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  1. Life after death: the aftermath of perioperative catastrophes. | PSNet

    psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
    March 29, 2012 - Review Life after death: the aftermath of perioperative catastrophes. Citation Text: Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77. Copy Citation Format: D…

  2. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. | PSNet

    psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
    July 13, 2010 - Study Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. Citation Text: Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…

  3. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. | PSNet

    psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
    October 19, 2022 - Study From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. Citation Text: Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…

  4. Emergency lights and sirens on ambulances may do more harm than good. | PSNet

    psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
    February 15, 2023 - Newspaper/Magazine Article Emergency lights and sirens on ambulances may do more harm than good. Citation Text: Emergency lights and sirens on ambulances may do more harm than good. Renault M. Stat. July 7, 2023. Copy Citation Save Save to your library Pri…

  5. The Canadian Quality and Patient Safety Framework for Health and Social Services. | PSNet

    psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
    December 09, 2020 - Multi-use Website The Canadian Quality and Patient Safety Framework for Health and Social Services. Citation Text: The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization. Copy Citation …

  6. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
    October 06, 2021 - Book/Report Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Citation Text: Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Amin D, Cosby K. Rockville, MD: Agency for Healthcare Res…

  7. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet

    psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
    December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

  8. Decision Making in Emergency Medicine: Biases, Errors and Solutions. | PSNet

    psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
    January 20, 2021 - Book/Report Decision Making in Emergency Medicine: Biases, Errors and Solutions. Citation Text: Decision Making in Emergency Medicine: Biases, Errors and Solutions. Raz M, Pouryahya P, eds. Singapore; Springer Nature Singapore Pte Ltd; 2021. ISBN 9789811601422. Copy Citation …

  9. 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…

  10. Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2010
    January 01, 2010 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010 Project Name Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model Principal Investigator McConnochie, Kenneth Organization University of Rochester Funding M…

  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. Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-engaging-patients-diagnostic-decision-making-emergency
    April 22, 2020 - Book/Report Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Citation Text: Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments. Mangus CW, Singh H, Mahajan P. Rockville, MD:…

  13. A framework for classifying factors that contribute to error in the emergency department. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
    February 14, 2024 - Commentary A framework for classifying factors that contribute to error in the emergency department. Citation Text: Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23. Copy Citation Format: G…

  14. Communication and teamwork in patient care: how much can we learn from aviation? | PSNet

    psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation
    August 12, 2019 - Review Communication and teamwork in patient care: how much can we learn from aviation? Citation Text: Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet Gynecol Neonatal Nurs. 2006;35(4):538-46. Copy Citation Format: Googl…

  15. Educational agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
    February 27, 2019 - Review Educational agenda for diagnostic error reduction. Citation Text: Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. Copy Citation Format: DOI Google Scholar…

  16. Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

    psnet.ahrq.gov/issue/assessing-evidence-context-sensitive-effectiveness-and-safety-patient-safety-practices
    July 27, 2018 - Book/Report Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Shekelle PG, Pron…

  17. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…

  18. Back to basics: the Universal Protocol. | PSNet

    psnet.ahrq.gov/issue/back-basics-universal-protocol
    March 17, 2021 - Commentary Back to basics: the Universal Protocol. Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  19. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. | PSNet

    psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
    January 02, 2017 - Study The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. Citation Text: Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…

  20. Death by handwriting. | PSNet

    psnet.ahrq.gov/issue/death-handwriting
    October 19, 2022 - Newspaper/Magazine Article Death by handwriting. Citation Text: Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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