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6801. FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet
      psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
      September 21, 2016 - Newspaper/Magazine Article FDA urged to move faster to fix pulse oximeters for darker-skinned patients. Citation Text: FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024. Copy Citation Save Save to y…

6802. Physician liability in the age of data reliance and errors. | PSNet
      psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
      March 18, 2020 - Commentary Physician liability in the age of data reliance and errors. Citation Text: Physician liability in the age of data reliance and errors. Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. Copy Citation Save Save to your library Print…

6803. The Canadian Quality and Patient Safety Framework for Health and Social Services. | PSNet
      psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
      December 09, 2020 - Multi-use Website The Canadian Quality and Patient Safety Framework for Health and Social Services. Citation Text: The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization. Copy Citation …

6804. Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. | PSNet
      psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
      April 20, 2022 - Book/Report Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. Citation Text: Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.  National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…

6805. How nursing homes’ worst offenses are hidden from the public. | PSNet
      psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
      September 22, 2021 - Newspaper/Magazine Article How nursing homes’ worst offenses are hidden from the public. Citation Text: How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021. Copy Citation Save …

6806. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet
      psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
      June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

6807. Theorizing about systems: an ecological task for patient safety research. | PSNet
      psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
      August 20, 2008 - Commentary Theorizing about systems: an ecological task for patient safety research. Citation Text: Marck PB. Theorizing About Systems. Clin Nurs Res. 2005;14(2). doi:10.1177/1054773804274255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

6808. Improving care by using patient feedback. | PSNet
      psnet.ahrq.gov/issue/improving-care-using-patient-feedback
      April 19, 2017 - Book/Report Improving care by using patient feedback. Citation Text: Improving care by using patient feedback. National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019. Copy Citation Save Save to your library Print …

6809. ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. | PSNet
      psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
      February 15, 2023 - Newspaper/Magazine Article ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Citation Text: ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Gammon K. STAT. June 26, 202…

6810. Human and organizational biases affecting the management of safety. | PSNet
      psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
      May 29, 2014 - Commentary Human and organizational biases affecting the management of safety. Citation Text: Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010. Copy Citation Format: …

6811. Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
      November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

6812. Mean girls of the ER: the alarming nurse culture of bullying and hazing. | PSNet
      psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
      November 01, 2017 - Newspaper/Magazine Article Mean girls of the ER: the alarming nurse culture of bullying and hazing. Citation Text: Mean girls of the ER: the alarming nurse culture of bullying and hazing. Robbins A. Good Housekeeping. May 20, 2016. Copy Citation Save Save to you…

6813. Causes of near misses: perceptions of perioperative nurses. | PSNet
      psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
      October 07, 2020 - Study Causes of near misses: perceptions of perioperative nurses. Citation Text: Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

6814. Pump up the volume: how to prioritize events and analyze error data. | PSNet
      psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
      March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …

6815. Safety considerations for IMRT. | PSNet
      psnet.ahrq.gov/issue/safety-considerations-imrt
      March 17, 2021 - Organizational Policy/Guidelines Safety considerations for IMRT. Citation Text: Safety considerations for IMRT. Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.   Copy Citation Save Save to your library Print D…

6816. Defining the technical skills of teamwork in surgery. | PSNet
      psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
      October 26, 2010 - Commentary Defining the technical skills of teamwork in surgery. Citation Text: Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care. 2006;15(4):231-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

6817. Ferrari's Formula One handovers and handovers from surgery to intensive care. | PSNet
      psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
      December 23, 2020 - Newspaper/Magazine Article Ferrari's Formula One handovers and handovers from surgery to intensive care. Citation Text: Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality. Copy Citation …

6818. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet
      psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
      July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

6819. Two decades since To Err Is Human: progress, but still a "chasm". | PSNet
      psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
      January 23, 2019 - Special or Theme Issue Two decades since To Err Is Human: progress, but still a "chasm". Citation Text: Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

6820. Communication failure: basic components, contributing factors, and the call for structure. | PSNet
      psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
      March 04, 2011 - Commentary Communication failure: basic components, contributing factors, and the call for structure. Citation Text: Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47. Copy Ci…