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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…

Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet

psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york

September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Citation Text: Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…

Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet

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May 30, 2019 - Book/Report Classic Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Citation Text: Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…

Health information technology-related wrong-patient errors: context is critical. | PSNet

psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical

June 01, 2022 - Study Health information technology-related wrong-patient errors: context is critical. Citation Text: Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57. Copy Citation …

Error in medicine. | PSNet

psnet.ahrq.gov/issue/error-medicine

November 02, 2014 - Commentary Classic Error in medicine. Citation Text: Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Priority patient safety issues identified by perioperative nurses. | PSNet

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June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …

Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet

psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort

October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

Psychology insights on apologizing to patients. | PSNet

psnet.ahrq.gov/issue/psychology-insights-apologizing-patients

March 27, 2024 - Commentary Psychology insights on apologizing to patients. Citation Text: Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. | PSNet

psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital

December 16, 2011 - Study The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Citation Text: Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing…

Creating an integrated patient safety team. | PSNet

psnet.ahrq.gov/issue/creating-integrated-patient-safety-team

January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…

The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet

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November 18, 2015 - Book/Report Classic The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Citation Text: The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…

To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet

psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients

April 19, 2011 - Commentary Classic To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. Citation Text: Wu AW, Cavanaugh TA, McPhee SJ, et al. To tell the truth. J Gen Intern Med. 2003;12(12). doi:10.1046/j.1525-1497.1997.07163.x. Copy …

Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet

psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice

September 06, 2023 - Newspaper/Magazine Article Amid lack of accountability for bias in maternity care, a California family seeks justice. Citation Text: Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023 Copy Citation …

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 …

High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet

psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2

March 22, 2017 - Special or Theme Issue High-Performance Work Systems in Health Care Management: Parts 1-5. Citation Text: High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. Copy Citation …

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…

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

psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end

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…

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-…

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):…

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…

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