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  1. Our stubborn quest for diagnostic certainty. | PSNet

    psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
    June 21, 2016 - Commentary Our stubborn quest for diagnostic certainty. Citation Text: Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  2. Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/stpra/index.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Development Chapter 3. Risk-Informed Int…

  3. Positive Patient Identification. | PSNet

    psnet.ahrq.gov/issue/positive-patient-identification
    June 19, 2024 - Book/Report Positive Patient Identification. Citation Text: Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. Copy Citation Save Save to your library …

  4. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet

    psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
    November 01, 2023 - Newspaper/Magazine Article Patient death tied to lack of proper escalation process for barcode scanning failures. Citation Text: Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3. Cop…

  5. AHRQ announces interest in research on digital healthcare safety. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety
    November 12, 2008 - Press Release/Announcement AHRQ announces interest in research on digital healthcare safety. Citation Text: AHRQ announces interest in research on digital healthcare safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication N…

  6. Battling hospital-acquired infections. | PSNet

    psnet.ahrq.gov/issue/battling-hospital-acquired-infections
    June 27, 2018 - Audiovisual Battling hospital-acquired infections. Citation Text: Battling hospital-acquired infections. Gross T; Shannon R. NPR. January 9, 2008. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  7. The art of apology: when and how to seek forgiveness. | PSNet

    psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
    May 17, 2023 - Commentary The art of apology: when and how to seek forgiveness. Citation Text: The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49. Copy Citation Save Save to your library Print Download PDF …

  8. Understanding And Addressing Pre-Hospital Diagnostic Delays. | PSNet

    psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
    May 15, 2024 - Special or Theme Issue Understanding And Addressing Pre-Hospital Diagnostic Delays. Citation Text: Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023. Copy Citation Save Save to your library Print …

  9. Battling the obstetric malpractice crisis: improving patient safety, part 1. | PSNet

    psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-1
    July 05, 2013 - Commentary Battling the obstetric malpractice crisis: improving patient safety, part 1. Citation Text: Battling the obstetric malpractice crisis: improving patient safety, part 1. Bernstein PS. Medscape Ob/Gyn. October 31, 2005. Copy Citation Save Save to your lib…

  10. Patient Safety in Public Hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-public-hospitals
    November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

  11. State Patient Safety Centers: A New Approach to Promote Patient Safety. | PSNet

    psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
    November 29, 2009 - Book/Report State Patient Safety Centers: A New Approach to Promote Patient Safety. Citation Text: State Patient Safety Centers: A New Approach to Promote Patient Safety. Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004. Copy Citation …

  12. Medication reconciliation in the hospital: what, why, where, when, who and how? | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
    March 05, 2013 - Commentary Medication reconciliation in the hospital: what, why, where, when, who and how? Citation Text: Medication reconciliation in the hospital: what, why, where, when, who and how? Fernandes O; Shojania KG. Copy Citation Save Save to your library Pr…

  13. Organizing for Reliability: A Guide for Research and Practice. | PSNet

    psnet.ahrq.gov/issue/organizing-reliability-guide-research-and-practice
    April 01, 2020 - Book/Report Organizing for Reliability: A Guide for Research and Practice. Citation Text: Organizing for Reliability: A Guide for Research and Practice. Ramanujam R, Roberts KH, eds. Stanford, CA: Stanford University Press; 2018. ISBN: 9780804793612. Copy Citation Save …

  14. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor? Citation Text: Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. Copy Citation Format: Google Scholar PubMed BibT…

  15. Whither Challenger, wither Columbia: management decision making and the knowledge analytic. | PSNet

    psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
    September 07, 2011 - Commentary Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Citation Text: Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Garrett TM. Copy Citation Save Save to your librar…

  16. A team training program using human factors to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
    January 24, 2024 - Commentary A team training program using human factors to enhance patient safety. Citation Text: Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026. Copy Citation Format: DOI Goo…

  17. Improving rapid response systems: progress, issues, and future directions. | PSNet

    psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
    January 26, 2022 - Meeting/Conference Proceedings Improving rapid response systems: progress, issues, and future directions. Citation Text: Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions. Copy Citation Format: Google Scholar PubMed BibTe…

  18. A review of organizational culture instruments for nurse executives. | PSNet

    psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
    January 14, 2011 - Review A review of organizational culture instruments for nurse executives. Citation Text: King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  19. Behaving safely under pressure: the effects of job demands, resources, and safety climate on employee physical and psychosocial safety behavior. | PSNet

    psnet.ahrq.gov/issue/behaving-safely-under-pressure-effects-job-demands-resources-and-safety-climate-employee
    February 03, 2018 - Study Behaving safely under pressure: the effects of job demands, resources, and safety climate on employee physical and psychosocial safety behavior. Citation Text: Bronkhorst B. Behaving safely under pressure: The effects of job demands, resources, and safety climate on employee physic…

  20. Quality and Safety of Healthcare in Switzerland. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
    March 23, 2022 - Book/Report Quality and Safety of Healthcare in Switzerland. Citation Text: Quality and Safety of Healthcare in Switzerland. Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019. Copy Citation Save Save…
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