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  1. Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

    psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
    October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

  2. In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

    psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
    June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

  3. Evaluation of detected medication errors within the operating room at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/evaluation-detected-medication-errors-within-operating-room-academic-medical-center
    October 19, 2022 - Study Evaluation of detected medication errors within the operating room at an academic medical center. Citation Text: Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10…

  4. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

    psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

  5. Improving incident reporting among physician trainees. | PSNet

    psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
    October 08, 2016 - Study Improving incident reporting among physician trainees. Citation Text: Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. Copy Citation Format: DOI Google Sc…

  6. Learning from no-fault treatment injury claims to improve the safety of older patients. | PSNet

    psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
    September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…

  7. Flow disruptions in trauma care handoffs. | PSNet

    psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
    August 02, 2015 - Study Flow disruptions in trauma care handoffs. Citation Text: Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  8. Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. | PSNet

    psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national
    September 26, 2012 - Study Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. Citation Text: Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…

  9. Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet

    psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
    December 01, 2014 - Study Process changes to increase compliance with the Universal Protocol for bedside procedures. Citation Text: Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…

  10. Exploring and evaluating patient safety culture in a community-based primary care setting. | PSNet

    psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
    March 19, 2018 - Study Exploring and evaluating patient safety culture in a community-based primary care setting. Citation Text: Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…

  11. Unrecognized cardiovascular emergencies among Medicare patients. | PSNet

    psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
    November 16, 2022 - Study Unrecognized cardiovascular emergencies among Medicare patients. Citation Text: Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628. Copy Citation Forma…

  12. Health information technology and patient safety: evidence from panel data. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
    February 23, 2011 - Study Health information technology and patient safety: evidence from panel data. Citation Text: Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. Copy Citation…

  13. "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. | PSNet

    psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
    February 16, 2011 - Study "See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. Citation Text: Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…

  14. Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
    February 05, 2020 - Study Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. Citation Text: Bontempo AC, Mikesell L. Patient perceptions of misdiagnosis of endometriosis: results from an online national survey. Diagnosis (Berl). 2020;7(2):97-106. doi:10.1515/dx-201…

  15. Patient safety teams recognised at BMJ awards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-teams-recognised-bmj-awards
    October 19, 2022 - Press Release/Announcement Patient safety teams recognised at BMJ awards. Citation Text: Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1). doi:10.1136/bmj.g2404. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  16. A public health approach to patient safety reporting systems is urgently needed. | PSNet

    psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
    January 14, 2014 - Review A public health approach to patient safety reporting systems is urgently needed. Citation Text: Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c. …

  17. Medicare nonpayment, hospital falls, and unintended consequences. | PSNet

    psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
    October 19, 2022 - Commentary Medicare nonpayment, hospital falls, and unintended consequences. Citation Text: Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963. Copy Citation Format: …

  18. Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. | PSNet

    psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
    September 29, 2010 - Study Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. Citation Text: Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…

  19. Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
    July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

  20. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. | PSNet

    psnet.ahrq.gov/issue/family-involvement-patient-safety-and-suicide-prevention-mental-healthcare-ethnographic-study
    February 19, 2020 - Study Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. Citation Text: Gorman LS, Littlewood DL, Quinlivan L, et al. Family involvement, patient safety and suicide prevention in mental healthcare: ethnographic study. BJPsych Open. 2023;9(…
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