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  1. Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. | PSNet

    psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient
    August 16, 2017 - Study Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. Citation Text: Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…

  2. Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. | PSNet

    psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
    June 17, 2009 - Study Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. Citation Text: Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…

  3. 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…

  4. Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet

    psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
    July 29, 2020 - Study Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. Citation Text: Debesay J, Kartzow AH, Fougner M. Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. Nurs Inq. 2021;29(1):e12421. doi:…

  5. Solving alarm fatigue with smartphone technology. | PSNet

    psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
    October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  6. Incorrect surgical counts: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
    September 12, 2012 - Study Incorrect surgical counts: a qualitative analysis. Citation Text: Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  7. Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. | PSNet

    psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
    September 01, 2016 - Study Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Citation Text: Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …

  8. Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-academic-medical-center-implementation-comprehensive-program
    April 24, 2018 - Commentary Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. Citation Text: Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive …

  9. Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
    April 26, 2023 - Study Proactive patient safety: focusing on what goes right in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…

  10. Using a logic model to design and evaluate quality and patient safety improvement programs. | PSNet

    psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
    November 10, 2010 - Commentary Using a logic model to design and evaluate quality and patient safety improvement programs. Citation Text: Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …

  11. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. | PSNet

    psnet.ahrq.gov/issue/health-care-information-technology-vendors-hold-harmless-clause-implications-patients-and
    October 13, 2018 - Commentary Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. Citation Text: Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):12…

  12. Learning from the best. | PSNet

    psnet.ahrq.gov/issue/learning-best
    February 22, 2023 - Newspaper/Magazine Article Learning from the best. Citation Text: Grantham D. Learning from the best. Behavioral healthcare. 2010;30(4):22-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  13. Patient Safety Learning. | PSNet

    psnet.ahrq.gov/issue/patient-safety-learning
    January 12, 2022 - Multi-use Website Patient Safety Learning. Citation Text: Patient Safety Learning. Patient Safety Learning. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  14. Learning From Mistakes. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes
    March 28, 2018 - July 19, 2023 Unlocking Solutions in Imaging: Working Together to Learn from Failings

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  16. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
    February 01, 2019 - RW : How has the drive to rethink the content of the curriculum (what learners needed to learn) synced … the health care system around bringing these concepts front and center into the way in which students learn … We want to learn from you, we want to evaluate together, and we want to rapidly disseminate best practices … We're worried they might feel like why did I learn all of that or why did I get invested in all of that … a state we refer to as being a systems citizen.( 6-8 ) For such a paradigm shift, providers need to learn

  17. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  18. Learning Health Systems | PSNet

    psnet.ahrq.gov/issue/learning-health-systems
    December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Shifting the learning curve. | PSNet

    psnet.ahrq.gov/issue/shifting-learning-curve
    March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Learning from Investigations. | PSNet

    psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…
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