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Health information technology and its effects on hospital costs, outcomes, and patient safety. | PSNet

psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety

January 29, 2018 - Study Health information technology and its effects on hospital costs, outcomes, and patient safety. Citation Text: Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient safety. Inquiry. 2011;48(4):288-303. Copy Citation Format:…

Patient safety and medical liability: current status and an agenda for the future. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future

January 01, 2015 - Review Patient safety and medical liability: current status and an agenda for the future. Citation Text: Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785. Cop…

Audit of handover in an ENT unit. | PSNet

psnet.ahrq.gov/issue/audit-handover-ent-unit

October 28, 2020 - Study Audit of handover in an ENT unit. Citation Text: Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

Prevention of medication errors in the pediatric inpatient setting. | PSNet

psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting

July 03, 2016 - Review Prevention of medication errors in the pediatric inpatient setting. Citation Text: Prevention of medication errors in the pediatric inpatient setting. Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. …

Reducing surgical complications. | PSNet

psnet.ahrq.gov/issue/reducing-surgical-complications

January 03, 2018 - Commentary Reducing surgical complications. Citation Text: Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

Hand-off communication: a requisite for perioperative patient safety. | PSNet

psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety

October 19, 2022 - Commentary Hand-off communication: a requisite for perioperative patient safety. Citation Text: Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4. Copy Citation Format: Googl…

Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. | PSNet

psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry

January 13, 2021 - Book/Report Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…

Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. | PSNet

psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition

May 06, 2016 - Book/Report Classic Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Citation Text: Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Spath PL, ed. San Francisco, CA: Jo…

Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit

June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…

Implement strategies to prevent persistent medication errors and hazards. | PSNet

psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards

March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …

Patient safety functions of state medical boards in the United States. | PSNet

psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states

April 13, 2022 - Commentary Patient safety functions of state medical boards in the United States. Citation Text: Patient safety functions of state medical boards in the United States. Roy CG. Yale J Biol Med. 2021;94(1):165-173. Copy Citation Save Save to your library …

Improving Quality and Safety in Healthcare. | PSNet

psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare

November 30, 2016 - Special or Theme Issue Improving Quality and Safety in Healthcare. Citation Text: Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. Copy Citation Save Save to your library Print …

Behind Human Error, Second Edition. | PSNet

psnet.ahrq.gov/issue/behind-human-error-second-edition

April 13, 2018 - Book/Report Classic Behind Human Error, Second Edition. Citation Text: Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. Copy Citation Save Save to your lib…

Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet

psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary

June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …

Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. | PSNet

psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high

May 11, 2019 - Commentary Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Citation Text: Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet

psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard

February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. | PSNet

psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants

December 24, 2008 - Measurement Tool/Indicator Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Citation Text: Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022. Copy Citation …

Crossing the Quality Chasm: A New Health System for the 21st Century. | PSNet

psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century

July 08, 2016 - Book/Report Classic Crossing the Quality Chasm: A New Health System for the 21st Century. Citation Text: Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…

An organizational learning framework for patient safety. | PSNet

psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety

November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Patient Safety and Quality Improvement Act of 2005. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005

March 29, 2023 - Legislation/Case Law Classic Patient Safety and Quality Improvement Act of 2005. Citation Text: Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41. Copy Citation Save Save to your library Print Download…

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