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  1. Pay-for-performance and patient safety in acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …

  2. Hand hygiene deficiency citations in nursing homes. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-deficiency-citations-nursing-homes
    June 02, 2010 - Study Hand hygiene deficiency citations in nursing homes. Citation Text: Castle NG, Wagner LM, Ferguson J, et al. Hand Hygiene Deficiency Citations in Nursing Homes. Journal of Applied Gerontology. 2012;33(1). doi:10.1177/0733464812449903. Copy Citation Format: DOI Google…

  3. On patient safety: when are we too old to operate? | PSNet

    psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
    October 19, 2022 - Commentary On patient safety: when are we too old to operate? Citation Text: Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  4. Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. | PSNet

    psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…

  5. Addressing prehospital patient safety using the science of injury prevention and control. | PSNet

    psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
    April 12, 2019 - Commentary Addressing prehospital patient safety using the science of injury prevention and control. Citation Text: Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…

  6. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  7. Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. | PSNet

    psnet.ahrq.gov/issue/trends-potentially-preventable-inpatient-hospital-admissions-and-emergency-department-visits
    January 11, 2017 - Book/Report Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Citation Text: Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief …

  8. Clinical nurse specialists as leaders in rapid response. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
    July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…

  9. Rapid response systems: from implementation to evidence base. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
    September 24, 2010 - Commentary Rapid response systems: from implementation to evidence base. Citation Text: Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual Patient Saf. 2010;36(11):514-7, 481. Copy Citation Format: Google Scholar PubMed BibTeX E…

  10. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. | PSNet

    psnet.ahrq.gov/issue/early-access-neurologist-reduces-rate-missed-diagnosis-young-strokes
    December 07, 2011 - Study Early access to a neurologist reduces the rate of missed diagnosis in young strokes. Citation Text: Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.101…

  11. Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
    May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…

  12. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
    June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

  13. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
    July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …

  14. Impact of electronic health record systems on information integrity: quality and safety implications. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications
    April 03, 2024 - Review Impact of electronic health record systems on information integrity: quality and safety implications. Citation Text: Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. Copy Cita…

  15. University of Michigan: quality and safety in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
    November 13, 2024 - Commentary University of Michigan: quality and safety in an academic medical center. Citation Text: Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7. Copy Citation Forma…

  16. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data
    January 06, 2017 - Study Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. Citation Text: Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. Copy Citati…

  17. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet

    psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
    September 24, 2010 - Commentary A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Citation Text: Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51. Copy Citati…

  18. Failure to notify reportable test results: significance in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
    April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice. Citation Text: Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…

  19. Impact of nurse peer review on a culture of safety. | PSNet

    psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
    November 29, 2023 - Commentary Impact of nurse peer review on a culture of safety. Citation Text: Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. Copy Citation Format: DOI Google Scholar PubMed …

  20. Medical errors in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/medical-errors-neurosurgery
    February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
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