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  1. Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
    July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…

  2. Introducing the patient safety professional: why, what, who, how, and where? | PSNet

    psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
    July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

  3. Diagnostic error as a result of drug-laboratory test interactions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

  4. A plan for achieving significant improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
    September 23, 2020 - Commentary A plan for achieving significant improvement in patient safety. Citation Text: Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual. 2007;22(2):164-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  5. Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet

    psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…

  6. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet

    psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Citation Text: Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. C…

  7. The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet

    psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
    August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

  8. Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  | PSNet

    psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
    April 29, 2020 - Study Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  Citation Text: Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54. Copy Citation …

  9. Relationship between tort claims and patient incident reports in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health-administration
    June 17, 2010 - Study Relationship between tort claims and patient incident reports in the Veterans Health Administration. Citation Text: Schmidek JM, Weeks WB. Relationship between tort claims and patient incident reports in the Veterans Health Administration. Qual Saf Health Care. 2005;14(2):117-22.…

  10. Value assessment of deprescribing interventions: suggestions for improvement. | PSNet

    psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - Commentary Value assessment of deprescribing interventions: suggestions for improvement. Citation Text: Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. Copy C…

  11. An observational study of postoperative handoff standardization failures. | PSNet

    psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
    March 10, 2021 - Study An observational study of postoperative handoff standardization failures. Citation Text: Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. Copy Citatio…

  12. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

    psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
    October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

  13. Frequency of inappropriate medical exceptions to quality measures. | PSNet

    psnet.ahrq.gov/issue/frequency-inappropriate-medical-exceptions-quality-measures
    July 29, 2020 - Study Frequency of inappropriate medical exceptions to quality measures. Citation Text: Persell SD, Dolan NC, Friesema EM, et al. Frequency of inappropriate medical exceptions to quality measures. Ann Intern Med. 2010;152(4):225-31. doi:10.7326/0003-4819-152-4-201002160-00007. Copy Ci…

  14. Always having to say you're sorry: an ethical response to making mistakes in professional practice. | PSNet

    psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
    September 09, 2011 - Review Always having to say you're sorry: an ethical response to making mistakes in professional practice. Citation Text: Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76. Copy Citation …

  15. Prioritizing threats to patient safety in rural primary care. | PSNet

    psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care
    April 23, 2014 - Study Prioritizing threats to patient safety in rural primary care. Citation Text: Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  16. Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. | PSNet

    psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
    July 02, 2019 - Study Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. Citation Text: Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…

  17. Diseases of medical progress. | PSNet

    psnet.ahrq.gov/issue/diseases-medical-progress
    June 27, 2018 - Review Classic Diseases of medical progress. Citation Text: MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …

  19. Patient safety in dermatology: a ten-year update. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update
    February 17, 2010 - Review Patient safety in dermatology: a ten-year update. Citation Text: Patient safety in dermatology: a ten-year update. Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). Copy Citation Save Save to your library Print Download PDF …

  20. Diagnostic difficulty and error in primary care—a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
    April 07, 2021 - Review Diagnostic difficulty and error in primary care—a systematic review. Citation Text: Kostopoulou O, Delaney B, Munro CW. Diagnostic difficulty and error in primary care--a systematic review. Fam Pract. 2008;25(6):400-413. doi:10.1093/fampra/cmn071. Copy Citation Format: …
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