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  1. Tennessee Heart Health Network Newsletter, November 2021 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/114-tenn-heart-health-newsletter.pdf
    November 01, 2021 - Tennessee Heart Health Network Newsletter, November 2021 Tennessee Heart Health Network Newsletter November 2021 1/4 View this email in your browser Welcome to Tennessee Heart Health Network! We are a partnership committed to improving the health of Tennesseans with or at risk for cardiovascular disease. Tenness…

  2. Quick Response codes for surgical safety: a prospective pilot study. | PSNet

    psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
    June 07, 2016 - Study Quick Response codes for surgical safety: a prospective pilot study. Citation Text: Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. Copy Citatio…

  3. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. | PSNet

    psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
    March 24, 2012 - Study Catching and correcting near misses: the collective vigilance and individual accountability trade-off. Citation Text: Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…

  4. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. | PSNet

    psnet.ahrq.gov/issue/building-team-and-technical-competency-obstetric-emergencies-mobile-obstetric-emergencies
    March 21, 2017 - Commentary Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system. Citation Text: Deering S, Rosen MA, Salas E, et al. Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies …

  5. Eight critical factors in creating and implementing a successful simulation program. | PSNet

    psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program
    August 27, 2014 - Commentary Eight critical factors in creating and implementing a successful simulation program. Citation Text: Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. …

  6. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  7. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

    psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
    January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

  8. Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. | PSNet

    psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
    October 04, 2011 - Study Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. Citation Text: Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital Syste…

  9. A description of medical malpractice claims involving advanced practice providers. | PSNet

    psnet.ahrq.gov/issue/description-medical-malpractice-claims-involving-advanced-practice-providers
    August 19, 2020 - Study A description of medical malpractice claims involving advanced practice providers. Citation Text: Myers LC, Sawicki D, Heard L, et al. A description of medical malpractice claims involving advanced practice providers. J Healthc Risk Manag. 2021;40(3):8-16. doi:10.1002/jhrm.21412. …

  10. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. | PSNet

    psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
    October 14, 2015 - Study Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Citation Text: Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…

  11. Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  | PSNet

    psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
    June 22, 2016 - Commentary Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  Citation Text: Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…

  12. Using improvement science methods to increase accuracy of surgical consents. | PSNet

    psnet.ahrq.gov/issue/using-improvement-science-methods-increase-accuracy-surgical-consents
    October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

  13. 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. …

  14. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
    September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

  15. The limits of clinician vigilance as an AI safety bulwark. | PSNet

    psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
    September 07, 2022 - Commentary The limits of clinician vigilance as an AI safety bulwark. Citation Text: Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. Copy Citation Format: DOI G…

  16. Compensation of chief executive officers at nonprofit US hospitals. | PSNet

    psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
    December 18, 2018 - Study Compensation of chief executive officers at nonprofit US hospitals. Citation Text: Joynt KE, Le ST, Orav J, et al. Compensation of chief executive officers at nonprofit US hospitals. JAMA Intern Med. 2014;174(1):61-7. doi:10.1001/jamainternmed.2013.11537. Copy Citation Format…

  17. Global priorities for patient safety research. | PSNet

    psnet.ahrq.gov/issue/global-priorities-patient-safety-research
    April 05, 2017 - Commentary Global priorities for patient safety research. Citation Text: Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al. Global priorities for patient safety research. BMJ. 2009;338:b1775. doi:10.1136/bmj.b1775. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  18. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet

    psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
    July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …

  19. Creating an oversight infrastructure for electronic health record–related patient safety hazards. | PSNet

    psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
    May 22, 2015 - Commentary Creating an oversight infrastructure for electronic health record–related patient safety hazards. Citation Text: Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …

  20. Safety analysis over time: seven major changes to adverse event investigation. | PSNet

    psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
    September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
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