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  1. Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet

    psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
    April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …

  2. Patient safety in the office-based setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-office-based-setting
    August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  3. Using simulation to address hierarchy issues during medical crises. | PSNet

    psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
    June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…

  4. Safe medication management at ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
    December 14, 2016 - Commentary Safe medication management at ambulatory surgery centers. Citation Text: Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  5. Sidelining safety — the FDA's inadequate response to the IOM. | PSNet

    psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom
    November 13, 2009 - Commentary Sidelining safety — the FDA's inadequate response to the IOM. Citation Text: Smith SW. Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  6. Surgical adverse outcome reporting as part of routine clinical care. | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
    March 23, 2011 - Study Surgical adverse outcome reporting as part of routine clinical care. Citation Text: Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458. Copy Citation …

  7. Processes for effective communication in primary care. | PSNet

    psnet.ahrq.gov/issue/processes-effective-communication-primary-care
    December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  8. A piece of my mind. Copy-and-paste. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
    July 01, 2012 - Commentary Classic A piece of my mind. Copy-and-paste. Citation Text: Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  9. Rounding to influence. | PSNet

    psnet.ahrq.gov/issue/rounding-influence
    February 22, 2010 - Newspaper/Magazine Article Rounding to influence. Citation Text: Reinertsen JL, Johnson KM. Rounding to influence. Leadership method helps executives answer the "hows" in patient safety initiatives. Healthcare executive. 2010;25(5):72-5. Copy Citation Format: Google Schol…

  10. The effect of hospitalist discontinuity on adverse events. | PSNet

    psnet.ahrq.gov/issue/effect-hospitalist-discontinuity-adverse-events
    August 25, 2011 - Study The effect of hospitalist discontinuity on adverse events. Citation Text: O'Leary KJ, Turner J, Christensen N, et al. The effect of hospitalist discontinuity on adverse events. J Hosp Med. 2015;10(3):147-51. doi:10.1002/jhm.2308. Copy Citation Format: DOI Google Schol…

  11. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. | PSNet

    psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
    May 04, 2014 - Commentary The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Citation Text: Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7. Copy Cit…

  12. Digital health and patient safety. | PSNet

    psnet.ahrq.gov/issue/digital-health-and-patient-safety
    September 01, 2016 - Commentary Digital health and patient safety. Citation Text: Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  13. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. | PSNet

    psnet.ahrq.gov/issue/canadian-interprofessional-patient-safety-competencies-their-role-health-care-professionals
    March 02, 2022 - Commentary The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. Citation Text: King J, Anderson CM. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. J Patient Saf. …

  14. Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. | PSNet

    psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
    May 18, 2022 - Commentary Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. Citation Text: Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003. Copy Cit…

  15. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet

    psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
    June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

  16. Close calls in patient safety: should we be paying closer attention? | PSNet

    psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
    November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

  17. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet

    psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
    January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

  18. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  19. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
    January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Citation Text: Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual S…

  20. I-PASS handover system: a decade of evidence demands action. | PSNet

    psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
    July 07, 2021 - Commentary I-PASS handover system: a decade of evidence demands action. Citation Text: Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. Copy Citation Format: DOI Google Scholar BibTeX …
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