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Showing results for "discussed".

  1. Building cultures of high reliability: lessons from the high reliability organization paradigm. | PSNet

    psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
    September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization paradigm. Citation Text: Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…

  2. Should patients have a role in patient safety? A safety engineering view. | PSNet

    psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
    June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

  3. Integrating CUSP and TRIP to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
    June 16, 2011 - Commentary Integrating CUSP and TRIP to improve patient safety. Citation Text: Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348. Copy Citation Format: DOI Google…

  4. A health system that won't learn from its mistakes. | PSNet

    psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
    October 26, 2022 - Commentary A health system that won't learn from its mistakes. Citation Text: Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  5. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
    May 30, 2019 - Book/Report Classic Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Citation Text: Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…

  6. The problem with incident reporting. | PSNet

    psnet.ahrq.gov/issue/problem-incident-reporting
    February 28, 2024 - Commentary The problem with incident reporting. Citation Text: Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  7. Medical error and human factors engineering: where are we now? | PSNet

    psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
    August 04, 2021 - Review Medical error and human factors engineering: where are we now? Citation Text: Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67. Copy Citation Format: Google Scholar PubMed BibTe…

  8. Why we need a single definition of disruptive behavior. | PSNet

    psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
    November 01, 2017 - Review Why we need a single definition of disruptive behavior. Citation Text: Petrovic MA, Scholl AT. Why We Need a Single Definition of Disruptive Behavior. Cureus. 2018;10(3):e2339. doi:10.7759/cureus.2339. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  9. Health IT and Patient Safety: Building Safer Systems for Better Care. | PSNet

    psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
    June 16, 2011 - Book/Report Classic Health IT and Patient Safety: Building Safer Systems for Better Care. Citation Text: Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…

  10. Vital Signs: Core Metrics for Health and Health Care Progress. | PSNet

    psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
    November 24, 2021 - Book/Report Vital Signs: Core Metrics for Health and Health Care Progress. Citation Text: Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…

  11. Retained surgical items and minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
    April 28, 2021 - Commentary Retained surgical items and minimally invasive surgery. Citation Text: Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  12. Obstetric practice guidelines: labor's love lost? | PSNet

    psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
    April 30, 2014 - Commentary Obstetric practice guidelines: labor's love lost? Citation Text: Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. Copy Citation Format: DOI Google Schola…

  13. The elusive and illusive quest for diagnostic safety metrics. | PSNet

    psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
    October 10, 2018 - Commentary The elusive and illusive quest for diagnostic safety metrics. Citation Text: Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. Copy Citation Format: DOI Google Sch…

  14. Recommended responsibilities for management of MR safety. | PSNet

    psnet.ahrq.gov/issue/recommended-responsibilities-management-mr-safety
    April 19, 2013 - Commentary Recommended responsibilities for management of MR safety. Citation Text: Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. Copy Citation Format: …

  15. The Swiss cheese model of adverse event occurrence—closing the holes. | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
    September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…

  16. Can technology improve intershift report? What the research reveals. | PSNet

    psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
    October 02, 2024 - Review Can technology improve intershift report? What the research reveals. Citation Text: Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. Copy Citation Form…

  17. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist
    November 01, 2023 - Review Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Citation Text: Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007…

  18. A piece of my mind. The art of constructive worrying. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
    June 10, 2020 - Commentary A piece of my mind. The art of constructive worrying. Citation Text: John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  19. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. | PSNet

    psnet.ahrq.gov/issue/safety-culture-healthcare-review-concepts-dimensions-measures-and-progress
    November 21, 2014 - Review Safety culture in healthcare: a review of concepts, dimensions, measures and progress. Citation Text: Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011;20(4):338-43. doi:10.1136/bmjqs.2010.040964. C…

  20. What is accountability in health care? | PSNet

    psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
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