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Resolving the productivity paradox of health information technology: a time for optimism. | PSNet

psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism

November 16, 2022 - Commentary Resolving the productivity paradox of health information technology: a time for optimism. Citation Text: Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605. Copy …

An intervention to enhance nursing staff teamwork and engagement. | PSNet

psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement

June 21, 2010 - Study An intervention to enhance nursing staff teamwork and engagement. Citation Text: Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

Learning from litigation. The role of claims analysis in patient safety. | PSNet

psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety

November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? | PSNet

psnet.ahrq.gov/issue/2018-gosport-independent-panel-report-deaths-national-health-services-gosport-war-memorial

March 25, 2020 - Commentary The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes? Citation Text: Bennett S. The 2018 Gosport Independent Panel report into deaths at the Na…

A comparison of voluntarily reported medication errors in intensive care and general care units. | PSNet

psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units

October 26, 2010 - Study A comparison of voluntarily reported medication errors in intensive care and general care units. Citation Text: Kane-Gill SL, Kowiatek JG, Weber RJ. A comparison of voluntarily reported medication errors in intensive care and general care units. Qual Saf Health Care. 2010;19(1):5…

A patient reported approach to identify medical errors and improve patient safety in the emergency department. | PSNet

psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency

July 13, 2010 - Study A patient reported approach to identify medical errors and improve patient safety in the emergency department. Citation Text: Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…

Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency

November 30, 2016 - Review Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Citation Text: Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…

Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. | PSNet

psnet.ahrq.gov/issue/family-involvement-patient-safety-and-suicide-prevention-mental-healthcare-ethnographic-study

February 19, 2020 - Study Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. Citation Text: Gorman LS, Littlewood DL, Quinlivan L, et al. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. BJPsych Open. 2023;9(…

Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays

August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

A framework for the analysis of communication errors in health care. | PSNet

psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care

October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. Citation Text: Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. Copy Citat…

Good and bad reasons: the Swiss cheese model and its critics. | PSNet

psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics

September 14, 2022 - Commentary Classic Good and bad reasons: the Swiss cheese model and its critics. Citation Text: Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660. Copy Citation …

Capturing essential information to achieve safe interoperability. | PSNet

psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability

February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

Epidemiology of medical error. | PSNet

psnet.ahrq.gov/issue/epidemiology-medical-error

March 29, 2012 - Commentary Classic Epidemiology of medical error. Citation Text: Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? | PSNet

psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration

April 01, 2010 - Study Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? Citation Text: Rosen AK, Rivard PE, Zhao S, et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care. 2005;…

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. | PSNet

psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety

November 18, 2020 - Study Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Citation Text: Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…

Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet

psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking

October 05, 2022 - Commentary Patient safety in palliative care at the end of life from the perspective of complex thinking. Citation Text: Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…

Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet

psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient

November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

Sociotechnical work system approach to occupational fatigue. | PSNet

psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue

January 15, 2025 - Commentary Sociotechnical work system approach to occupational fatigue. Citation Text: Watterson TL, Steege LM, Mott DA, et al. Sociotechnical work system approach to occupational fatigue. Jt Comm J Qual Patient Saf. 2023;49(9):485-493. doi:10.1016/j.jcjq.2023.05.007. Copy Citation …

The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? | PSNet

psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected

February 14, 2024 - Commentary The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Citation Text: Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. Copy Citation Format: Google Scholar P…

The effect of an organizational network for patient safety on safety event reporting. | PSNet

psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting

October 16, 2013 - Study The effect of an organizational network for patient safety on safety event reporting. Citation Text: Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/016327871349…

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