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  1. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. | PSNet

    psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
    May 04, 2014 - Commentary The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Citation Text: Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7. Copy Cit…

  2. Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

    psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
    December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …

  3. The role of nursing surveillance in keeping patients safe. | PSNet

    psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
    July 14, 2009 - Commentary The role of nursing surveillance in keeping patients safe. Citation Text: Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377. Copy Citation Format: DOI Google Scholar PubMed B…

  4. Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. | PSNet

    psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
    August 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…

  5. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
    April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

  6. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

  7. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. | PSNet

    psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
    June 09, 2011 - Study Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Citation Text: Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…

  8. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet

    psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
    March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. Citation Text: Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/j…

  9. ASPEN parenteral nutrition safety consensus recommendations. | PSNet

    psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
    June 12, 2018 - Commentary ASPEN parenteral nutrition safety consensus recommendations. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. Copy Citation …

  10. Can the aviation industry be useful in teaching oncology about safety? | PSNet

    psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
    June 13, 2011 - Commentary Can the aviation industry be useful in teaching oncology about safety? Citation Text: Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. Copy Citation …

  11. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. | PSNet

    psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
    July 10, 2017 - Study Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. Citation Text: Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …

  12. Trend analysis of radiation therapy incidents over seven years. | PSNet

    psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
    December 20, 2023 - Study Trend analysis of radiation therapy incidents over seven years. Citation Text: Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002. Copy Citation Format: DOI …

  13. Strategies for improving patient safety: linking task type to error type. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
    August 22, 2012 - Commentary Strategies for improving patient safety: linking task type to error type. Citation Text: Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303. Copy Citation Format: DOI Go…

  14. Structured communication for patient safety in emergency medical services: a legal case report. | PSNet

    psnet.ahrq.gov/issue/structured-communication-patient-safety-emergency-medical-services-legal-case-report
    November 21, 2021 - Commentary Structured communication for patient safety in emergency medical services: a legal case report. Citation Text: Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi…

  15. COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. | PSNet

    psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
    October 26, 2022 - Book/Report COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Citation Text: COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …

  16. Missed it. | PSNet

    psnet.ahrq.gov/issue/missed-it-0
    October 13, 2018 - Image/Poster Missed it. Citation Text: Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5-201303050-00013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). | PSNet

    psnet.ahrq.gov/issue/ahrq-health-services-research-project-partners-enabling-diagnostic-excellence-r01
    April 20, 2022 - Grant Announcement AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). Citation Text: AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  18. Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet

    psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
    January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…

  19. Medication reconciliation in a rural trauma population. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
    April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…

  20. Patterns in outpatient benzodiazepine prescribing in the United States. | PSNet

    psnet.ahrq.gov/issue/patterns-outpatient-benzodiazepine-prescribing-united-states
    September 20, 2011 - Study Patterns in outpatient benzodiazepine prescribing in the United States. Citation Text: Agarwal SD, Landon BE. Patterns in Outpatient Benzodiazepine Prescribing in the United States. JAMA Netw Open. 2019;2(1):e187399. doi:10.1001/jamanetworkopen.2018.7399. Copy Citation Format…
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