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  1. The problem with Plan-Do-Study-Act cycles. | PSNet

    psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
    June 26, 2019 - Commentary The problem with Plan-Do-Study-Act cycles. Citation Text: Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  2. Translating patient safety legislation into health care practice. | PSNet

    psnet.ahrq.gov/issue/translating-patient-safety-legislation-health-care-practice
    February 15, 2011 - Commentary Translating patient safety legislation into health care practice. Citation Text: Rabinowitz ABK, Clarke JR, Marella WM, et al. Translating patient safety legislation into health care practice. Jt Comm J Qual Patient Saf. 2006;32(12):676-681. Copy Citation Format: …

  3. Preventing health care–associated harm in children. | PSNet

    psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
    March 14, 2022 - Commentary Preventing health care–associated harm in children. Citation Text: Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  4. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. | PSNet

    psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
    March 23, 2011 - Study Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. Citation Text: Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hos…

  5. Care transitions and home health care. | PSNet

    psnet.ahrq.gov/issue/care-transitions-and-home-health-care
    August 25, 2011 - Review Care transitions and home health care. Citation Text: Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  6. IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. | PSNet

    psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
    August 14, 2019 - Newspaper/Magazine Article IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. Citation Text: IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. ISMP Medication Safety Alert! Acute Care Edition. Augu…

  7. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. | PSNet

    psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
    September 29, 2017 - Study Case studies of patient safety research classics to build research capacity in low- and middle-income countries. Citation Text: Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. …

  8. Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
    December 09, 2020 - Study Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. Citation Text: Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …

  9. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
    March 19, 2019 - Commentary Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Citation Text: Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…

  10. Issues and complexities in safety culture assessment in healthcare. | PSNet

    psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
    October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

  11. A systematic review of factors that enable psychological safety in healthcare teams. | PSNet

    psnet.ahrq.gov/issue/systematic-review-factors-enable-psychological-safety-healthcare-teams
    October 28, 2020 - Review Classic A systematic review of factors that enable psychological safety in healthcare teams. Citation Text: O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare teams. Int J Qual Health Care. 2020;32(4):2…

  12. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. | PSNet

    psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
    July 02, 2014 - Study Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. Citation Text: Reilly JB, Ogdie AR, Von Feldt JM, et al. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for reside…

  13. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. | PSNet

    psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
    April 12, 2023 - Review What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Citation Text: Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…

  14. Malpractice liability and health care quality: a review | PSNet

    psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review
    April 13, 2011 - Review Emerging Classic Malpractice liability and health care quality: a review Citation Text: Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411. Copy Cit…

  15. Bending the patient safety curve: how much can AI help? | PSNet

    psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
    March 31, 2021 - Commentary Bending the patient safety curve: how much can AI help? Citation Text: Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. Copy Citation Format: DOI Google Schola…

  16. What to do with healthcare incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
    November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…

  17. Variation in caregiver perceptions of teamwork climate in labor and delivery units. | PSNet

    psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
    August 04, 2021 - Study Variation in caregiver perceptions of teamwork climate in labor and delivery units. Citation Text: Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70. Copy Citation …

  18. Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet

    psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
    April 08, 2011 - Study Speaking up and sharing information improves trainee neonatal resuscitations. Citation Text: Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. Copy C…

  19. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. | PSNet

    psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
    May 10, 2016 - Study Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Citation Text: Logio LS, Ramanujam R. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Jt Comm J Qual Patient Saf. 2010;3…

  20. Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

    psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…
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