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  1. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet

    psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
    November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …

  2. Understanding the "Swiss cheese model" and its application to patient safety. | PSNet

    psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
    May 25, 2022 - Commentary Classic Understanding the "Swiss cheese model" and its application to patient safety. Citation Text: Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…

  3. 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…

  4. Human factors—recognising and minimising errors in our day to day practice. | PSNet

    psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
    October 09, 2016 - Review Human factors—recognising and minimising errors in our day to day practice. Citation Text: Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384. Copy Citation Format…

  5. AHRQ Health Information Technology Research: 2018 Year in Review. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
    May 07, 2014 - Government Resource AHRQ Health Information Technology Research: 2018 Year in Review. Citation Text: AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…

  6. 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…

  7. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. | PSNet

    psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
    February 03, 2010 - Study Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Citation Text: Rosenstein AH, O'Daniel M. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-…

  8. 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 …

  9. Implementing strategies to prevent home medication administration errors in children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
    March 14, 2022 - Commentary Implementing strategies to prevent home medication administration errors in children with medical complexity. Citation Text: Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…

  10. A system-wide initiative to prevent retained vaginal sponges. | PSNet

    psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
    November 07, 2012 - Commentary A system-wide initiative to prevent retained vaginal sponges. Citation Text: Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204. Copy Citatio…

  11. 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 …

  12. How to deliver safer and effective patient care: tips for team leaders and educators. | PSNet

    psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
    April 24, 2018 - Commentary How to deliver safer and effective patient care: tips for team leaders and educators. Citation Text: Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017. Copy C…

  13. The elusive and illusive quest for diagnostic safety metrics. | PSNet

    psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
    October 10, 2018 - Commentary The elusive and illusive quest for diagnostic safety metrics. Citation Text: Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. Copy Citation Format: DOI Google Sch…

  14. Safety culture as a patient safety practice for alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
    July 07, 2021 - Commentary Safety culture as a patient safety practice for alarm fatigue. Citation Text: Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. Copy Citation Format: DOI Go…

  15. The potential of Twitter as a data source for patient safety. | PSNet

    psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety
    October 29, 2012 - Study The potential of Twitter as a data source for patient safety. Citation Text: Nakhasi A, Bell SG, Passarella RJ, et al. The Potential of Twitter as a Data Source for Patient Safety. J Patient Saf. 2019;15(4):e32-e35. doi:10.1097/PTS.0000000000000253. Copy Citation Format: …

  16. Cleaning up the discharge process: a number of components—and personnel—are crucial to success. | PSNet

    psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
    October 20, 2021 - Commentary Cleaning up the discharge process: a number of components—and personnel—are crucial to success. Citation Text: Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…

  17. Performance of a web-based clinical diagnosis support system for internists. | PSNet

    psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
    August 02, 2023 - Study Performance of a web-based clinical diagnosis support system for internists. Citation Text: Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8. Copy Citation …

  18. A model for medication safety event detection. | PSNet

    psnet.ahrq.gov/issue/model-medication-safety-event-detection
    May 14, 2008 - Commentary A model for medication safety event detection. Citation Text: Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  19. Development and implementation of a hospital-based patient safety program. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
    June 21, 2006 - Commentary Development and implementation of a hospital-based patient safety program. Citation Text: Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. Copy Citation Format: Google Schol…

  20. Teamwork in healthcare: key discoveries enabling safer, high-quality care. | PSNet

    psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
    July 02, 2014 - Review Classic Teamwork in healthcare: key discoveries enabling safer, high-quality care. Citation Text: Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…
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