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Speak up! Addressing the paradox plaguing patient-centered care. | PSNet

psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-centered-care

October 17, 2018 - Commentary Speak up! Addressing the paradox plaguing patient-centered care. Citation Text: Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. Copy Citation Format: DO…

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural

March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk

August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet

psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals

February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military hospitals. Citation Text: Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. | PSNet

psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge

September 23, 2020 - Commentary Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Citation Text: Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…

Improving responses to safety incidents: we need to talk about justice. | PSNet

psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice

February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice. Citation Text: Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. Copy Citation For…

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery

October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. | PSNet

psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care

June 28, 2010 - Study Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. Citation Text: Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…

An IDEA: safety training to improve critical thinking by individuals and teams. | PSNet

psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams

May 25, 2016 - Commentary An IDEA: safety training to improve critical thinking by individuals and teams. Citation Text: Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide

September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. | PSNet

psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio

May 07, 2014 - Book/Report Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Citation Text: Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…

As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom

December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute

October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

Journey to no preventable risk: The Baylor Health Care System patient safety experience. | PSNet

psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience

November 23, 2014 - Commentary Journey to no preventable risk: The Baylor Health Care System patient safety experience. Citation Text: Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected

January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools

September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability

September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

Patient safety culture in primary care: developing a theoretical framework for practical use. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-primary-care-developing-theoretical-framework-practical-use

September 06, 2017 - Study Patient safety culture in primary care: developing a theoretical framework for practical use. Citation Text: Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.…

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. | PSNet

psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response

May 27, 2011 - Study Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. Citation Text: Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Pa…

Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. | PSNet

psnet.ahrq.gov/issue/comparison-prototype-indications-based-prescribing-2-commercial-prescribing-systems

June 05, 2018 - Study Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. Citation Text: Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing With 2 Commercial Prescribing Systems. JAMA Netw Open. 2019;2(3):…

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