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  1. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose
    November 16, 2022 - Study Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. Citation Text: Sun EC, Dixit A, Humphreys K, et al. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analys…

  2. 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.…

  3. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. | PSNet

    psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson
    January 25, 2012 - Commentary Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Citation Text: Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 S…

  4. A simulation design for research evaluating safety innovations in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
    February 25, 2009 - Study A simulation design for research evaluating safety innovations in anaesthesia. Citation Text: Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…

  5. How many hospital pharmacy medication dispensing errors go undetected? | PSNet

    psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected
    October 25, 2010 - Study How many hospital pharmacy medication dispensing errors go undetected? Citation Text: Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80. Copy Citation Format: G…

  6. Physician staffing models and patient safety in the ICU. | PSNet

    psnet.ahrq.gov/issue/physician-staffing-models-and-patient-safety-icu
    May 27, 2011 - Commentary Physician staffing models and patient safety in the ICU. Citation Text: Gajic O, Afessa B. Physician staffing models and patient safety in the ICU. Chest. 2009;135(4):1038-1044. doi:10.1378/chest.08-1544. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  7. Professionalism: a necessary ingredient in a culture of safety. | PSNet

    psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
    November 01, 2011 - Study Professionalism: a necessary ingredient in a culture of safety. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. Copy Citation Format: Google Scholar …

  8. Interprofessional teamwork and team interventions in chronic care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interprofessional-teamwork-and-team-interventions-chronic-care-systematic-review
    April 24, 2019 - Review Interprofessional teamwork and team interventions in chronic care: a systematic review. Citation Text: Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/135618…

  9. Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
    August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…

  10. An initiative to improve the management of clinically significant test results in a large health care network. | PSNet

    psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
    November 26, 2014 - Study An initiative to improve the management of clinically significant test results in a large health care network. Citation Text: Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …

  11. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

    psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
    April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

  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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