: Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  4. Between a rock and a hard place: disclosing medical errors. | PSNet

    psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
    October 19, 2022 - Commentary Between a rock and a hard place: disclosing medical errors. Citation Text: Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  5. Cognitive Load Theory and its Impact on Diagnostic Accuracy. | PSNet

    psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
    August 07, 2024 - Book/Report Cognitive Load Theory and its Impact on Diagnostic Accuracy. Citation Text: Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF. …

  6. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet

    psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
    October 12, 2005 - Study Emerging Classic Disclosure after adverse medical outcomes: a multidimensional challenge. Citation Text: Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. Copy Citation …

  7. Back to basics: preventing surgical site infections. | PSNet

    psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
    March 17, 2021 - Commentary Back to basics: preventing surgical site infections. Citation Text: Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. doi:10.1016/j.aorn.2014.02.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  8. Theorizing about systems: an ecological task for patient safety research. | PSNet

    psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
    August 20, 2008 - Commentary Theorizing about systems: an ecological task for patient safety research. Citation Text: Marck PB. Theorizing About Systems. Clin Nurs Res. 2005;14(2). doi:10.1177/1054773804274255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  9. Total systems safety supports practitioners in partnering with families to protect patients. | PSNet

    psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
    April 17, 2024 - Newspaper/Magazine Article Total systems safety supports practitioners in partnering with families to protect patients. Citation Text: Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. …

  10. Patient-Centered Care Improvement Guide. | PSNet

    psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
    June 10, 2020 - Book/Report Patient-Centered Care Improvement Guide. Citation Text: Patient-Centered Care Improvement Guide. Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. Copy Citation Save Save to your library Print …

  11. Learning and mindfulness: improving perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
    January 12, 2022 - Commentary Learning and mindfulness: improving perioperative patient safety. Citation Text: Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. Copy Citation Format: DOI Googl…

  12. Nursing peer review: developing a framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
    January 15, 2020 - Commentary Nursing peer review: developing a framework for patient safety. Citation Text: Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. Copy Citation Format: DOI Google Schola…

  13. Challenging the world: patient safety and health care-associated infection. | PSNet

    psnet.ahrq.gov/issue/challenging-world-patient-safety-and-health-care-associated-infection
    October 21, 2010 - Commentary Challenging the world: patient safety and health care-associated infection. Citation Text: Pittet D, Donaldson LJ. Challenging the world: patient safety and health care-associated infection. Int J Qual Health Care. 2006;18(1):4-8. Copy Citation Format: Google S…

  14. Module on How To Apply CUSP for Mechanically Ventilated Patients | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/cusp.html
    March 01, 2017 - Module on How To Apply CUSP for Mechanically Ventilated Patients This module demonstrates how to apply the Comprehensive Unit-based Safety Program (CUSP) method to improve care for mechanically ventilated patients. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PD…

  15. Intimidation: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/intimidation-concept-analysis
    May 20, 2020 - Review Intimidation: a concept analysis. Citation Text: Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-6198.2009.00162.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  16. The systems approach to medicine: controversy and misconceptions. | PSNet

    psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
    June 24, 2020 - Commentary The systems approach to medicine: controversy and misconceptions. Citation Text: Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. Copy Citation Format: DOI Googl…

  17. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  18. Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. | PSNet

    psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
    December 24, 2008 - Book/Report Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Citation Text: Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…

  19. On the scene at Children's Hospitals and Clinics of Minnesota. | PSNet

    psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
    September 24, 2010 - Commentary On the scene at Children's Hospitals and Clinics of Minnesota. Citation Text: Malone G, Akre M, Hauck M. On the scene at Children's Hospitals and Clinics of Minnesota. Nurs Adm Q. 2009;33(1):54-61. doi:10.1097/01.NAQ.0000343349.93537.08. Copy Citation Format: D…

  20. Patient Safety Research Summaries. | PSNet

    psnet.ahrq.gov/issue/patient-safety-research-summaries
    December 24, 2008 - Book/Report Patient Safety Research Summaries. Citation Text: Patient Safety Research Summaries. Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.  Copy Citation Save Save to your library Print Download PDF Share Face…
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