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  1. Engaging the patient and family in the surgical safety process utilizing SafeStart. | PSNet

    psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
    October 19, 2022 - Study Engaging the patient and family in the surgical safety process utilizing SafeStart. Citation Text: Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. …

  2. Error reporting and disclosure systems: views from hospital leaders. | PSNet

    psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
    June 16, 2010 - Study Classic Error reporting and disclosure systems: views from hospital leaders. Citation Text: Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. Copy Citation For…

  3. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  4. Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-reconciliation-using-collaborative-approach-process-improvement
    December 04, 2019 - Study Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. Citation Text: Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academi…

  5. Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
    November 03, 2015 - Review Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. Citation Text: Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…

  6. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet

    psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
    November 05, 2013 - Study Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. Citation Text: Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…

  7. Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. | PSNet

    psnet.ahrq.gov/issue/transferring-responsibility-and-accountability-maternity-care-clinicians-defining-their
    August 19, 2009 - Study Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. Citation Text: Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians d…

  8. Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. | PSNet

    psnet.ahrq.gov/issue/interventions-improving-teamwork-intrapartem-care-systematic-review-randomised-controlled
    November 04, 2020 - Review Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. Citation Text: Wu M, Tang J, Etherington N, et al. Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials. BMJ Qual…

  9. Re-examining high reliability: actively organising for safety. | PSNet

    psnet.ahrq.gov/issue/re-examining-high-reliability-actively-organising-safety
    October 13, 2018 - Commentary Re-examining high reliability: actively organising for safety. Citation Text: Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. Copy Citation Format: …

  10. Using incident reporting to improve patient safety: a conceptual model. | PSNet

    psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
    June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

  11. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - Commentary Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Citation Text: Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…

  12. Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients
    March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. Citation Text: Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…

  13. A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

    psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
    March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

  14. Digitizing diagnosis: a review of mobile applications in the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
    October 10, 2018 - Study Digitizing diagnosis: a review of mobile applications in the diagnostic process. Citation Text: Jutel A, Lupton D. Digitizing diagnosis: a review of mobile applications in the diagnostic process. Diagnosis (Berl). 2015;2(2):89-96. doi:10.1515/dx-2014-0068. Copy Citation Forma…

  15. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. | PSNet

    psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging
    April 06, 2022 - Study Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. Citation Text: Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…

  16. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet

    psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
    June 12, 2024 - Commentary Learning from incidents in healthcare: the journey, not the arrival, matters. Citation Text: Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …

  17. Potential Solutions to Lab Data Extraction (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny8.pdf
    April 29, 2014 - Potential Solutions to Lab Data Extraction 1 Potential Solutions to Lab Data Extraction DATA SELECTION STEP POTENTIAL DIFFICULTIES POTENTIAL SOLUTIONS 1 DOH will send the lab a list of patients, identified by Medical Record Number (MRN) and Patient Control Number (also called Encounter Number),…

  18. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/bringing-clinical-laboratory-strategy-advance-diagnostic-excellence
    September 08, 2021 - Commentary Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Citation Text: Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/…

  19. 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. | PSNet

    psnet.ahrq.gov/issue/safe-enough-here-patients-expectations-and-experiences-feeling-safe-acute-psychiatric
    January 23, 2017 - Study 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. Citation Text: Stenhouse RC. 'Safe enough in here?': patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. J Clin Nurs. 20…

  20. Using data to enhance performance and improve quality and safety in surgery. | PSNet

    psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery
    March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…
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