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  1. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. | PSNet

    psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
    February 17, 2021 - Book/Report The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. Citation Text: The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …

  2. Systematic review: effects of resident work hours on patient safety. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
    February 03, 2011 - Review Systematic review: effects of resident work hours on patient safety. Citation Text: Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857. Copy Citation Format: Google Sc…

  3. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet

    psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
    April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

  4. Deaths in Acute Hospitals: Caring to the End? | PSNet

    psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
    March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

  5. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Systems%20Analysis,%20Change%20and%20Implementation%20Theories%20Group%20Report%20Day%201.pdf
    September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Systems Analysis, Change and Implementation Theories Group Report Day 1 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Monday, September 21, 2009 Systems Analysis, Change and Implementa…

  6. Interruptions and multi-tasking: moving the research agenda in new directions. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
    March 23, 2011 - Commentary Interruptions and multi-tasking: moving the research agenda in new directions. Citation Text: Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. Copy Citation Format…

  7. Preventing Falls and Injury While in the Hospital (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/action-fall-prevention-ed-tool.pdf
    June 16, 2021 - Preventing Falls and Injury While in the Hospital Preventing Falls and Injury While in the Hospital You have one or more health conditions that make it likely that you may either fall or become injured if you fall. Knowing that you are more likely to fall, we want to work with you to prevent you from fall…

  8. Implementation of patient centeredness to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
    June 24, 2010 - Commentary Implementation of patient centeredness to enhance patient safety. Citation Text: Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  9. COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
    February 23, 2022 - Commentary COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Citation Text: COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Capolongo S, Gola M, Brambilla A, et al. Acta Biomed. 2020;91(9-s):50-60.&…

  10. Computerized physician order entry: promise, perils, and experience. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-perils-and-experience
    June 25, 2018 - Review Computerized physician order entry: promise, perils, and experience. Citation Text: Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. Copy Citation Format: DOI Googl…

  11. Heart Healthy Ohio Initiative Payer Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/55-ohio-hhoi-payer-survey.pdf
    May 01, 2022 - Heart Healthy Ohio Initiative Payer Survey __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Page 1 Heart Healthy Ohio Initiative Payer Survey Dear potential collaborators,  Thank you to…

  12. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Oakbrook Terrace, IL: The Joint Commission; November 2015. Copy Citation …

  13. Medical device alarm safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
    December 23, 2016 - Sentinel Event Alerts Medical device alarm safety in hospitals. Citation Text: Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  14. What can we learn from coroners’ reports on preventable deaths? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  15. 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…

  16. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. | PSNet

    psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
    March 23, 2011 - Study Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. Citation Text: Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hos…

  17. FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
    March 11, 2015 - Press Release/Announcement FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Citation Text: FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…

  18. Racism as a Root Cause approach: a new framework. | PSNet

    psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
    December 17, 2020 - Commentary Racism as a Root Cause approach: a new framework. Citation Text: Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. Copy Citation Format: DOI Google Scholar BibTeX En…

  19. The quest for safe surgical care: are we missing the obvious? | PSNet

    psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
    September 12, 2018 - Commentary The quest for safe surgical care: are we missing the obvious? Citation Text: Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  20. Translating patient safety legislation into health care practice. | PSNet

    psnet.ahrq.gov/issue/translating-patient-safety-legislation-health-care-practice
    February 15, 2011 - Commentary Translating patient safety legislation into health care practice. Citation Text: Rabinowitz ABK, Clarke JR, Marella WM, et al. Translating patient safety legislation into health care practice. Jt Comm J Qual Patient Saf. 2006;32(12):676-681. Copy Citation Format: …
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