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Use of cascading A3s to drive systemwide improvement. | PSNet

psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement

January 29, 2015 - Commentary Use of cascading A3s to drive systemwide improvement. Citation Text: Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011. Copy Citation Format: …

Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet

psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients

October 27, 2016 - Study Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Citation Text: Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…

Integrating human factors research and surgery: a review. | PSNet

psnet.ahrq.gov/issue/integrating-human-factors-research-and-surgery-review

August 02, 2015 - Review Integrating human factors research and surgery: a review. Citation Text: Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review. Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596. Copy Citation Format: DOI Go…

Medical Device Use Error: Root Cause Analysis. | PSNet

psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis

January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. Copy Citation Save Save to your library Print Down…

Deaths in Acute Hospitals: Caring to the End? | PSNet

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March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet

psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005

September 14, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…

Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. | PSNet

psnet.ahrq.gov/issue/burnout-among-health-care-professionals-call-explore-and-address-underrecognized-threat-safe

November 11, 2020 - Book/Report Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Citation Text: Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Dyrbye …

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery

February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet

psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust

October 08, 2016 - Commentary Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. Citation Text: Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…

Medical librarians supporting information systems project lifecycles toward improved patient safety. | PSNet

psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient

March 27, 2024 - Commentary Medical librarians supporting information systems project lifecycles toward improved patient safety. Citation Text: Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …

Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet

psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients

May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. | PSNet

psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner

October 19, 2022 - Study Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. Citation Text: Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. Copy Citation Forma…

Human error: models and management. | PSNet

psnet.ahrq.gov/issue/human-error-models-and-management

November 18, 2015 - Commentary Classic Human error: models and management. Citation Text: Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices

December 24, 2008 - Press Release/Announcement Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…

The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial

August 27, 2008 - Study The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Citation Text: Wheeler DW, Carter JJ, Murray LJ, et al. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Ann Intern Med. 2008;148(1):11-4. …

Diagnostic reasoning in cardiovascular medicine. | PSNet

psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine

October 27, 2021 - Review Diagnostic reasoning in cardiovascular medicine. Citation Text: Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

Wrong site surgery near misses and actual occurrences. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences

November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …

Improving diagnosis: adding context to cognition. | PSNet

psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition

July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…

Bringing the equity lens to patient safety event reporting. | PSNet

psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting

September 21, 2009 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …

The second victim: a review. | PSNet

psnet.ahrq.gov/issue/second-victim-review

June 26, 2019 - Review The second victim: a review. Citation Text: Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

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