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  1. Hospitals slow to adopt patient apology policies. | PSNet

    psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
    April 22, 2016 - Newspaper/Magazine Article Hospitals slow to adopt patient apology policies. Citation Text: Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  2. Standardization as a mechanism to improve safety in health care. | PSNet

    psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
    January 05, 2017 - Study Standardization as a mechanism to improve safety in health care. Citation Text: Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14. Copy Citation Format: Google Schol…

  3. Missed injuries in trauma patients: a literature review. | PSNet

    psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
    April 01, 2009 - Review Missed injuries in trauma patients: a literature review. Citation Text: Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. doi:10.1186/1754-9493-2-20. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  4. Reducing surgical errors: implementing a three-hinge approach to success. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
    December 08, 2021 - Commentary Reducing surgical errors: implementing a three-hinge approach to success. Citation Text: Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013. Copy Citation Format: DOI Goo…

  5. Recognizing and managing errors of cognitive underspecification. | PSNet

    psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
    November 14, 2018 - Commentary Recognizing and managing errors of cognitive underspecification. Citation Text: Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. Copy Citation Format: DOI Google Scholar …

  6. Checking In on the Checklist. | PSNet

    psnet.ahrq.gov/issue/checking-checklist
    July 11, 2023 - Book/Report Checking In on the Checklist. Citation Text: Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  7. Emergency department crowding: the canary in the health care system. | PSNet

    psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
    March 30, 2022 - Study Emergency department crowding: the canary in the health care system. Citation Text: doi:10.1056/CAT.21.0217. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your …

  8. Improving operating room safety. | PSNet

    psnet.ahrq.gov/issue/improving-operating-room-safety
    May 17, 2023 - Study Improving operating room safety. Citation Text: Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-9493-3-25. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  9. Adversarial attacks on medical machine learning. | PSNet

    psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
    March 19, 2019 - Study Adversarial attacks on medical machine learning. Citation Text: Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399. Copy Citation Format: DOI Google Scholar PubM…

  10. 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…

  11. Safe use of opioids in hospitals. | PSNet

    psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - Sentinel Event Alerts Safe use of opioids in hospitals. Citation Text: Sentinel Event Alert. 2012;49:1-5. Copy Citation Format: BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library …

  12. ACOG Committee Opinion #681: disclosure and discussion of adverse events. | PSNet

    psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adverse-events
    May 22, 2019 - Commentary ACOG Committee Opinion #681: disclosure and discussion of adverse events. Citation Text: Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. Copy Citation Format: Google Scholar…

  13. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  14. The SBAR communication technique: teaching nursing students professional communication skills. | PSNet

    psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
    June 22, 2022 - Commentary The SBAR communication technique: teaching nursing students professional communication skills. Citation Text: Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.…

  15. 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…

  16. Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians. | PSNet

    psnet.ahrq.gov/issue/aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
    June 07, 2023 - Commentary Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians. Citation Text: McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older physicians. Ann Emerg Med. 2011;58(3):A15-A17. Copy Citati…

  17. Second victim: a traumatic experience. | PSNet

    psnet.ahrq.gov/issue/second-victim-traumatic-experience
    October 06, 2016 - Commentary Second victim: a traumatic experience. Citation Text: Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  18. Pharmacist involvement in a rapid-response team at a community hospital. | PSNet

    psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
    August 08, 2018 - Commentary Pharmacist involvement in a rapid-response team at a community hospital. Citation Text: Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8. Copy Citation Format: Google Scholar PubMe…

  19. The science and economics of improving clinical communication. | PSNet

    psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
    November 18, 2015 - Commentary The science and economics of improving clinical communication. Citation Text: O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010. Copy Citation Format…

  20. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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