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Reframing and addressing horizontal violence as a workplace quality improvement concern. | PSNet

psnet.ahrq.gov/issue/reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern

March 15, 2017 - Commentary Reframing and addressing horizontal violence as a workplace quality improvement concern. Citation Text: Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. Copy …

Scoring no goal—further adventures in transparency. | PSNet

psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency

August 02, 2015 - Commentary Scoring no goal—further adventures in transparency. Citation Text: Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-8. doi:10.1056/NEJMp1510094. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. | PSNet

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September 25, 2019 - Book/Report Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Citation Text: Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Washington, DC: United States Government Accountability O…

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…

Medication errors: an overview for clinicians. | PSNet

psnet.ahrq.gov/issue/medication-errors-overview-clinicians

September 20, 2011 - Review Medication errors: an overview for clinicians. Citation Text: Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Interventions to reduce medication errors in pediatric intensive care. | PSNet

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March 12, 2014 - Review Interventions to reduce medication errors in pediatric intensive care. Citation Text: Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795. Copy Citation…

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. | PSNet

psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer

March 28, 2012 - Study The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. Citation Text: Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…

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

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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 …

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

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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. …

Patient safety and professional discourses: implications for interprofessionalism. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-professional-discourses-implications-interprofessionalism

March 08, 2023 - Study Patient safety and professional discourses: implications for interprofessionalism. Citation Text: Rowland P, Kitto S. Patient safety and professional discourses: implications for interprofessionalism. J Interprof Care. 2014;28(4):331-8. doi:10.3109/13561820.2014.891574. Copy Cita…

Improving teamwork on general medical units: when teams do not work face-to-face. | PSNet

psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face

June 12, 2013 - Study Improving teamwork on general medical units: when teams do not work face-to-face. Citation Text: McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. Copy Ci…

The impact of incident disclosure behaviors on medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims

September 27, 2023 - Study The impact of incident disclosure behaviors on medical malpractice claims. Citation Text: Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342. Copy Citatio…

Missed diagnoses by urologists resulting in malpractice payment. | PSNet

psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment

November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. | PSNet

psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva

November 16, 2022 - Study Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Citation Text: Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61. Copy Citation …

Is excessive resource utilization an adverse event? | PSNet

psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event

February 02, 2022 - Commentary Is excessive resource utilization an adverse event? Citation Text: Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

Using simulation to teach nursing students and licensed clinicians obstetric emergencies. | PSNet

psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies

November 11, 2020 - Commentary Using simulation to teach nursing students and licensed clinicians obstetric emergencies. Citation Text: Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…

Better understanding the downsides of low value healthcare could reduce harm. | PSNet

psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm

August 11, 2021 - Commentary Better understanding the downsides of low value healthcare could reduce harm. Citation Text: Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117. Copy Citation Format: D…

Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values

September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu

September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

The active components of effective training in obstetric emergencies. | PSNet

psnet.ahrq.gov/issue/active-components-effective-training-obstetric-emergencies

September 01, 2010 - Review The active components of effective training in obstetric emergencies. Citation Text: Siassakos D, Crofts JF, Winter C, et al. The active components of effective training in obstetric emergencies. BJOG. 2009;116(8):1028-32. doi:10.1111/j.1471-0528.2009.02178.x. Copy Citation …

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