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  1. Triggers and Trigger Tools | PSNet

    psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Triggers and Trigger Tools Citation Text: Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - Update: Patient Engagement in Safety January 1, 2018 Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/update-patient-engagement-safety Annual Perspective 2018 Background Patient engagement has become a cornerstone of patient safety. A Patient Saf…

  3. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  4. Towards a new paradigm in laboratory medicine: the five rights. | PSNet

    psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
    November 18, 2016 - Commentary Towards a new paradigm in laboratory medicine: the five rights. Citation Text: Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. Copy Citation Format: DOI Google Schola…

  5. The organizational and intraorganizational development of disasters. | PSNet

    psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
    May 12, 2021 - Review Classic The organizational and intraorganizational development of disasters. Citation Text: Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. Copy Citation Format: …

  6. Burnout syndrome among healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
    September 01, 2018 - Commentary Burnout syndrome among healthcare professionals. Citation Text: Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460. Copy Citation Format: DOI Google Scholar Pub…

  7. Advocate Health Care: a systemwide approach to quality and safety. | PSNet

    psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
    July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …

  8. Using a change model to reduce the risk of surgical site infection. | PSNet

    psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
    June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  9. Retractions in the medical literature: how many patients are put at risk by flawed research? | PSNet

    psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
    August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …

  10. What does it take? A case study of radical change toward patient safety. | PSNet

    psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
    September 27, 2017 - Study What does it take? A case study of radical change toward patient safety. Citation Text: Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609. Copy Citation Format: Google Scholar PubMed …

  11. Wireless technologies and patient safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
    August 30, 2023 - Review Wireless technologies and patient safety in hospitals. Citation Text: Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  12. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. | PSNet

    psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
    May 14, 2008 - Study Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. Citation Text: Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…

  13. Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. | PSNet

    psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
    May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…

  14. Is your code cart ready? | PSNet

    psnet.ahrq.gov/issue/your-code-cart-ready
    August 30, 2017 - Newspaper/Magazine Article Is your code cart ready? Citation Text: Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

  15. First year nursing students' viewpoints about compromised clinical safety. | PSNet

    psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
    July 15, 2020 - Study First year nursing students' viewpoints about compromised clinical safety. Citation Text: Killam LA, Mossey S, Montgomery P, et al. First year nursing students' viewpoints about compromised clinical safety. Nurse Educ Today. 2013;33(5):475-80. doi:10.1016/j.nedt.2012.05.010. Co…

  16. Fault/no fault: bearing the brunt of medical mishaps. | PSNet

    psnet.ahrq.gov/issue/faultno-fault-bearing-brunt-medical-mishaps
    January 27, 2021 - Commentary Fault/no fault: bearing the brunt of medical mishaps. Citation Text: Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  17. Addressing patient safety in rapid response activations for nonhospitalized persons. | PSNet

    psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
    June 18, 2014 - Study Addressing patient safety in rapid response activations for nonhospitalized persons. Citation Text: Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.000000…

  18. Communication errors in radiology—pitfalls and how to avoid them. | PSNet

    psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
    September 24, 2017 - Review Communication errors in radiology—pitfalls and how to avoid them. Citation Text: Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. Copy Citation Format: …

  19. Eliminating perioperative adverse events at Ascension Health. | PSNet

    psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
    November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

  20. Drug related admissions to a cardiology department; frequency and avoidability. | PSNet

    psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability
    August 20, 2018 - Study Drug related admissions to a cardiology department; frequency and avoidability. Citation Text: Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. Copy Citation Format: …
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