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Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

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September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet

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June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

Preventing medication errors in neonatology: is it a dream? | PSNet

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April 21, 2021 - Review Preventing medication errors in neonatology: is it a dream? Citation Text: Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37. Copy Citation Format: DOI Google Scholar …

Measurement for improvement: a survey of current practice in Australian public hospitals. | PSNet

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December 29, 2014 - Study Measurement for improvement: a survey of current practice in Australian public hospitals. Citation Text: Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. Copy Citation…

Observation for assessment of clinician performance: a narrative review. | PSNet

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September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

Time to sign off on signout. | PSNet

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March 11, 2011 - Commentary Time to sign off on signout. Citation Text: Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. | PSNet

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September 03, 2015 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Citation Text: Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…

Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. | PSNet

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December 01, 2021 - Review Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. Citation Text: Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…

The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. | PSNet

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January 15, 2020 - Commentary The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Citation Text: Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10…

Post-discharge medication reviews for patients with heart failure: a pilot study. | PSNet

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May 21, 2009 - Study Post-discharge medication reviews for patients with heart failure: a pilot study. Citation Text: Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-92…

Advancing patient safety through the clinical application of a framework focused on communication. | PSNet

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December 02, 2020 - Review Advancing patient safety through the clinical application of a framework focused on communication. Citation Text: Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…

Improving patient safety by identifying latent failures in successful operations. | PSNet

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September 15, 2010 - Study Improving patient safety by identifying latent failures in successful operations. Citation Text: Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10. Copy Citation Forma…

Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. | PSNet

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September 07, 2021 - Book/Report Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Citation Text: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…

Drug Shortages: FDA's Ability to Respond Should Be Strengthened. | PSNet

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April 15, 2009 - Congressional Testimony Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Citation Text: Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…

Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention

October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

A framework for operationalizing risk: a practical approach to patient safety. | PSNet

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October 13, 2018 - Commentary A framework for operationalizing risk: a practical approach to patient safety. Citation Text: Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…

VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect

July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. | PSNet

psnet.ahrq.gov/issue/safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness

December 20, 2017 - Review Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. Citation Text: Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. Copy Citation …

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet

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June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet

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February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

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