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  1. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
    September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

  2. Reducing retained foreign objects in the operating room: a quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
    April 19, 2023 - Study Reducing retained foreign objects in the operating room: a quality improvement initiative. Citation Text: Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…

  3. Detecting clinical medication errors with AI enabled wearable cameras. | PSNet

    psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
    August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

  4. The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

  5. The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. | PSNet

    psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
    May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…

  6. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. | PSNet

    psnet.ahrq.gov/issue/burnout-neonatal-intensive-care-unit-and-its-relation-healthcare-associated-infections
    November 20, 2019 - Study Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. Citation Text: Tawfik DS, Sexton JB, Kan P, et al. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. J Perinatol. 2017;37(3). doi:10.103…

  7. 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…

  8. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. | PSNet

    psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
    July 22, 2020 - Study With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. Citation Text: Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…

  9. Errors in otolaryngology revisited. | PSNet

    psnet.ahrq.gov/issue/errors-otolaryngology-revisited
    August 11, 2010 - Study Errors in otolaryngology revisited. Citation Text: Shah RK, Boss EF, Brereton J, et al. Errors in otolaryngology revisited. Otolaryngol Head Neck Surg. 2014;150(5):779-784. doi:10.1177/0194599814521985. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  10. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
    February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

  11. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

    psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
    October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

  12. How structural racism works - racist policies as a root cause of U.S. racial health inequities. | PSNet

    psnet.ahrq.gov/issue/how-structural-racism-works-racist-policies-root-cause-us-racial-health-inequities
    April 14, 2017 - Commentary Classic How structural racism works - racist policies as a root cause of U.S. racial health inequities. Citation Text: Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S. racial health inequities. N…

  13. Single-patient rooms for safe patient-centered hospitals. | PSNet

    psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
    April 01, 2016 - Commentary Single-patient rooms for safe patient-centered hospitals. Citation Text: Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

  14. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
    April 25, 2018 - Review Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. Citation Text: Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…

  15. Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. | PSNet

    psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
    September 21, 2016 - Review Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. Citation Text: Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…

  16. The normalization of deviance: a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
    December 21, 2016 - Commentary The normalization of deviance: a threat to patient safety. Citation Text: Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002. Copy Citation Format: DOI Google Scholar Pu…

  17. Special report: suicidal ideation among American surgeons. | PSNet

    psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
    June 28, 2010 - Study Special report: suicidal ideation among American surgeons. Citation Text: Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62. doi:10.1001/archsurg.2010.292. Copy Citation Format: DOI Google…

  18. Cutting-edge efforts in surgical patient safety. | PSNet

    psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
    August 02, 2015 - Commentary Cutting-edge efforts in surgical patient safety. Citation Text: Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  19. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. | PSNet

    psnet.ahrq.gov/issue/association-perceived-medical-errors-resident-distress-and-empathy-prospective-longitudinal
    February 03, 2011 - Study Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Citation Text: West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA.…

  20. Association of resident fatigue and distress with perceived medical errors. | PSNet

    psnet.ahrq.gov/issue/association-resident-fatigue-and-distress-perceived-medical-errors
    February 02, 2011 - Study Association of resident fatigue and distress with perceived medical errors. Citation Text: West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. Copy Citation …
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