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  1. How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? | PSNet

    psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
    October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…

  2. Preventing patient harms through systems of care. | PSNet

    psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
    February 27, 2014 - Study Preventing patient harms through systems of care. Citation Text: Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  3. Patient safety event reporting in a large radiology department. | PSNet

    psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
    March 04, 2015 - Commentary Patient safety event reporting in a large radiology department. Citation Text: Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718. Copy Citation …

  4. Healthy work environments, nurse-physician communication, and patients' outcomes. | PSNet

    psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-communication-and-patients-outcomes
    June 05, 2024 - Study Healthy work environments, nurse-physician communication, and patients' outcomes. Citation Text: Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients' outcomes. Am J Crit Care. 2007;16(6):536-43. Copy Citation Format: Goog…

  5. Safety in home care: a broadened perspective of patient safety. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-broadened-perspective-patient-safety
    December 04, 2016 - Commentary Safety in home care: a broadened perspective of patient safety. Citation Text: Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety. International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068. Copy Citat…

  6. 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…

  7. Preventing medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors
    May 30, 2018 - Commentary Preventing medication errors. Citation Text: Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  8. Implementing computerized physician order management at a community hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital
    November 16, 2022 - Commentary Implementing computerized physician order management at a community hospital. Citation Text: Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84. Copy Citation For…

  9. Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. | PSNet

    psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
    April 24, 2018 - Commentary Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. Citation Text: Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…

  10. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
    June 27, 2018 - Study Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Citation Text: Chasnoff IJ, Wells AM, King L. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015;135(2):264-70. doi:10.154…

  11. Systematic error and cognitive bias in obstetric ultrasound. | PSNet

    psnet.ahrq.gov/issue/systematic-error-and-cognitive-bias-obstetric-ultrasound
    December 13, 2023 - Commentary Systematic error and cognitive bias in obstetric ultrasound. Citation Text: Sotiriadis A, Odibo AO. Systematic error and cognitive bias in obstetric ultrasound. Ultrasound Obstet Gynecol. 2019;53(4):431-435. doi:10.1002/uog.20232. Copy Citation Format: DOI Google…

  12. Interventions to improve oral chemotherapy safety and quality: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-oral-chemotherapy-safety-and-quality-systematic-review
    December 13, 2023 - Review Interventions to improve oral chemotherapy safety and quality: a systematic review. Citation Text: Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. Copy Ci…

  13. Apology for errors: whose responsibility? | PSNet

    psnet.ahrq.gov/issue/apology-errors-whose-responsibility
    September 27, 2016 - Commentary Apology for errors: whose responsibility? Citation Text: Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  14. Promoting safety through well-being: an experience in healthcare. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
    November 11, 2020 - Commentary Promoting safety through well-being: an experience in healthcare. Citation Text: Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. Copy Citation Format: DOI Google Schola…

  15. Retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  16. Bar code technology and medication administration error. | PSNet

    psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
    June 07, 2023 - Review Bar code technology and medication administration error. Citation Text: Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. Copy Citation Format: DOI Google Scho…

  17. Communication in critical care environments: mobile telephones improve patient care. | PSNet

    psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
    June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…

  18. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet

    psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
    August 23, 2017 - Study Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Citation Text: Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…

  19. Predictors of prescription errors involving anticancer chemotherapy agents. | PSNet

    psnet.ahrq.gov/issue/predictors-prescription-errors-involving-anticancer-chemotherapy-agents
    February 01, 2012 - Study Predictors of prescription errors involving anticancer chemotherapy agents. Citation Text: Ranchon F, Moch C, You B, et al. Predictors of prescription errors involving anticancer chemotherapy agents. Eur J Cancer. 2012;48(8):1192-9. doi:10.1016/j.ejca.2011.12.031. Copy Citation…

  20. Current challenges and future perspectives for patient safety in surgery. | PSNet

    psnet.ahrq.gov/issue/current-challenges-and-future-perspectives-patient-safety-surgery
    December 21, 2014 - Commentary Current challenges and future perspectives for patient safety in surgery. Citation Text: Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. Copy Citation Fo…
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