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  1. Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet

    psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
    June 15, 2022 - Special or Theme Issue Improving Usability, Safety and Patient Outcomes With Health Information Technology. Citation Text: Improving Usability, Safety and Patient Outcomes With Health Information Technology. Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257…

  2. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. | PSNet

    psnet.ahrq.gov/issue/unleash-power-patients-make-care-safer-around-world-essay-helen-haskell
    January 08, 2020 - Commentary Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. Citation Text: Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565. Copy Citation …

  3. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

  4. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

    psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
    September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

  5. Community-Acquired Pneumonia in the Primary Care Setting (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
    January 01, 2018 - Community-Acquired Pneumonia in the Primary Care Setting Community-Acquired Pneumonia in the Primary Care Setting Background on Community-Acquired Pneumonia Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately 6 million cases are reported annually, resulting i…

  6. Disclosing harmful medical errors to patients: tackling three tough cases. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
    December 19, 2018 - Commentary Disclosing harmful medical errors to patients: tackling three tough cases. Citation Text: Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. Copy Citation …

  7. Improving the usability of intravenous medication labels to support safe medication delivery. | PSNet

    psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
    September 26, 2016 - Study Improving the usability of intravenous medication labels to support safe medication delivery. Citation Text: Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication delivery. International journal of industrial ergonomics. 2011;41…

  8. No bad apples. | PSNet

    psnet.ahrq.gov/issue/no-bad-apples
    May 15, 2019 - Newspaper/Magazine Article No bad apples. Citation Text: Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  9. Implementing AORN recommended practices for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
    January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…

  10. The science and economics of improving clinical communication. | PSNet

    psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
    November 18, 2015 - Commentary The science and economics of improving clinical communication. Citation Text: O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010. Copy Citation Format…

  11. Family-centered rounds. | PSNet

    psnet.ahrq.gov/issue/family-centered-rounds
    April 24, 2018 - Commentary Family-centered rounds. Citation Text: Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Patient safety and medical liability: current status and an agenda for the future. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
    January 01, 2015 - Review Patient safety and medical liability: current status and an agenda for the future. Citation Text: Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785. Cop…

  13. Level IV evidence—adverse anecdote and clinical practice. | PSNet

    psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
    October 06, 2021 - Commentary Level IV evidence—adverse anecdote and clinical practice. Citation Text: Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  14. Utility of an online medication-error-reporting system. | PSNet

    psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
    September 30, 2020 - Study Utility of an online medication-error-reporting system. Citation Text: Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  15. Audit of handover in an ENT unit. | PSNet

    psnet.ahrq.gov/issue/audit-handover-ent-unit
    October 28, 2020 - Study Audit of handover in an ENT unit. Citation Text: Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  16. Perioperative pharmacology: a framework for perioperative medication safety. | PSNet

    psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
    December 19, 2012 - Commentary Perioperative pharmacology: a framework for perioperative medication safety. Citation Text: Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020. Copy Citat…

  17. Tubing misconnections: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
    December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…

  18. Building social capital in healthcare organizations: thinking ecologically for safer care. | PSNet

    psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
    June 23, 2009 - Commentary Building social capital in healthcare organizations: thinking ecologically for safer care. Citation Text: Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…

  19. A systemic methodology for risk management in healthcare sector. | PSNet

    psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
    December 23, 2020 - Commentary A systemic methodology for risk management in healthcare sector. Citation Text: Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006. Copy Citation Format: DOI Go…

  20. Radically redesigning patient safety. | PSNet

    psnet.ahrq.gov/issue/radically-redesigning-patient-safety
    November 13, 2024 - Newspaper/Magazine Article Radically redesigning patient safety. Citation Text: Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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