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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. Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-ed
    March 09, 2018 - Book/Report Classic Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Citation Text: Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 97814…

  3. High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. | PSNet

    psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
    October 09, 2013 - Book/Report High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. Citation Text: High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…

  4. Safe operation as a social construct. | PSNet

    psnet.ahrq.gov/issue/safe-operation-social-construct
    August 07, 2019 - Commentary Safe operation as a social construct. Citation Text: Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  5. Safer Healthcare: Strategies for the Real World. | PSNet

    psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
    March 23, 2022 - Book/Report Classic Safer Healthcare: Strategies for the Real World. Citation Text: Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 Copy Citation Save Save to your library Pr…

  6. 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…

  7. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet

    psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
    January 16, 2019 - Book/Report Emerging Classic Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Citation Text: Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…

  8. The importance of cognitive errors in diagnosis and strategies to minimize them. | PSNet

    psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
    September 18, 2024 - Study Classic The importance of cognitive errors in diagnosis and strategies to minimize them. Citation Text: Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780. Copy Citation Format…

  9. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
    June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …

  10. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  11. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet

    psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
    November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…

  12. From Safety-I to Safety-II: A White Paper. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
    July 22, 2019 - Book/Report From Safety-I to Safety-II: A White Paper. Citation Text: From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. Copy Citation Save Save to your library Print Dow…

  13. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet

    psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

  14. Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. | PSNet

    psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
    March 29, 2006 - Book/Report Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Citation Text: Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  Copy Citation …

  15. Barriers to nurses' reporting of medication administration errors in Taiwan. | PSNet

    psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
    May 01, 2006 - Study Barriers to nurses' reporting of medication administration errors in Taiwan. Citation Text: Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. Copy…

  16. Health Literacy Interventions and Outcomes: An Updated Systematic Review. | PSNet

    psnet.ahrq.gov/issue/health-literacy-interventions-and-outcomes-updated-systematic-review
    August 17, 2022 - Book/Report Health Literacy Interventions and Outcomes: An Updated Systematic Review. Citation Text: Health Literacy Interventions and Outcomes: An Updated Systematic Review. Berkman ND, Sheridan SL, Donahue KE, et al. Evidence Report/Technology Assessment: Number 199. Rockville, MD:…

  17. The National Healthcare System Action Alliance for Patient and Workforce Safety. | PSNet

    psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
    April 01, 2024 - Multi-use Website The National Healthcare System Action Alliance for Patient and Workforce Safety. Citation Text: The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services. Copy Citation Save Save t…

  18. Framework for a High Performance Health System for the United States. | PSNet

    psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
    April 12, 2006 - Book/Report Framework for a High Performance Health System for the United States. Citation Text: Framework for a High Performance Health System for the United States. Mongan JJ. New York, NY; The Commonwealth Fund: 2006. Copy Citation Save Save to your library…

  19. Patient safety education: what was, what is, and what will be? | PSNet

    psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
    April 10, 2019 - Commentary Patient safety education: what was, what is, and what will be? Citation Text: Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906. Copy Citation Format: …

  20. Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? | PSNet

    psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
    December 01, 2019 - Book/Report Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Citation Text: Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Gangopa…
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