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Impact of the unit-based patient safety officer. | PSNet

psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer

September 19, 2012 - Study Impact of the unit-based patient safety officer. Citation Text: Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm. 2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e. Copy Citation Format: DOI Google Scholar PubM…

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Use of a public health law framework to improve medication safety by anesthesia providers. | PSNet

psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers

December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia providers. Citation Text: Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…

Learning from tragedy: the Julia Berg story. | PSNet

psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story

October 28, 2020 - Commentary Learning from tragedy: the Julia Berg story. Citation Text: Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet

psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety

May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. | PSNet

psnet.ahrq.gov/issue/cluster-randomized-clinical-trial-improve-prescribing-patterns-ambulatory-pediatrics

April 04, 2011 - Study A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. Citation Text: Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25. Cop…

Hand-off Communications. | PSNet

psnet.ahrq.gov/issue/hand-communications

January 04, 2017 - Multi-use Website Hand-off Communications. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Copy Citation Format: Google Scholar P…

Evaluating safety and competency at the bedside. | PSNet

psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside

November 16, 2022 - Commentary Evaluating safety and competency at the bedside. Citation Text: Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Using information technology to improve the quality and safety of emergency care. | PSNet

psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care

July 13, 2010 - Commentary Using information technology to improve the quality and safety of emergency care. Citation Text: Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…

Development and implementation of a pediatric patient safety program. | PSNet

psnet.ahrq.gov/issue/development-and-implementation-pediatric-patient-safety-program

September 27, 2010 - Commentary Development and implementation of a pediatric patient safety program. Citation Text: Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003. Copy Citatio…

Improving patient safety: patient-focused, high-reliability team training. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training

January 07, 2011 - Commentary Improving patient safety: patient-focused, high-reliability team training. Citation Text: McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. …

The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. | PSNet

psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders

November 27, 2012 - Commentary The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. Citation Text: Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…

View the world through a different lens: shadowing another provider. | PSNet

psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider

January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

Getting boards on board: engaging governing boards in quality and safety. | PSNet

psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety

February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety. Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. | PSNet

psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ

December 30, 2014 - Study High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. Citation Text: Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…

Operating room briefings: working on the same page. | PSNet

psnet.ahrq.gov/issue/operating-room-briefings-working-same-page

September 28, 2010 - Commentary Operating room briefings: working on the same page. Citation Text: Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. Copy Citation Format: Google Scholar PubMed BibTeX …

Hospital ratings: a guide for the perplexed. | PSNet

psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed

June 01, 2011 - Commentary Hospital ratings: a guide for the perplexed. Citation Text: Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet

psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame

February 02, 2022 - Newspaper/Magazine Article Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Citation Text: Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…

Identifying vulnerabilities in communication in the emergency department. | PSNet

psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department

September 09, 2009 - Study Identifying vulnerabilities in communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318. Copy Citation Format:…

Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality

September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

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