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  1. A system analysis of a suboptimal surgical experience. | PSNet

    psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
    March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  2. COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. | PSNet

    psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
    April 03, 2005 - Newspaper/Magazine Article COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. Citation Text: Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…

  3. 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…

  4. Near misses: paradoxical realities in everyday clinical practice. | PSNet

    psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
    May 04, 2012 - Study Near misses: paradoxical realities in everyday clinical practice. Citation Text: Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. Copy Citation Fo…

  5. Medication errors and response bias: the tip of the iceberg. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
    February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  6. The Safe Tables Collaborative: a statewide experience. | PSNet

    psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
    April 12, 2011 - Commentary The Safe Tables Collaborative: a statewide experience. Citation Text: Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. Copy Citation Format: Google Scholar PubMed BibT…

  7. Preventing medication errors at small and rural hospitals. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
    May 19, 2021 - Newspaper/Magazine Article Preventing medication errors at small and rural hospitals. Citation Text: Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. Copy Citatio…

  8. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
    October 19, 2022 - Commentary Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. Citation Text: Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.…

  9. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. | PSNet

    psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
    October 17, 2012 - Study Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. Citation Text: Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437. Copy Citation …

  10. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  11. Investigating the causes of adverse events. | PSNet

    psnet.ahrq.gov/issue/investigating-causes-adverse-events
    October 03, 2017 - Commentary Investigating the causes of adverse events. Citation Text: Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. Copy Citation Format: DOI Google …

  12. Evaluating safety and competency at the bedside. | PSNet

    psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
    November 16, 2022 - Commentary Evaluating safety and competency at the bedside. Citation Text: Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  13. Reducing preventable medication safety events by recognizing renal risk. | PSNet

    psnet.ahrq.gov/issue/reducing-preventable-medication-safety-events-recognizing-renal-risk
    June 27, 2011 - Study Reducing preventable medication safety events by recognizing renal risk. Citation Text: Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476…

  14. Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet

    psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
    November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

  15. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  16. Using "near misses" analysis to prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
    April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…

  17. Close calls in patient safety: should we be paying closer attention? | PSNet

    psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
    November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

  18. Doctors debate safety of their white coats. | PSNet

    psnet.ahrq.gov/issue/doctors-debate-safety-their-white-coats
    June 08, 2022 - Newspaper/Magazine Article Doctors debate safety of their white coats. Citation Text: Butler DL, Major Y, Bearman G, et al. Transmission of nosocomial pathogens by white coats: an in-vitro model. The Journal of hospital infection. 2010;75(2):137-8. doi:10.1016/j.jhin.2009.11.024. Copy …

  19. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. | PSNet

    psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
    April 01, 2010 - Study Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Citation Text: Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 200…

  20. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet

    psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
    February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …
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