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The systems approach at the sharp end. | PSNet

psnet.ahrq.gov/issue/systems-approach-sharp-end

April 21, 2021 - Commentary The systems approach at the sharp end. Citation Text: Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

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

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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. …

Hospital finances and patient safety outcomes. | PSNet

psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes

April 27, 2010 - Study Hospital finances and patient safety outcomes. Citation Text: Encinosa W, Bernard DM. Hospital finances and patient safety outcomes. Inquiry. 2005;42(1):60-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital

October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

The tension between needing to improve care and knowing how to do it. | PSNet

psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it

June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

Registered nurses' perceptions of safe care in overcrowded emergency departments. | PSNet

psnet.ahrq.gov/issue/registered-nurses-perceptions-safe-care-overcrowded-emergency-departments

March 23, 2022 - Study Emerging Classic Registered nurses' perceptions of safe care in overcrowded emergency departments. Citation Text: Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded emergency departments. J Clin Nurs. 2…

Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project

October 17, 2012 - Study Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …

Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. | PSNet

psnet.ahrq.gov/issue/surgeons-leadership-style-and-team-behavior-hybrid-operating-room-prospective-cohort-study

August 31, 2022 - Study Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Citation Text: Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e…

Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care

November 16, 2022 - Study Peer training using cognitive rehearsal to promote a culture of safety in health care. Citation Text: Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.00000000…

From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. | PSNet

psnet.ahrq.gov/issue/flight-deck-bedside-core-aviation-concepts-applied-acute-care-physical-therapist-practice-and

December 14, 2022 - Commentary From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. Citation Text: Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice a…

Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions

March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

Re-examining high reliability: actively organising for safety. | PSNet

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October 13, 2018 - Commentary Re-examining high reliability: actively organising for safety. Citation Text: Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. Copy Citation Format: …

Journey to no preventable risk: The Baylor Health Care System patient safety experience. | PSNet

psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience

November 23, 2014 - Commentary Journey to no preventable risk: The Baylor Health Care System patient safety experience. Citation Text: Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances

June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. | PSNet

psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary

May 21, 2019 - Commentary Classic Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. Citation Text: Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. do…

Human-simulation-based learning to prevent medication error: a systematic review. | PSNet

psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review

February 01, 2012 - Review Human-simulation-based learning to prevent medication error: a systematic review. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. …

Improving hospital safety culture for falls prevention through interdisciplinary health education. | PSNet

psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education

December 16, 2011 - Study Improving hospital safety culture for falls prevention through interdisciplinary health education. Citation Text: Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…

Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet

psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial

March 14, 2022 - Study Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Citation Text: Salisbury AC, Reid KJ, Alexander KP, et al. Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. Arch Intern Med…

Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. | PSNet

psnet.ahrq.gov/issue/hidden-curricula-ethics-and-professionalism-clinical-learning-environments-becoming-and-being

June 19, 2019 - Commentary Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Citation Text: Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimi…

Social capital and knowledge sharing: effects on patient safety. | PSNet

psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety

September 15, 2011 - Study Social capital and knowledge sharing: effects on patient safety. Citation Text: Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x. Copy Citation For…

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