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  1. Systems science: a primer on high reliability. | PSNet

    psnet.ahrq.gov/issue/systems-science-primer-high-reliability
    March 23, 2022 - Review Systems science: a primer on high reliability. Citation Text: Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  2. Optimizing medication safety in the home. | PSNet

    psnet.ahrq.gov/issue/optimizing-medication-safety-home
    August 24, 2015 - Study Optimizing medication safety in the home. Citation Text: LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  3. Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. | PSNet

    psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
    September 07, 2016 - Book/Report Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Citation Text: Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…

  4. Patient perceptions of missed nursing care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
    September 27, 2017 - Study Patient perceptions of missed nursing care. Citation Text: Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  5. An organizational learning framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
    November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  6. The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
    May 02, 2018 - Book/Report The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Citation Text: The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…

  7. A culture of civility: positively impacting practice and patient safety. | PSNet

    psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
    July 13, 2022 - Commentary A culture of civility: positively impacting practice and patient safety. Citation Text: Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006. Copy Citation Format: …

  8. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  9. Seeing systems in health care organizations. | PSNet

    psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
    January 25, 2023 - Commentary Seeing systems in health care organizations. Citation Text: Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  10. Twelve tips on engaging learners in checking health care decisions. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-engaging-learners-checking-health-care-decisions
    February 27, 2014 - Commentary Twelve tips on engaging learners in checking health care decisions. Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. Copy Citation …

  11. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. | PSNet

    psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
    January 22, 2025 - Commentary The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Citation Text: Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…

  12. Staying safe while getting well. | PSNet

    psnet.ahrq.gov/issue/staying-safe-while-getting-well
    February 05, 2014 - Newspaper/Magazine Article Staying safe while getting well. Citation Text: Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023 Copy Citation Save Save to your library Print Download PDF Share Facebook …

  13. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  14. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
    December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

  15. Medical Residents and Burnout | PSNet

    psnet.ahrq.gov/issue/medical-residents-and-burnout
    June 01, 2022 - Special or Theme Issue Medical Residents and Burnout Citation Text: Medical Residents and Burnout Coverdale J, West CP, Roberts LW, eds. Acad Med. 2021;96(5):611-769;e14-e21. Copy Citation Save Save to your library Print Download PDF Share…

  16. The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. | PSNet

    psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
    November 15, 2022 - Book/Report The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. Citation Text: The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…

  17. A piece of my mind. I'm sorry. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-im-sorry
    November 22, 2017 - Commentary A piece of my mind. I'm sorry. Citation Text: Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Junior doctors' shifts and sleep deprivation. | PSNet

    psnet.ahrq.gov/issue/junior-doctors-shifts-and-sleep-deprivation
    October 16, 2012 - Commentary Junior doctors' shifts and sleep deprivation. Citation Text: Murray A, Pounder R, Mather H, et al. Junior doctors' shifts and sleep deprivation. BMJ. 2005;330(7505):1404. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  19. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/facilitating-patient-understanding-discharge-instructions-workshop-summary
    October 08, 2014 - Meeting/Conference Proceedings Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Citation Text: Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health a…

  20. System failure versus personal accountability--the case for clean hands. | PSNet

    psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
    February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…
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