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  1. Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. | PSNet

    psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
    December 22, 2018 - Study Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. Citation Text: Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in nursing homes: implications and insights fr…

  2. The nexus of nursing leadership and a culture of safer patient care. | PSNet

    psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
    January 18, 2018 - Review The nexus of nursing leadership and a culture of safer patient care. Citation Text: Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980. Copy Citation Format: DOI…

  3. A model framework for patient safety training in chiropractic: a literature synthesis. | PSNet

    psnet.ahrq.gov/issue/model-framework-patient-safety-training-chiropractic-literature-synthesis
    March 19, 2019 - Review A model framework for patient safety training in chiropractic: a literature synthesis. Citation Text: Zaugg B, Wangler M. A model framework for patient safety training in chiropractic: a literature synthesis. J Manipulative Physiol Ther. 2009;32(6):493-499. doi:10.1016/j.jmpt.200…

  4. Building a culture of safety in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
    March 14, 2022 - Commentary Building a culture of safety in ophthalmology. Citation Text: Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. Copy Citation Format: DOI Google Sch…

  5. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet

    psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
    February 04, 2009 - Commentary OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Citation Text: Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…

  6. 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…

  7. My brother's keeper: must a physician disclose another's medical error and potential negligence? | PSNet

    psnet.ahrq.gov/issue/my-brothers-keeper-must-physician-disclose-anothers-medical-error-and-potential-negligence
    February 01, 2023 - Commentary My brother's keeper: must a physician disclose another's medical error and potential negligence? Citation Text: Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…

  8. New York-Presbyterian Hospital: translating innovation into practice. | PSNet

    psnet.ahrq.gov/issue/new-york-presbyterian-hospital-translating-innovation-practice
    October 19, 2022 - Award Recipient New York-Presbyterian Hospital: translating innovation into practice. Citation Text: Johnson T, Currie G, Keill P, et al. NewYork-Presbyterian Hospital: translating innovation into practice. Jt Comm J Qual Patient Saf. 2005;31(10):554-60. Copy Citation Format: …

  9. Teams of psychologists helping teams: the evolution of the science of team training. | PSNet

    psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
    February 26, 2020 - Commentary Emerging Classic Teams of psychologists helping teams: the evolution of the science of team training. Citation Text: Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…

  10. High-fidelity simulation and safety: an integrative review. | PSNet

    psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
    September 09, 2015 - Review High-fidelity simulation and safety: an integrative review. Citation Text: Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  11. "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. | PSNet

    psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
    September 04, 2024 - Commentary "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. Citation Text: Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…

  12. The novice nurse and clinical decision-making: how to avoid errors. | PSNet

    psnet.ahrq.gov/issue/novice-nurse-and-clinical-decision-making-how-avoid-errors
    May 04, 2022 - Review The novice nurse and clinical decision-making: how to avoid errors. Citation Text: Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x. Copy Citation …

  13. Hospital admission medication reconciliation in medically complex children: an observational study. | PSNet

    psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
    April 24, 2018 - Study Hospital admission medication reconciliation in medically complex children: an observational study. Citation Text: Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…

  14. 2008 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2008-john-m-eisenberg-patient-safety-and-quality-awards
    March 28, 2018 - Award Recipient 2008 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2008 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2008;34(12):691-712. Copy Citation Save Save to your library Print Download P…

  15. Pay-for-performance and patient safety in acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …

  16. Patient safety issues continue to plague American hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
    November 20, 2015 - Commentary Patient safety issues continue to plague American hospitals. Citation Text: Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406. Copy Citation Format: DOI Google Scholar PubMed B…

  17. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center. | PSNet

    psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
    August 31, 2016 - Study A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center. Citation Text: Tran M, Ciarkowski S, Wagner D, et al. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at…

  18. Application of failure mode and effect analysis in a radiology department. | PSNet

    psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
    October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department. Citation Text: Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018. …

  19. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. | PSNet

    psnet.ahrq.gov/issue/assessing-organisational-culture-quality-and-safety-improvement-national-survey-tools-and
    March 08, 2017 - Study Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Citation Text: Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement: a national survey of tools and tool use. Qual Saf He…

  20. Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. | PSNet

    psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
    August 04, 2021 - Study Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. Citation Text: Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience with the reporting…
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