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  1. Patient safety in the era of healthcare reform. | PSNet

    psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform
    November 02, 2014 - Commentary Patient safety in the era of healthcare reform. Citation Text: Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  2. Ethical issues in patient safety. | PSNet

    psnet.ahrq.gov/issue/ethical-issues-patient-safety
    November 02, 2014 - Commentary Ethical issues in patient safety. Citation Text: Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

  3. Patient safety at the crossroads. | PSNet

    psnet.ahrq.gov/issue/patient-safety-crossroads
    March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  4. Air pressure: human factors are the key to a safer flight environment. | PSNet

    psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
    October 27, 2021 - Newspaper/Magazine Article Air pressure: human factors are the key to a safer flight environment. Citation Text: Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31. Copy Citation Save Save to your library…

  5. Patients went into the hospital for care. After testing positive there for Covid, some never came out. | PSNet

    psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
    January 26, 2022 - Newspaper/Magazine Article Patients went into the hospital for care. After testing positive there for Covid, some never came out. Citation Text: Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…

  6. The role for leaders of health care organizations in patient safety. | PSNet

    psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
    September 27, 2010 - Commentary The role for leaders of health care organizations in patient safety. Citation Text: Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8. Copy Citation Format: Google Scholar PubM…

  7. Effective discharge communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
    January 24, 2024 - Review Effective discharge communication in the emergency department. Citation Text: Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023. Copy Citation Format:…

  8. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  9. Hospital bosses ignored months of doctors' warnings about Lucy Letby. | PSNet

    psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
    September 01, 2010 - Newspaper/Magazine Article Hospital bosses ignored months of doctors' warnings about Lucy Letby. Citation Text: Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023. Copy Citation Save Save…

  10. Disclosing medical errors: views from the United States and the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
    September 23, 2020 - Commentary Disclosing medical errors: views from the United States and the United Kingdom. Citation Text: Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  11. Pump up the volume: how to prioritize events and analyze error data. | PSNet

    psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
    March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …

  12. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …

  13. ONC Health IT Certification Program: Enhanced Oversight and Accountability. | PSNet

    psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
    June 29, 2016 - Government Resource ONC Health IT Certification Program: Enhanced Oversight and Accountability. Citation Text: ONC Health IT Certification Program: Enhanced Oversight and Accountability. Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;…

  14. Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. | PSNet

    psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
    May 18, 2022 - Newspaper/Magazine Article Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. Citation Text: Are you well positioned to resolve conflicts with the safety of an order? Learning…

  15. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. | PSNet

    psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - Review Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Citation Text: Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. Copy Citation Fo…

  16. Miro's dots and lines. | PSNet

    psnet.ahrq.gov/issue/miros-dots-and-lines
    September 21, 2016 - Commentary Miro's dots and lines. Citation Text: Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Checklists, safety, my culture and me. | PSNet

    psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
    June 19, 2019 - Commentary Checklists, safety, my culture and me. Citation Text: Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20. doi:10.1136/bmjqs-2011-000608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  18. Saving without compromising: teaching trainees to safely provide high value care. | PSNet

    psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care
    August 02, 2015 - Commentary Saving without compromising: teaching trainees to safely provide high value care. Citation Text: Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. …

  19. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 2023 - Study Adverse drug events in hospitalized cardiac patients. Citation Text: Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  20. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…
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