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  1. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

  2. Is health care getting safer? | PSNet

    psnet.ahrq.gov/issue/health-care-getting-safer
    December 14, 2016 - Commentary Is health care getting safer? Citation Text: Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  3. Identifying and addressing preventable process errors in trauma care. | PSNet

    psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
    June 17, 2015 - Study Identifying and addressing preventable process errors in trauma care. Citation Text: Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. Copy Citation Form…

  4. Guided prescription of psychotropic medications for geriatric inpatients. | PSNet

    psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
    February 04, 2018 - Study Guided prescription of psychotropic medications for geriatric inpatients. Citation Text: Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. Copy Citation Format: Goog…

  5. Motion study in surgery. | PSNet

    psnet.ahrq.gov/issue/motion-study-surgery
    September 02, 2020 - Study Classic Motion study in surgery. Citation Text: Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  6. Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. | PSNet

    psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
    December 21, 2017 - Commentary Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. Citation Text: Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpati…

  7. The association between culture, climate and quality of care in primary health care teams. | PSNet

    psnet.ahrq.gov/issue/association-between-culture-climate-and-quality-care-primary-health-care-teams
    May 30, 2011 - Commentary The association between culture, climate and quality of care in primary health care teams. Citation Text: Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in primary health care teams. Fam Pract. 2007;24(4):323-9. Copy Citati…

  8. You can't understand something you hide: transparency as a path to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety
    October 04, 2006 - Newspaper/Magazine Article You can't understand something you hide: transparency as a path to improve patient safety. Citation Text: You can't understand something you hide: transparency as a path to improve patient safety. Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June…

  9. We know what they did wrong, but not why: the case for 'frame-based' feedback. | PSNet

    psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback
    December 21, 2014 - Newspaper/Magazine Article We know what they did wrong, but not why: the case for 'frame-based' feedback. Citation Text: Rudolph JW, Raemer D, Shapiro J. We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. Clin Teach. 2013;10(3):186-189. doi:10.1111/j.1743-498x.2…

  10. Taking the blame: appropriate responses to medical error. | PSNet

    psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
    September 23, 2020 - Commentary Taking the blame: appropriate responses to medical error. Citation Text: Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687. Copy Citation Format: DOI Google Scholar PubMed BibT…

  11. Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
    September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

  12. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. | PSNet

    psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
    July 02, 2014 - Study Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. Citation Text: Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;3…

  13. 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…

  14. Lehigh Valley Hospital: engaging patients and families. | PSNet

    psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
    January 04, 2017 - Award Recipient Lehigh Valley Hospital: engaging patients and families. Citation Text: Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual Patient Saf. 2005;31(10):566-72. Copy Citation Format: Google Scholar PubMed Bi…

  15. Clinical questions raised by clinicians at the point of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-questions-raised-clinicians-point-care-systematic-review
    May 04, 2022 - Review Clinical questions raised by clinicians at the point of care: a systematic review. Citation Text: Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014…

  16. Intraoperative surgical performance measurement and outcomes: choose your tools carefully. | PSNet

    psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
    June 17, 2015 - Commentary Intraoperative surgical performance measurement and outcomes: choose your tools carefully. Citation Text: Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837. C…

  17. Iatrogenic psychological harm. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-psychological-harm
    February 28, 2024 - Review Iatrogenic psychological harm. Citation Text: Rees C. Iatrogenic psychological harm. Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011-300362. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  18. The heart of health care: parents' perspectives on patient safety. | PSNet

    psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
    April 24, 2018 - Commentary The heart of health care: parents' perspectives on patient safety. Citation Text: Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004. Copy Citation Format:…

  19. High-reliability and the I-PASS communication tool. | PSNet

    psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
    June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. Citation Text: Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. Copy Citation Format: DOI Goo…

  20. Overuse of medical imaging and its radiation exposure: who’s minding our children? | PSNet

    psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
    August 04, 2021 - Commentary Overuse of medical imaging and its radiation exposure: who’s minding our children? Citation Text: Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…
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