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  1. Complications: acknowledging, managing, and coping with human error. | PSNet

    psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
    March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

  2. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. | PSNet

    psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
    June 13, 2011 - Study A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Citation Text: Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…

  3. Positive deviance: a different approach to achieving patient safety. | PSNet

    psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
    May 15, 2024 - Commentary Positive deviance: a different approach to achieving patient safety. Citation Text: Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf. 2014;23(11):880-3. doi:10.1136/bmjqs-2014-003115. Copy Citation …

  4. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
    October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

  5. Exploring the concept of medication discrepancy within the context of patient safety to improve population health. | PSNet

    psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
    November 18, 2020 - Review Exploring the concept of medication discrepancy within the context of patient safety to improve population health. Citation Text: Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…

  6. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. | PSNet

    psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
    November 21, 2017 - Study Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. Citation Text: Wick EC, Hobson DB, Bennett JL, et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J Am Coll Surg. …

  7. Introducing the safety score audit for staff member and patient safety. | PSNet

    psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
    April 16, 2014 - Commentary Introducing the safety score audit for staff member and patient safety. Citation Text: Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006. Copy Citation Format: …

  8. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. | PSNet

    psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
    November 01, 2023 - Study Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Citation Text: Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…

  9. Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

    psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high
    February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

  10. Measuring communication in the surgical ICU: better communication equals better care. | PSNet

    psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
    April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

  11. Structural empowerment and patient safety culture among registered nurses working in adult critical care units. | PSNet

    psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
    January 23, 2008 - Study Structural empowerment and patient safety culture among registered nurses working in adult critical care units. Citation Text: Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…

  12. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-obstetric-morbidity-and-mortality-methods-and-challenges-seeking-diagnostic
    May 18, 2022 - Commentary Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Citation Text: Krenitsky NM, Perez-Urbano I, Goffman D. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic…

  13. Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star-rating-and-patient
    December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

  14. 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…

  15. Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

    psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
    August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

  16. Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. | PSNet

    psnet.ahrq.gov/issue/beyond-service-quality-mediating-role-patient-safety-perceptions-patient-experience
    January 14, 2011 - Study Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship. Citation Text: Rathert C, May DR, Williams E. Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfac…

  17. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
    April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

  18. Structural racism and the COVID-19 experience in the United States. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
    June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

  19. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

  20. Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

    psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth
    July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…
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