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  1. Hospital complications: linking payment reduction to preventability. | PSNet

    psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability
    July 13, 2010 - Commentary Hospital complications: linking payment reduction to preventability. Citation Text: Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5. Copy Citation Format: …

  2. Postoperative opioid prescribing: Getting it RIGHTT. | PSNet

    psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
    August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…

  3. Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. | PSNet

    psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
    December 12, 2012 - Commentary Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. Citation Text: Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…

  4. Ending extra payment for "never events"—stronger incentives for patients' safety. | PSNet

    psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
    November 13, 2024 - Commentary Ending extra payment for "never events"—stronger incentives for patients' safety. Citation Text: Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125. Copy Citation F…

  5. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet

    psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
    May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

  6. What causes prescribing errors in children? Scoping review. | PSNet

    psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
    September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

  7. Patient safety in the office-based setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-office-based-setting
    August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  8. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
    June 26, 2024 - Review The role of practice guidelines and evidence-based medicine in perioperative patient safety. Citation Text: Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…

  9. When there's no one to whom an error can be disclosed, how should an error be handled? | PSNet

    psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
    March 19, 2018 - Commentary When there's no one to whom an error can be disclosed, how should an error be handled? Citation Text: Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553. Copy Cita…

  10. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. | PSNet

    psnet.ahrq.gov/issue/identifying-nontechnical-skills-associated-safety-emergency-department-scoping-review
    December 12, 2012 - Review Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Citation Text: Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of…

  11. Improving pathologists' communication skills. | PSNet

    psnet.ahrq.gov/issue/improving-pathologists-communication-skills
    May 18, 2022 - Commentary Improving pathologists' communication skills. Citation Text: Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  12. Crisis resource management in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
    October 23, 2024 - Review Crisis resource management in emergency medicine. Citation Text: Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x. Copy Citation Format: DO…

  13. Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
    October 19, 2022 - Review Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. Citation Text: Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…

  14. Implementing the Safety Thermometer tool in one NHS trust. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
    March 19, 2019 - Commentary Implementing the Safety Thermometer tool in one NHS trust. Citation Text: Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  15. Handovers from the OR to the ICU. | PSNet

    psnet.ahrq.gov/issue/handovers-or-icu
    January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  16. Rapid response teams and continuous quality improvement. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
    April 05, 2023 - Study Rapid response teams and continuous quality improvement. Citation Text: Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. Copy Citation Save Save to your l…

  17. The human factors of home health care: a conceptual model for examining safety and quality concerns. | PSNet

    psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
    November 21, 2018 - Commentary The human factors of home health care: a conceptual model for examining safety and quality concerns. Citation Text: Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a. Copy Citatio…

  18. An innovative approach to the surgical time out: a patient-focused model. | PSNet

    psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
    July 10, 2008 - Commentary An innovative approach to the surgical time out: a patient-focused model. Citation Text: Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. Copy Citatio…

  19. The effect of workload reduction on the quality of residents' discharge summaries. | PSNet

    psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
    February 17, 2011 - Study The effect of workload reduction on the quality of residents' discharge summaries. Citation Text: Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z. Co…

  20. Three perspectives on changes in resident work environment and duty hours. | PSNet

    psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
    September 02, 2020 - Commentary Three perspectives on changes in resident work environment and duty hours. Citation Text: Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. Copy Citation S…
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