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Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm

July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. | PSNet

psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety

June 09, 2021 - Study Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. Citation Text: Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety. American Journal of Transpla…

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. | PSNet

psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit

March 24, 2011 - Study A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Citation Text: Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…

Applying requisite imagination to safeguard electronic health record transitions. | PSNet

psnet.ahrq.gov/issue/applying-requisite-imagination-safeguard-electronic-health-record-transitions

August 25, 2021 - Commentary Applying requisite imagination to safeguard electronic health record transitions. Citation Text: Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…

Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools

March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet

psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient

October 07, 2020 - Commentary Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. Citation Text: Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding

November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety

March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

psnet.ahrq.gov/issue/safety-teletriage-nurses-and-physicians-united-states-and-israel-narrative-review-and

April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism

November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems

January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

With money at risk, hospitals push staff to wash hands. | PSNet

psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands

May 18, 2022 - Newspaper/Magazine Article With money at risk, hospitals push staff to wash hands. Citation Text: Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…

Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance

July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review

February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

Tiered daily huddles: the power of teamwork in managing large healthcare organisations. | PSNet

psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations

December 09, 2020 - Commentary Tiered daily huddles: the power of teamwork in managing large healthcare organisations. Citation Text: Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. Co…

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. | PSNet

psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse

September 26, 2016 - Study Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. Citation Text: Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults

March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. Citation Text: Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet

psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards

March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

Improving standardization of paging communication using quality improvement methodology. | PSNet

psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology

September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

Ensuring primary care diagnostic quality in the era of telemedicine. | PSNet

psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine

May 25, 2022 - Commentary Ensuring primary care diagnostic quality in the era of telemedicine. Citation Text: Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027. Copy Citation …

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