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  1. Speaking up to reduce noise in the OR. | PSNet

    psnet.ahrq.gov/issue/speaking-reduce-noise-or
    July 26, 2023 - Commentary Speaking up to reduce noise in the OR. Citation Text: Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  2. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit
    December 05, 2024 - Toolkit Diagnostic Safety Toolkit. Citation Text: Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  3. Health plan members' views about disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
    November 15, 2011 - Study Classic Health plan members' views about disclosure of medical errors. Citation Text: Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18. Copy Citation Format: …

  4. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet

    psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
    October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…

  5. Quality and safety in pediatric hematology/oncology. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
    May 03, 2017 - Review Quality and safety in pediatric hematology/oncology. Citation Text: Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  6. Medication, allergy, and adverse drug event discrepancies in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
    July 13, 2022 - Study Medication, allergy, and adverse drug event discrepancies in ambulatory care. Citation Text: Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. Copy Citation Format: Google S…

  7. Briefings, checklists, geese, and surgical safety. | PSNet

    psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
    August 02, 2015 - Commentary Briefings, checklists, geese, and surgical safety. Citation Text: Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  8. Retained lumbar catheter tip. | PSNet

    psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
    June 07, 2017 - Commentary Retained lumbar catheter tip. Citation Text: DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  9. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
    June 02, 2025 - PowerPoint Presentation Use these PowerPoint slides for any presentations for which they may be useful. These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process. Modify as needed to suit your hospital – you may wish to delete sections of sl…

  10. Medication error reduction and the use of PDA technology. | PSNet

    psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
    August 28, 2024 - Study Medication error reduction and the use of PDA technology. Citation Text: Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  11. The high costs of unnecessary care. | PSNet

    psnet.ahrq.gov/issue/high-costs-unnecessary-care
    June 28, 2023 - Commentary The high costs of unnecessary care. Citation Text: Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Instrument count sheets and set reviews as patient safety tools. | PSNet

    psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
    February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …

  13. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. | PSNet

    psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - Review Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Citation Text: Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. Copy Citation Fo…

  14. Factors influencing doctors' ability to calculate drug doses correctly. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
    March 19, 2019 - Study Factors influencing doctors' ability to calculate drug doses correctly. Citation Text: Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94. Copy Citation Format: Google Scho…

  15. Lewis Blackman Patient Safety Award. | PSNet

    psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
    April 28, 2021 - Award Announcement Lewis Blackman Patient Safety Award. Citation Text: Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF Share Facebook…

  16. The business case for patient safety. | PSNet

    psnet.ahrq.gov/issue/business-case-patient-safety
    September 28, 2010 - Review The business case for patient safety. Citation Text: Hwang RW, Herndon JH. The business case for patient safety. Clin Orthop Relat Res. 2007;457:21-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Pediatric Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/pediatric-quality-and-safety
    August 01, 2018 - Newsletter/Journal Pediatric Quality and Safety. Citation Text: Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054. Copy Citation Save Save to your library Print Download PDF…

  18. Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. | PSNet

    psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
    October 07, 2020 - Book/Report Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Citation Text: Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  …

  19. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…

  20. There's a science for that: team development interventions in organizations. | PSNet

    psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
    January 15, 2020 - Review There's a science for that: team development interventions in organizations. Citation Text: Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054. Copy Citation Format: DOI Google Scholar Bi…
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