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  1. Learning from accidents—what more do we need to know? | PSNet

    psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
    May 29, 2014 - Commentary Learning from accidents—what more do we need to know? Citation Text: Lindberg A-K, Hansson SO, Rollenhagen C. Learning from accidents – What more do we need to know? Saf Sci. 2010;48(6). doi:10.1016/j.ssci.2010.02.004. Copy Citation Format: DOI Google Scholar B…

  2. Best-practice protocols: preventing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
    January 18, 2011 - Commentary Best-practice protocols: preventing adverse drug events. Citation Text: Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  3. Scientific inquiry. 100,000 lives campaign and the application to children. | PSNet

    psnet.ahrq.gov/issue/scientific-inquiry-100000-lives-campaign-and-application-children
    April 05, 2017 - Commentary Scientific inquiry. 100,000 lives campaign and the application to children. Citation Text: Edson BS, Williams MC. Scientific Inquiry . 100,000 Lives Campaign and the Application to Children. Journal for Specialists in Pediatric Nursing. 2006;11(2). doi:10.1111/j.1744-6155.20…

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

    psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
    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…

  5. Healthcare Systems Ergonomics and Patient Safety Triennial Conference. | PSNet

    psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
    February 10, 2015 - Meeting/Conference Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Citation Text: Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…

  6. The right and wrong way to talk to patients about adverse events. | PSNet

    psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
    November 01, 2023 - Newspaper/Magazine Article The right and wrong way to talk to patients about adverse events. Citation Text: Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5. Copy Citation Format: Google Scholar PubMed Bi…

  7. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
    June 27, 2018 - Study Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Citation Text: Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…

  8. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. | PSNet

    psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
    June 24, 2010 - Commentary Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Citation Text: McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202. …

  9. Clinical decision support in the era of artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
    November 06, 2015 - Commentary Classic Clinical decision support in the era of artificial intelligence. Citation Text: Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. Copy Cit…

  10. Measuring safety of healthcare: an exercise in futility? | PSNet

    psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
    May 20, 2020 - Commentary Measuring safety of healthcare: an exercise in futility? Citation Text: Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824. Copy Citation Format: DOI Google Schol…

  11. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet

    psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
    May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

  12. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
    August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

  13. Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. | PSNet

    psnet.ahrq.gov/issue/effects-mental-demands-during-dispensing-perceived-medication-safety-and-employee-well-being
    May 16, 2012 - Study Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. Citation Text: Holden RJ, Patel NR, Scanlon M, et al. Effects of mental demands during dispensing on perceived medication safe…

  14. Why a sociotechnical framework is necessary to address diagnostic error. | PSNet

    psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
    September 14, 2022 - Commentary Why a sociotechnical framework is necessary to address diagnostic error. Citation Text: Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231. Copy Citat…

  15. Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. | PSNet

    psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
    January 10, 2024 - Review Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. Citation Text: Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …

  16. Obstetric practice guidelines: labor's love lost? | PSNet

    psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
    April 30, 2014 - Commentary Obstetric practice guidelines: labor's love lost? Citation Text: Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. Copy Citation Format: DOI Google Schola…

  17. "Tech-check-tech": a review of the evidence on its safety and benefits. | PSNet

    psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
    September 23, 2020 - Review "Tech-check-tech": a review of the evidence on its safety and benefits. Citation Text: Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. Copy Citation …

  18. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet

    psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
    February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

  19. The limits of checklists: handoff and narrative thinking. | PSNet

    psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
    July 01, 2017 - Commentary The limits of checklists: handoff and narrative thinking. Citation Text: Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705. Copy Citation Format: DOI Google Scho…

  20. An investigation of occupational subgroups with respect to patient safety culture. | PSNet

    psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
    March 06, 2024 - Study An investigation of occupational subgroups with respect to patient safety culture. Citation Text: Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016. Copy Citation Fo…
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