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Near miss research in the healthcare system: a scoping review. | PSNet

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July 15, 2020 - Review Near miss research in the healthcare system: a scoping review. Citation Text: Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. Copy Citation Format: …

The Limits of Safety: Organizations, Accidents and Nuclear Weapons. | PSNet

psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons

July 28, 2013 - Book/Report Classic The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Citation Text: The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. Princeton NJ: Princeton University Press; 1993. ISBN: 9780691032214. Copy Cit…

A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. | PSNet

psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings

July 28, 2021 - Commentary A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. Citation Text: Lo H-Y, Mullan PC, Lye C, et al. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. BMJ Qual Improv Rep. 2016;5(1). doi:1…

Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level

December 18, 2014 - Study Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. Citation Text: Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk man…

Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet

psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field

April 24, 2018 - Commentary Reviewing methodologically disparate data: a practical guide for the patient safety research field. Citation Text: Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…

Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. | PSNet

psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing

September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…

Creating a just culture in the perioperative setting. | PSNet

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July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

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December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

Developing a reporting and tracking tool for nursing student errors and near misses. | PSNet

psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses

September 21, 2009 - Commentary Developing a reporting and tracking tool for nursing student errors and near misses. Citation Text: Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. Cop…

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. | PSNet

psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected

June 22, 2022 - Commentary Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. Citation Text: Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…

The diagnostic moment: a study in US primary care. | PSNet

psnet.ahrq.gov/issue/diagnostic-moment-study-us-primary-care

June 16, 2021 - Study The diagnostic moment: a study in US primary care. Citation Text: Heritage J. The diagnostic moment: a study in US primary care. Soc Sci Med. 2019;228:262-271. doi:10.1016/j.socscimed.2019.03.022. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

The patient died: what about involvement in the investigation process? | PSNet

psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process

June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet

psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients

March 13, 2019 - Study Classic A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Citation Text: Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …

Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety

December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet

psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study

June 02, 2019 - Commentary Physician engagement in malpractice risk reduction: a UPHS case study. Citation Text: Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…

Evidence-based organization and patient safety strategies in European hospitals. | PSNet

psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals

January 20, 2016 - Study Evidence-based organization and patient safety strategies in European hospitals. Citation Text: Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. | PSNet

psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use

September 01, 2016 - Study Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Citation Text: Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …

The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. | PSNet

psnet.ahrq.gov/issue/joint-commissions-new-and-revised-workplace-violence-prevention-standards-hospitals-major

April 27, 2022 - Commentary The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. Citation Text: Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a majo…

Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. | PSNet

psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial

March 04, 2015 - Study Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. Citation Text: Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implemen…

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet

psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient

November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Citation Text: Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …

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