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  1. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

  2. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
    February 25, 2013 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013.  …

  3. HealthGrades Sixth Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
    October 25, 2013 - Book/Report HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2009.  Copy Citation Save Save to your library …

  4. The Value of Close Calls in Improving Patient Safety. | PSNet

    psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
    July 12, 2006 - Book/Report The Value of Close Calls in Improving Patient Safety. Citation Text: The Value of Close Calls in Improving Patient Safety. Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158. Copy Citation Save Save to your library …

  5. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
    November 29, 2017 - Book/Report Classic The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Citation Text: The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…

  6. The role of automation in complex system failures. | PSNet

    psnet.ahrq.gov/issue/role-automation-complex-system-failures
    June 28, 2013 - Commentary The role of automation in complex system failures. Citation Text: Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…

  7. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

    psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

  8. Perioperative medication errors: uncovering risk from behind the drapes. | PSNet

    psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
    March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …

  9. Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. | PSNet

    psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
    May 20, 2020 - Newspaper/Magazine Article Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Citation Text: Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Levy S. Drug Topics. July 9, 2007 Copy…

  10. A patient-centered prescription drug label to promote appropriate medication use and adherence. | PSNet

    psnet.ahrq.gov/issue/patient-centered-prescription-drug-label-promote-appropriate-medication-use-and-adherence
    December 21, 2014 - Study A patient-centered prescription drug label to promote appropriate medication use and adherence. Citation Text: Wolf MS, Davis TC, Curtis LM, et al. A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence. J Gen Intern Med. 2016;31(12):1482-148…

  11. Improving patient safety by shifting power from health professionals to patients. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
    June 01, 2014 - Special or Theme Issue Improving patient safety by shifting power from health professionals to patients. Citation Text: Improving patient safety by shifting power from health professionals to patients. BMJ. 2023(383):2219, 2278, 2319, 2331. Copy Citation Save Save…

  12. An interview with Lucian Leape. | PSNet

    psnet.ahrq.gov/issue/interview-lucian-leape
    June 30, 2011 - Commentary An interview with Lucian Leape. Citation Text: Schyve PM. An Interview with Lucian Leape. Jt Comm J Qual Patient Saf. 2016;30(12):653-658. doi:10.1016/s1549-3741(04)30076-6. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  13. No excuses: the reality that demands action. | PSNet

    psnet.ahrq.gov/issue/no-excuses-reality-demands-action
    July 20, 2022 - Meeting/Conference Proceedings No excuses: the reality that demands action. Citation Text: Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  14. System failure versus personal accountability--the case for clean hands. | PSNet

    psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
    February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…

  15. Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. | PSNet

    psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
    March 29, 2023 - Newspaper/Magazine Article Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Citation Text: Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…

  16. Taking risky business out of the MRI suite. | PSNet

    psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
    September 12, 2016 - Newspaper/Magazine Article Taking risky business out of the MRI suite. Citation Text: Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. Copy Citation Format: …

  17. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
    December 12, 2012 - Commentary Improving care transitions: current practice and future opportunities for pharmacists. Citation Text: Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…

  18. Pump up the volume: how to prioritize events and analyze error data. | PSNet

    psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
    March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …

  19. Understanding communication during hospitalist service changes: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-methods-study
    December 14, 2022 - Study Understanding communication during hospitalist service changes: a mixed methods study. Citation Text: doi:10.1002/jhm.523. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …

  20. Watson: Beyond Jeopardy! | PSNet

    psnet.ahrq.gov/issue/watson-beyond-jeopardy
    April 06, 2022 - Commentary Watson: Beyond Jeopardy! Citation Text: Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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