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  1. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/aviation-medicine-applying-concepts-aviation-safety-risk-management-ambulatory-care
    June 03, 2020 - Study From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Citation Text: Wilf-Miron R, Lewenhoff I, Benyamini Z, et al. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Hea…

  2. Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views. | PSNet

    psnet.ahrq.gov/issue/influencing-sceptical-staff-become-supporters-service-improvement-qualitative-study-doctors
    September 02, 2020 - Study Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views. Citation Text: Gollop R, Whitby E, Buchanan D, et al. Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctor…

  3. "Free lessons" in aviation safety. | PSNet

    psnet.ahrq.gov/issue/free-lessons-aviation-safety
    October 19, 2022 - Commentary "Free lessons" in aviation safety. Citation Text: Rose A. “Free lessons” in aviation safety. Aircraft Engineering and Aerospace Technology. 2006;76(5). doi:10.1108/00022660410555130. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  4. Safety-relevant mode confusions—modelling and reducing them. | PSNet

    psnet.ahrq.gov/issue/safety-relevant-mode-confusions-modelling-and-reducing-them
    April 28, 2021 - Commentary Safety-relevant mode confusions—modelling and reducing them. Citation Text: Bredereke J, Lankenau A. Safety-relevant mode confusions—modelling and reducing them. Reliab Eng Syst Saf. 2004;88(3). doi:10.1016/j.ress.2004.07.020. Copy Citation Format: DOI Google S…

  5. Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? | PSNet

    psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
    September 11, 2019 - Study Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? Citation Text: Sobo EJ. Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? Soc Sci Med. 2005;60(10):2341-50. Copy Citat…

  6. Distractors in obstetric ultrasound: do sonographers have safety concerns? | PSNet

    psnet.ahrq.gov/issue/distractors-obstetric-ultrasound-do-sonographers-have-safety-concerns
    March 08, 2023 - Study Distractors in obstetric ultrasound: do sonographers have safety concerns? Citation Text: Najafzadeh A, Woodrow N, Thoirs K. Distractors in obstetric ultrasound: Do sonographers have safety concerns? Australas J Ultrasound Med. 2019;22(3):206-213. doi:10.1002/ajum.12134. Copy Cit…

  7. The use of computers for clinical care: a case series of advanced US sites. | PSNet

    psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
    August 04, 2021 - Study The use of computers for clinical care: a case series of advanced US sites. Citation Text: Doolan DF, Bates DW, James BC. The use of computers for clinical care: a case series of advanced U.S. sites. J Am Med Inform Assoc. 2003;10(1):94-107. Copy Citation Format: Go…

  8. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-461
    October 30, 2024 - October 16, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  9. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-459
    October 30, 2024 - October 2, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports…

  10. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-435
    April 10, 2024 - April 10, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  11. Lost in Sign Out and Documentation | PSNet

    psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
    January 31, 2011 - Lost in Sign Out and Documentation Citation Text: Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  12. Abdominal Aortic Aneurysm Screening | PSNet

    psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
    October 01, 2011 - SPOTLIGHT CASE Abdominal Aortic Aneurysm Screening Citation Text: Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX E…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859647/psn-pdf
    January 04, 2024 - The Relationship Between Climate Change and Healthcare Quality and Safety January 4, 2024 Sherman J, Lee M, Mossburg S. The Relationship Between Climate Change and Healthcare Quality and Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/relationship-between-climate-change-and-healthcare-quality-an…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33717/psn-pdf
    September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please September 1, 2011 Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please …

  15. Danger in Disruption | PSNet

    psnet.ahrq.gov/web-mm/danger-disruption
    July 29, 2020 - Danger in Disruption Citation Text: Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  16. Departure From Central Line Ritual | PSNet

    psnet.ahrq.gov/web-mm/departure-central-line-ritual
    October 13, 2018 - Departure From Central Line Ritual Citation Text: Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndN…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - Failure to Latch September 1, 2008 Rodriguez M, Mannel R, Frye DR. Failure to Latch. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/failure-latch The Case The patient is a full-term, 8.5-pound, healthy infant whose parents were strongly committed to breastfeeding exclusively for 6 months. However, early br…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33656/psn-pdf
    September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH September 1, 2007 In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph Editor's Note: Atul Gawande, MD, MA, MPH, Associate Professor of Surgery at Harvard Medical School a…

  19. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33758/psn-pdf
    December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013 In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at the Hous…
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