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  1. Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. | PSNet

    psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
    December 31, 2014 - Study Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. Citation Text: Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…

  2. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. | PSNet

    psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
    September 03, 2015 - Study Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. Citation Text: Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…

  3. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. | PSNet

    psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
    November 25, 2020 - Commentary The perianesthesia nurse's role in the prevention of opioid-related sentinel events. Citation Text: Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. Copy Citat…

  4. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. | PSNet

    psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room
    November 09, 2015 - Study Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …

  5. The medication kit conundrum: considerations to enhance safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
    June 07, 2017 - Commentary The medication kit conundrum: considerations to enhance safety and efficiency. Citation Text: Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…

  6. Infusing fun into quality and safety initiatives. | PSNet

    psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
    October 19, 2022 - Commentary Infusing fun into quality and safety initiatives. Citation Text: Foulk KC, Tocydlowski P, Snow TM, et al. Infusing fun into quality and safety initiatives. Nursing (Brux). 2012;42(11):14-16. doi:10.1097/01.NURSE.0000421386.36112.a9. Copy Citation Format: DOI Goo…

  7. From good to better: toward a patient safety initiative in dentistry. | PSNet

    psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
    September 06, 2017 - Commentary From good to better: toward a patient safety initiative in dentistry. Citation Text: Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. Copy Citation Format: Google Scho…

  8. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. | PSNet

    psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
    December 18, 2013 - Study Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Citation Text: Collier A, Sorensen R, Iedema R. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Int J Qual…

  9. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet

    psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
    January 13, 2021 - Review Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Citation Text: Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin N…

  10. Can the aviation industry be useful in teaching oncology about safety? | PSNet

    psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
    June 13, 2011 - Commentary Can the aviation industry be useful in teaching oncology about safety? Citation Text: Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. Copy Citation …

  11. 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…

  12. 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…

  13. Workplace bullying in risk and safety professionals. | PSNet

    psnet.ahrq.gov/issue/workplace-bullying-risk-and-safety-professionals
    May 05, 2021 - Study Workplace bullying in risk and safety professionals. Citation Text: Brewer G, Holt B, Malik S. Workplace bullying in risk and safety professionals. J Safety Res. 2018;64:129-133. doi:10.1016/j.jsr.2017.12.015. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  14. 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. …

  15. Drug Shortages: Root Causes and Potential Solutions. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
    January 13, 2021 - Book/Report Emerging Classic Drug Shortages: Root Causes and Potential Solutions. Citation Text: Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020. Copy Citation …

  16. Disclosure of harmful medical error to patients: a review with recommendations for pathologists. | PSNet

    psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
    September 21, 2022 - Review Disclosure of harmful medical error to patients: a review with recommendations for pathologists. Citation Text: Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…

  17. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet

    psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
    September 24, 2010 - Commentary A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Citation Text: Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51. Copy Citati…

  18. Appendix A: Members of the 2012 AHRQ Subcommittee to the National Advisory Council on Children's Health Quality Measures (SNAC) | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapa.html
    December 01, 2012 - Appendix A: Members of the 2012 AHRQ Subcommittee to the National Advisory Council on Children's Health Quality Measures (SNAC) Recommendations to Improve Children's Health Care Quality Measures This background report describes the process used to identify, evaluate, and select children's health care quality …

  19. Health information technology and hospital patient safety: a conceptual model to guide research. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-hospital-patient-safety-conceptual-model-guide-research
    December 17, 2009 - Study Health information technology and hospital patient safety: a conceptual model to guide research. Citation Text: Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):41…

  20. Measuring perinatal patient safety: review of current methods. | PSNet

    psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
    October 19, 2022 - Commentary Measuring perinatal patient safety: review of current methods. Citation Text: Simpson KR. Measuring perinatal patient safety: review of current methods. J Obstet Gynecol Neonatal Nurs. 2006;35(3):432-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…
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