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  1. 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…

  2. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
    September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

  3. The value of library and information services in patient care: results of a multisite study. | PSNet

    psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
    April 24, 2018 - Study The value of library and information services in patient care: results of a multisite study. Citation Text: Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…

  4. A patient safety checklist for the cardiac catheterisation laboratory. | PSNet

    psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
    October 19, 2022 - Commentary A patient safety checklist for the cardiac catheterisation laboratory. Citation Text: Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. Copy Citation …

  5. Making doctors better. | PSNet

    psnet.ahrq.gov/issue/making-doctors-better
    June 15, 2016 - Commentary Making doctors better. Citation Text: Gerada C, Chatfield C, Rimmer A, et al. Making doctors better. BMJ. 2018;363:k4147. doi:10.1136/bmj.k4147. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
    January 22, 2016 - Study Barriers and facilitators to nursing handoffs: recommendations for redesign. Citation Text: Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005. Copy …

  7. Issues and complexities in safety culture assessment in healthcare. | PSNet

    psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
    October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

  8. Anesthesia workspaces for safe medication practices: design guidelines. | PSNet

    psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
    November 29, 2017 - Study Anesthesia workspaces for safe medication practices: design guidelines. Citation Text: MohammadiGorji S, Joseph A, Mihandoust S, et al. Anesthesia workspaces for safe medication practices: design guidelines. HERD. 2024;17(1):64-83. doi:10.1177/19375867231190646. Copy Citation …

  9. Inattentional blindness in medicine. | PSNet

    psnet.ahrq.gov/issue/inattentional-blindness-medicine
    March 31, 2021 - Review Inattentional blindness in medicine. Citation Text: Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  10. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. | PSNet

    psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
    April 12, 2023 - Review What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Citation Text: Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…

  11. Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. | PSNet

    psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
    January 27, 2021 - Newspaper/Magazine Article Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. Citation Text: Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …

  12. A work systems analysis approach to understanding fatigue in hospital nurses. | PSNet

    psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
    July 08, 2020 - Study A work systems analysis approach to understanding fatigue in hospital nurses. Citation Text: Steege LM, Pasupathy KS, Drake DA. A work systems analysis approach to understanding fatigue in hospital nurses. Ergonomics. 2017;61(1):148-161. doi:10.1080/00140139.2017.1280186. Copy Ci…

  13. 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: …

  14. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

    psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
    January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

  15. 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…

  16. 10 years in, why time out still matters. | PSNet

    psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
    November 08, 2013 - Commentary 10 years in, why time out still matters. Citation Text: Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  17. Coaching to improve the quality of communication during briefings and debriefings. | PSNet

    psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
    March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

  18. 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…

  19. 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…

  20. Medication governance: preventing errors and promoting patient safety. | PSNet

    psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
    November 08, 2023 - Commentary Medication governance: preventing errors and promoting patient safety. Citation Text: Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. Copy Citation Format: DOI Goog…
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