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  1. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  2. Medication governance: preventing errors and promoting patient safety. | PSNet

    psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
    November 08, 2023 - Commentary Medication governance: preventing errors and promoting patient safety. Citation Text: Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. Copy Citation Format: DOI Goog…

  3. Reducing hospital errors: interventions that build safety culture. | PSNet

    psnet.ahrq.gov/issue/reducing-hospital-errors-interventions-build-safety-culture
    September 27, 2017 - Review Reducing hospital errors: interventions that build safety culture. Citation Text: Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439. Copy Citation For…

  4. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
    September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

  5. Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
    July 08, 2020 - Study Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. Citation Text: Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…

  6. Patient safety initiatives in obstetrics: a rapid review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
    September 23, 2020 - Review Patient safety initiatives in obstetrics: a rapid review. Citation Text: Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. Copy Citation Format: DOI Google Schola…

  7. The active components of effective training in obstetric emergencies. | PSNet

    psnet.ahrq.gov/issue/active-components-effective-training-obstetric-emergencies
    September 01, 2010 - Review The active components of effective training in obstetric emergencies. Citation Text: Siassakos D, Crofts JF, Winter C, et al. The active components of effective training in obstetric emergencies. BJOG. 2009;116(8):1028-32. doi:10.1111/j.1471-0528.2009.02178.x. Copy Citation …

  8. Placing Diagnosis Errors on the Policy Agenda. | PSNet

    psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
    October 31, 2014 - Book/Report Placing Diagnosis Errors on the Policy Agenda. Citation Text: Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. Copy Citation Save Save…

  9. Creating highly reliable accountable care organizations. | PSNet

    psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations
    November 03, 2015 - Commentary Creating highly reliable accountable care organizations. Citation Text: Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  10. Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. | PSNet

    psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry
    April 01, 2019 - Organizational Policy/Guidelines Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Citation Text: Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…

  11. Taking a closer look at medication errors that involve oxytocin. | PSNet

    psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
    July 18, 2018 - Newspaper/Magazine Article Taking a closer look at medication errors that involve oxytocin. Citation Text: Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6. Copy Citation Save …

  12. A systematic review of the literature on multidisciplinary rounds to design information technology. | PSNet

    psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
    November 20, 2024 - Review A systematic review of the literature on multidisciplinary rounds to design information technology. Citation Text: Gurses AP, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information technology. J Am Med Inform Assoc. 2006;13(3):267-76. C…

  13. Spreading human factors expertise in healthcare: untangling the knots in people and systems. | PSNet

    psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
    May 01, 2024 - Commentary Spreading human factors expertise in healthcare: untangling the knots in people and systems. Citation Text: Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…

  14. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  15. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

    psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
    February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

  16. Association of emotional intelligence with malpractice claims: a review. | PSNet

    psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review
    August 02, 2015 - Review Association of emotional intelligence with malpractice claims: a review. Citation Text: Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. Copy Citation …

  17. Medical malpractice liability in the age of electronic health records. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
    April 05, 2013 - Commentary Medical malpractice liability in the age of electronic health records. Citation Text: Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210. Copy Citation …

  18. Use of simulation to test systems and prepare staff for a new hospital transition. | PSNet

    psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
    May 31, 2017 - Study Use of simulation to test systems and prepare staff for a new hospital transition. Citation Text: Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.000000000000…

  19. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. | PSNet

    psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
    May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…

  20. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…
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