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Getting boards on board: engaging governing boards in quality and safety. | PSNet

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February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety. Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

Residual anaesthesia drugs in intravenous lines—a silent threat? | PSNet

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July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…

View the world through a different lens: shadowing another provider. | PSNet

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January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet

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July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

Zero Suicide Initiative. | PSNet

psnet.ahrq.gov/issue/zero-suicide-initiative

July 03, 2013 - Grant Announcement Zero Suicide Initiative. Citation Text: Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. Copy Citation Save Save to your library Print…

Implementing AORN recommended practices for transfer of patient care information. | PSNet

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October 07, 2013 - Commentary Implementing AORN recommended practices for transfer of patient care information. Citation Text: Seifert PC. Implementing AORN recommended practices for transfer of patient care information. AORN J. 2012;96(5):475-93. doi:10.1016/j.aorn.2012.08.011. Copy Citation Forma…

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet

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September 01, 2012 - Study Assessment of latent factors contributing to error: addressing surgical pathology error wisely. Citation Text: Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…

Patient experience must move beyond bad apples. | PSNet

psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples

September 02, 2009 - Commentary Patient experience must move beyond bad apples. Citation Text: Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. Copy Citation Format: DOI Google Scholar PubMed Bib…

The role of South--North partnerships in promoting shared learning and knowledge transfer. | PSNet

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July 29, 2020 - Commentary The role of South--North partnerships in promoting shared learning and knowledge transfer. Citation Text: Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186…

Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

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October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

Beyond medication reconciliation: the correct medication list. | PSNet

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February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

Differences in the reporting of care-related patient injuries to existing reporting systems. | PSNet

psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems

December 12, 2018 - Commentary Differences in the reporting of care-related patient injuries to existing reporting systems. Citation Text: Williams K, Pladevall M, Fendrick M, et al. Differences in the reporting of care-related patient injuries to existing reporting systems. Jt Comm J Qual Patient Saf. 20…

International advocacy for education and safety. | PSNet

psnet.ahrq.gov/issue/international-advocacy-education-and-safety

August 04, 2021 - Review International advocacy for education and safety. Citation Text: McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008. Copy Citation Format: DOI Google Scholar PubMed Bi…

Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet

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February 02, 2022 - Newspaper/Magazine Article Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Citation Text: Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…

Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality

September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. | PSNet

psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement

November 16, 2022 - Review New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. Citation Text: Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…

Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. | PSNet

psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement

August 11, 2021 - Review Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. Citation Text: Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…

Identifying vulnerabilities in communication in the emergency department. | PSNet

psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department

September 09, 2009 - Study Identifying vulnerabilities in communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318. Copy Citation Format:…

Placing patient safety at the heart of value-based healthcare. | PSNet

psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare

February 15, 2023 - Commentary Placing patient safety at the heart of value-based healthcare. Citation Text: La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. Copy Citation Fo…

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