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Facing ambiguous threats. | PSNet

psnet.ahrq.gov/issue/facing-ambiguous-threats

December 24, 2008 - Commentary Facing ambiguous threats. Citation Text: Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization

November 16, 2022 - Study Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. Citation Text: Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utiliza…

Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet

psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations

October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Citation Text: Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. | PSNet

psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork

March 13, 2013 - Commentary Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. Citation Text: Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…

Factors contributing to preventing operating room "never events": a machine learning analysis. | PSNet

psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis

July 26, 2023 - Study Factors contributing to preventing operating room "never events": a machine learning analysis. Citation Text: Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…

Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians

August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet

psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy

February 28, 2011 - Study Misunderstanding of prescription drug warning labels among patients with low literacy. Citation Text: Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. Copy Ci…

Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet

psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation

October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…

Sharing lessons learned to prevent incorrect surgery. | PSNet

psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery

July 16, 2015 - Study Sharing lessons learned to prevent incorrect surgery. Citation Text: Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration

January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools

March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems

January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

Negative behaviours in health care: prevalence and strategies. | PSNet

psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies

May 01, 2024 - Study Negative behaviours in health care: prevalence and strategies. Citation Text: Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. Copy Citation Format: DOI Goog…

Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review

February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients

March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

Improving standardization of paging communication using quality improvement methodology. | PSNet

psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology

September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review

December 18, 2017 - Review Carers' medication administration errors in the domiciliary setting: a systematic review. Citation Text: Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…

Medication errors with electronic prescribing (eP): two views of the same picture. | PSNet

psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture

November 13, 2009 - Study Medication errors with electronic prescribing (eP): two views of the same picture. Citation Text: Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-1…

Advising patients about patient safety: current initiatives risk shifting responsibility. | PSNet

psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility

May 20, 2015 - Commentary Advising patients about patient safety: current initiatives risk shifting responsibility. Citation Text: Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494.…

A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. | PSNet

psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing

June 27, 2018 - Study Classic A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Citation Text: Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…

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