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Health care serial murder: a patient safety orphan. | PSNet

psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan

July 28, 2014 - Commentary Health care serial murder: a patient safety orphan. Citation Text: Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

The investigation and analysis of critical incidents and adverse events in healthcare. | PSNet

psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare

March 05, 2014 - Study Classic The investigation and analysis of critical incidents and adverse events in healthcare. Citation Text: Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …

Medication administration process assessment: applying lessons learned from commercial aviation. | PSNet

psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation

May 25, 2011 - Commentary Medication administration process assessment: applying lessons learned from commercial aviation. Citation Text: Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…

Drug related admissions to a cardiology department; frequency and avoidability. | PSNet

psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability

August 20, 2018 - Study Drug related admissions to a cardiology department; frequency and avoidability. Citation Text: Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. Copy Citation Format: …

Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. | PSNet

psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-considering

October 20, 2021 - Special or Theme Issue Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. Citation Text: Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different O…

Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. | PSNet

psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies

May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…

Factors impacting physician use of information charted by others. | PSNet

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September 18, 2019 - Study Factors impacting physician use of information charted by others. Citation Text: Factors impacting physician use of information charted by others. Zozus MN, Penning M, Hammond WE. JAMIA Open. 2019;2:107-114. Copy Citation Save Save to your library Prin…

Organizational resilience as paradox management: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature

February 15, 2017 - Review Organizational resilience as paradox management: a systematic review of the literature. Citation Text: Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…

COVID-19 and patient safety- lessons from 2 efforts to keep people safe. | PSNet

psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe

March 02, 2011 - Commentary COVID-19 and patient safety- lessons from 2 efforts to keep people safe. Citation Text: Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. Copy Citation Format: …

COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. | PSNet

psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and

October 26, 2022 - Book/Report COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Citation Text: COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …

The checklist--a tool for error management and performance improvement. | PSNet

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June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

The contribution of sociotechnical factors to health information technology–related sentinel events. | PSNet

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September 18, 2024 - Study The contribution of sociotechnical factors to health information technology–related sentinel events. Citation Text: Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…

Applying Lean methods to improve quality and safety in surgical sterile instrument processing. | PSNet

psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing

September 16, 2015 - Study Applying Lean methods to improve quality and safety in surgical sterile instrument processing. Citation Text: Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…

Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. | PSNet

psnet.ahrq.gov/issue/quantifying-and-monitoring-overdiagnosis-cancer-screening-systematic-review-methods

September 15, 2021 - Review Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. Citation Text: Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. …

Researchers' roles in patient safety improvement. | PSNet

psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement

December 01, 2010 - Commentary Researchers' roles in patient safety improvement. Citation Text: Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096. Copy Citation Format: DOI Google Scho…

Framing of clinical information affects physicians' diagnostic accuracy. | PSNet

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November 02, 2011 - Study Framing of clinical information affects physicians' diagnostic accuracy. Citation Text: Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409. Copy Citation F…

Tips to reduce dangerous interruptions by healthcare staff. | PSNet

psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff

September 23, 2020 - Commentary Tips to reduce dangerous interruptions by healthcare staff. Citation Text: Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0. Copy Citation Format: …

AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). | PSNet

psnet.ahrq.gov/issue/ahrq-health-services-research-project-partners-enabling-diagnostic-excellence-r01

April 20, 2022 - Grant Announcement AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). Citation Text: AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

Crowding in the Emergency Department: Challenges for the Care of Children. | PSNet

psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children

October 19, 2022 - Organizational Policy/Guidelines Crowding in the Emergency Department: Challenges for the Care of Children. Citation Text: Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…

Supplement on Deepening our Understanding of Quality in Australia (DUQuA). | PSNet

psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua

February 04, 2009 - Special or Theme Issue Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Citation Text: Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105. Copy Citation Save Save t…

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