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  1. The problem with Plan-Do-Study-Act cycles. | PSNet

    psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
    June 26, 2019 - Commentary The problem with Plan-Do-Study-Act cycles. Citation Text: Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  2. Preventing health care–associated harm in children. | PSNet

    psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
    March 14, 2022 - Commentary Preventing health care–associated harm in children. Citation Text: Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  3. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. | PSNet

    psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
    January 19, 2016 - Study Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. Citation Text: Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…

  4. Is WHO's surgical safety checklist being hyped? | PSNet

    psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
    February 07, 2018 - Commentary Is WHO's surgical safety checklist being hyped? Citation Text: Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  5. Changing the narratives for patient safety. | PSNet

    psnet.ahrq.gov/issue/changing-narratives-patient-safety
    April 17, 2019 - Commentary Changing the narratives for patient safety. Citation Text: Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. Copy Citation Format: DOI Google Scholar PubMed…

  6. Heart Healthy Ohio Initiative Payer Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/55-ohio-hhoi-payer-survey.pdf
    May 01, 2022 - Heart Healthy Ohio Initiative Payer Survey __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Page 1 Heart Healthy Ohio Initiative Payer Survey Dear potential collaborators,  Thank you to…

  7. Quick Response codes for surgical safety: a prospective pilot study. | PSNet

    psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
    June 07, 2016 - Study Quick Response codes for surgical safety: a prospective pilot study. Citation Text: Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. Copy Citatio…

  8. Scoring no goal—further adventures in transparency. | PSNet

    psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
    August 02, 2015 - Commentary Scoring no goal—further adventures in transparency. Citation Text: Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-8. doi:10.1056/NEJMp1510094. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  9. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-and-hospital-related-morbidity-and-mortality-among-older-adults
    October 10, 2012 - Study The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use. Citation Text: Page RL, Ruscin M. The risk of adverse drug events and hospital-related morbidity and mortality among older adults with po…

  10. The quest for safe surgical care: are we missing the obvious? | PSNet

    psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
    September 12, 2018 - Commentary The quest for safe surgical care: are we missing the obvious? Citation Text: Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  11. Medication errors: an overview for clinicians. | PSNet

    psnet.ahrq.gov/issue/medication-errors-overview-clinicians
    September 20, 2011 - Review Medication errors: an overview for clinicians. Citation Text: Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  12. Patient safety and collaboration of the intensive care unit team. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
    February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…

  13. Why do hundreds of US women die annually in childbirth? | PSNet

    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  14. Improved obstetric safety through programmatic collaboration. | PSNet

    psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
    September 23, 2020 - Commentary Improved obstetric safety through programmatic collaboration. Citation Text: Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. Copy Citation Format: …

  15. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. | PSNet

    psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - Study The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. Citation Text: Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…

  16. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. | PSNet

    psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
    September 29, 2010 - Study A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. Citation Text: Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…

  17. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

  18. The impact of incident disclosure behaviors on medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
    September 27, 2023 - Study The impact of incident disclosure behaviors on medical malpractice claims. Citation Text: Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342. Copy Citatio…

  19. Missed diagnoses by urologists resulting in malpractice payment. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
    November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

  20. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
    November 16, 2022 - Study Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Citation Text: Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61. Copy Citation …
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