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A patient safety toolkit for family practices. | PSNet

psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices

August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

Operating room organization and surgical performance: a systematic review. | PSNet

psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review

March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. | PSNet

psnet.ahrq.gov/issue/out-sight-out-mind-housestaff-perceptions-quality-limiting-factors-discharge-care-teaching

November 26, 2014 - Study "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. Citation Text: Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at t…

Root-cause analysis: swatting at mosquitoes versus draining the swamp. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp

January 31, 2024 - Commentary Root-cause analysis: swatting at mosquitoes versus draining the swamp. Citation Text: Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. Copy Citation Format: …

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic

July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital

November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review

August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

Learning not to take it seriously: junior doctors' accounts of error. | PSNet

psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error

December 16, 2015 - Study Learning not to take it seriously: junior doctors' accounts of error. Citation Text: Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x. Copy Citation…

Strategies to reduce errors associated with 2-component vaccines. | PSNet

psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-component-vaccines

December 16, 2020 - Study Strategies to reduce errors associated with 2-component vaccines. Citation Text: Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. Copy Citation Format: …

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2019

October 19, 2022 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2019. Am J Health Syst Pharm. 2…

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim

June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

Emergency department adverse events detected using the emergency department trigger tool. | PSNet

psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool

September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. | PSNet

psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships

December 04, 2024 - Commentary Emerging Classic Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. Citation Text: Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…

Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet

psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy

September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. | PSNet

psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state

December 01, 2010 - Study Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. Citation Text: Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state h…

The systems approach at the sharp end. | PSNet

psnet.ahrq.gov/issue/systems-approach-sharp-end

April 21, 2021 - Commentary The systems approach at the sharp end. Citation Text: Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Checking the lists: a systematic review of electronic checklist use in health care. | PSNet

psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care

August 08, 2018 - Review Checking the lists: a systematic review of electronic checklist use in health care. Citation Text: Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. Copy Citat…

The effect of cognitive debiasing training among family medicine residents. | PSNet

psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents

August 04, 2021 - Study The effect of cognitive debiasing training among family medicine residents. Citation Text: Smith BW, Slack MB. The effect of cognitive debiasing training among family medicine residents. Diagnosis (Berl). 2015;2(2):117-121. doi:10.1515/dx-2015-0007. Copy Citation Format: …

Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments | PSNet

psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments

June 12, 2024 - Study Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments Citation Text: Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments. J Healthc…

A systemwide strategy to embed equity into patient safety event analysis. | PSNet

psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis

November 16, 2022 - Study A systemwide strategy to embed equity into patient safety event analysis. Citation Text: Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. …

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