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  1. Leading a highly visible hospital through a serious reportable event. | PSNet

    psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
    February 15, 2023 - Commentary Leading a highly visible hospital through a serious reportable event. Citation Text: Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. Copy Citation Format: DOI Googl…

  2. The need for risk profiling in patient safety. | PSNet

    psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
    August 08, 2010 - Commentary The need for risk profiling in patient safety. Citation Text: Donaldson LJ, Noble DJ. The need for risk profiling in patient safety. J Patient Saf. 2010;6(3):125-7. doi:10.1097/PTS.0b013e3181ed73a3. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  3. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - Commentary Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. Citation Text: Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…

  4. Addressing Health Worker Burnout. | PSNet

    psnet.ahrq.gov/issue/addressing-health-worker-burnout
    May 25, 2022 - Book/Report Addressing Health Worker Burnout. Citation Text: Addressing Health Worker Burnout. The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022. Copy Citation Save Save to yo…

  5. Disclosure of medical error: policies and practice. | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
    June 30, 2011 - Commentary Disclosure of medical error: policies and practice. Citation Text: Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  6. Interdisciplinary team training: five lessons learned. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned
    August 21, 2013 - Commentary Interdisciplinary team training: five lessons learned. Citation Text: Contratti F, Ng G, Deeb J. Interdisciplinary team training: five lessons learned. Am J Nurs. 2012;112(6):47-52. doi:10.1097/01.NAJ.0000415127.84605.1f. Copy Citation Format: DOI Google Schol…

  7. Fixing healthcare from the inside, today. | PSNet

    psnet.ahrq.gov/issue/fixing-healthcare-inside-today
    February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today. Citation Text: Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  8. What do we know about financial returns on investments in patient safety? A literature review. | PSNet

    psnet.ahrq.gov/issue/what-do-we-know-about-financial-returns-investments-patient-safety-literature-review
    April 06, 2011 - Review What do we know about financial returns on investments in patient safety? A literature review. Citation Text: Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699. …

  9. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet

    psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
    June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

  10. The impact of surgical safety checklists on theatre departments: a critical review of the literature. | PSNet

    psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature
    October 19, 2012 - Review The impact of surgical safety checklists on theatre departments: a critical review of the literature. Citation Text: Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71. Copy Citation …

  11. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? | PSNet

    psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
    May 26, 2021 - Commentary Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Citation Text: Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …

  12. Improving the quality and safety of patient care in cardiac anesthesia. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
    September 26, 2012 - Review Improving the quality and safety of patient care in cardiac anesthesia. Citation Text: Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018. Copy Cit…

  13. 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…

  14. Does an insulin double-checking procedure improve patient safety? | PSNet

    psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
    April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

  15. Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet

    psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
    October 06, 2011 - Commentary Improving patient care by linking evidence-based medicine and evidence-based management. Citation Text: Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673. C…

  16. Simulation training in obstetrics. | PSNet

    psnet.ahrq.gov/issue/simulation-training-obstetrics
    September 02, 2015 - Review Simulation training in obstetrics. Citation Text: Gavin NR, Satin AJ. Simulation Training in Obstetrics. Clin Obstet Gynecol. 2017;60(4):802-810. doi:10.1097/GRF.0000000000000322. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  17. Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

    psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
    March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…

  18. A review of current and emerging approaches to address failure-to-rescue. | PSNet

    psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
    March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

  19. 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…

  20. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet

    psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
    February 03, 2021 - Newspaper/Magazine Article How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Citation Text: How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020. Copy Citati…
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