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  1. A piece of my mind. After the medical error. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
    November 06, 2024 - Commentary A piece of my mind. After the medical error. Citation Text: Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  2. Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
    November 12, 2014 - Organizational Policy/Guidelines Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. Citation Text: Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…

  3. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet

    psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
    October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

  4. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

    psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

  5. The role of surgeon error in withdrawal of postoperative life support. | PSNet

    psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
    July 03, 2014 - Study The role of surgeon error in withdrawal of postoperative life support. Citation Text: Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5. Copy Citation …

  6. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. | PSNet

    psnet.ahrq.gov/issue/association-perceived-medical-errors-resident-distress-and-empathy-prospective-longitudinal
    February 03, 2011 - Study Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Citation Text: West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA.…

  7. Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
    November 30, 2016 - Commentary Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Citation Text: Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601. Copy Citation Save Save to your library Print Download…

  8. Why patients need leaders: introducing a ward safety checklist. | PSNet

    psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
    October 28, 2020 - Commentary Why patients need leaders: introducing a ward safety checklist. Citation Text: Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098. Copy Citation Format: …

  9. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
    August 30, 2017 - Commentary Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Citation Text: Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…

  10. Effective physician–nurse communication: a patient safety essential for labor and delivery. | PSNet

    psnet.ahrq.gov/issue/effective-physician-nurse-communication-patient-safety-essential-labor-and-delivery
    May 21, 2019 - Study Effective physician–nurse communication: a patient safety essential for labor and delivery. Citation Text: Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.10…

  11. Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. | PSNet

    psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
    January 30, 2019 - Commentary Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. Citation Text: Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. Yeager KR, Saveanu R, Roberts AR…

  12. Using an advanced practice nursing model for a rapid response team. | PSNet

    psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
    August 18, 2021 - Commentary Using an advanced practice nursing model for a rapid response team. Citation Text: Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. Copy Citation Format: Google…

  13. Chronic kidney disease adversely influences patient safety. | PSNet

    psnet.ahrq.gov/issue/chronic-kidney-disease-adversely-influences-patient-safety
    July 29, 2020 - Study Chronic kidney disease adversely influences patient safety. Citation Text: Seliger SL, Zhan M, Hsu VD, et al. Chronic kidney disease adversely influences patient safety. J Am Soc Nephrol. 2008;19(12):2414-9. doi:10.1681/ASN.2008010022. Copy Citation Format: DOI Goog…

  14. The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. | PSNet

    psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
    May 02, 2012 - Commentary The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. Citation Text: Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in …

  15. A piece of my mind. Copy-and-paste. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
    July 01, 2012 - Commentary Classic A piece of my mind. Copy-and-paste. Citation Text: Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  16. Barriers to reporting medication errors: a measurement equivalence perspective. | PSNet

    psnet.ahrq.gov/issue/barriers-reporting-medication-errors-measurement-equivalence-perspective
    March 28, 2012 - Study Barriers to reporting medication errors: a measurement equivalence perspective. Citation Text: Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534. Copy …

  17. Interventions to improve oral chemotherapy safety and quality: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-oral-chemotherapy-safety-and-quality-systematic-review
    December 13, 2023 - Review Interventions to improve oral chemotherapy safety and quality: a systematic review. Citation Text: Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625. Copy Ci…

  18. CPOE: strategies for success. | PSNet

    psnet.ahrq.gov/issue/cpoe-strategies-success
    October 09, 2019 - Commentary CPOE: strategies for success. Citation Text: Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  19. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
    September 03, 2015 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Citation Text: Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…

  20. Emerging trends in perinatal quality and risk with recommendations for patient safety. | PSNet

    psnet.ahrq.gov/issue/emerging-trends-perinatal-quality-and-risk-recommendations-patient-safety
    October 19, 2022 - Commentary Emerging trends in perinatal quality and risk with recommendations for patient safety. Citation Text: Simpson KR. Emerging Trends in Perinatal Quality and Risk With Recommendations for Patient Safety. J Perinat Neonatal Nurs. 2018;32(1). doi:10.1097/jpn.0000000000000294. Cop…
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