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  1. Education is “predictably disappointing” and should never be relied upon alone to improve safety. | PSNet

    psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
    June 15, 2022 - Newspaper/Magazine Article Education is “predictably disappointing” and should never be relied upon alone to improve safety. Citation Text: Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …

  2. Tracking intraoperative complications. | PSNet

    psnet.ahrq.gov/issue/tracking-intraoperative-complications
    April 30, 2014 - Study Tracking intraoperative complications. Citation Text: Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  3. Effective discharge communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
    January 24, 2024 - Review Effective discharge communication in the emergency department. Citation Text: Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023. Copy Citation Format:…

  4. Do No Harm: Stories of Life, Death, and Brain Surgery. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
    January 07, 2019 - Book/Report Do No Harm: Stories of Life, Death, and Brain Surgery. Citation Text: Do No Harm: Stories of Life, Death, and Brain Surgery. Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810. Copy Citation Save Save to your library Print D…

  5. Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. | PSNet

    psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
    April 20, 2022 - Book/Report Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. Citation Text: Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.  National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…

  6. Safety strategies in an academic radiation oncology department and recommendations for action. | PSNet

    psnet.ahrq.gov/issue/safety-strategies-academic-radiation-oncology-department-and-recommendations-action
    January 16, 2013 - Commentary Safety strategies in an academic radiation oncology department and recommendations for action. Citation Text: Terezakis SA, Pronovost P, Harris K, et al. Safety strategies in an academic radiation oncology department and recommendations for action. Jt Comm J Qual Patient Saf. …

  7. Hospital governance and the quality of care. | PSNet

    psnet.ahrq.gov/issue/hospital-governance-and-quality-care
    May 05, 2010 - Study Hospital governance and the quality of care. Citation Text: Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7. doi:10.1377/hlthaff.2009.0297. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  8. Learning from malpractice claims about negligent, adverse events in primary care in the United States. | PSNet

    psnet.ahrq.gov/issue/learning-malpractice-claims-about-negligent-adverse-events-primary-care-united-states
    April 07, 2011 - Study Learning from malpractice claims about negligent, adverse events in primary care in the United States. Citation Text: Phillips RL, Bartholomew LA, Dovey S, et al. Learning from malpractice claims about negligent, adverse events in primary care in the United States. Qual Saf Healt…

  9. The technologist's role in patient safety and quality in medical imaging. | PSNet

    psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
    May 15, 2024 - Commentary The technologist's role in patient safety and quality in medical imaging. Citation Text: Watson L, Odle TG. The technologist's role in patient safety and quality in medical imaging. Radiol Technol. 2013;84(5):536-41. Copy Citation Format: Google Scholar PubMed …

  10. Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. | PSNet

    psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
    August 28, 2019 - Book/Report Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. Citation Text: Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501. Copy Citation …

  11. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
    May 24, 2016 - Book/Report Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Carroll JS, R…

  12. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. | PSNet

    psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
    March 27, 2005 - Book/Report Classic Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. Citation Text: Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. Wachter R, Shojan…

  13. Taking risky business out of the MRI suite. | PSNet

    psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
    September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …

  14. Contributions by the Agency for Healthcare Research and Quality and Grantees. | PSNet

    psnet.ahrq.gov/issue/contributions-agency-healthcare-research-and-quality-and-grantees
    July 29, 2010 - Special or Theme Issue Contributions by the Agency for Healthcare Research and Quality and Grantees. Citation Text: Contributions by the Agency for Healthcare Research and Quality and Grantees. Health Serv Res. 2009 Apr;44(2 Pt 2):623-776. Copy Citation Save S…

  15. Developing process-support tools for patient safety: finding the balance between validity and feasibility. | PSNet

    psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
    January 20, 2010 - Commentary Developing process-support tools for patient safety: finding the balance between validity and feasibility. Citation Text: Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility.…

  16. Improving patient safety in medicine: is the model of anaesthesia care enough? | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-anaesthesia-care-enough
    June 08, 2010 - Review Improving patient safety in medicine: is the model of anaesthesia care enough? Citation Text: Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770. Copy Citation Format: …

  17. Assessment of patient safety research from an organizational ergonomics and structural perspective. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural-perspective
    September 09, 2011 - Review Assessment of patient safety research from an organizational ergonomics and structural perspective. Citation Text: Schutz AL, Counte MA, Meurer S. Assessment of patient safety research from an organizational ergonomics and structural perspective. Ergonomics. 2007;50(9):1451-84. …

  18. Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. | PSNet

    psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
    October 14, 2015 - Study Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. Citation Text: Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. …

  19. Patient Safety 2030. | PSNet

    psnet.ahrq.gov/issue/patient-safety-2030
    April 13, 2016 - Book/Report Patient Safety 2030. Citation Text: Patient Safety 2030. Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citation Save Save to your library Print Download PDF …

  20. Improving care by using patient feedback. | PSNet

    psnet.ahrq.gov/issue/improving-care-using-patient-feedback
    April 19, 2017 - Book/Report Improving care by using patient feedback. Citation Text: Improving care by using patient feedback. National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019. Copy Citation Save Save to your library Print …
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