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9361. Zero harm in health care. | PSNet
      psnet.ahrq.gov/issue/zero-harm-health-care
      August 12, 2020 - Commentary Zero harm in health care. Citation Text: Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

9362. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet
      psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
      October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…

9363. Utilizing pharmacy students in transitions-of-care services. | PSNet
      psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
      October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…

9364. The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
      December 21, 2018 - Review The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. Citation Text: Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in …

9365. Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. | PSNet
      psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
      October 23, 2024 - Commentary Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. Citation Text: Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…

9366. A multidisciplinary team approach to retained foreign objects. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
      June 10, 2010 - Study A multidisciplinary team approach to retained foreign objects. Citation Text: Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. Copy Citation Format: Google Scholar PubMed…

9367. Medication dosing errors for patients with renal insufficiency in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/medication-dosing-errors-patients-renal-insufficiency-ambulatory-care
      July 31, 2008 - Study Medication dosing errors for patients with renal insufficiency in ambulatory care. Citation Text: Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016…

9368. Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. | PSNet
      psnet.ahrq.gov/issue/development-and-evaluation-3-day-patient-safety-curriculum-advance-knowledge-self-efficacy
      July 01, 2016 - Study Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. Citation Text: Aboumatar HJ, Thompson DA, Wu AW, et al. Development and evaluation of a 3-day patient safety curriculum to advance knowl…

9369. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet
      psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
      July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

9370. Care at the point of impact: insights into the second-victim experience. | PSNet
      psnet.ahrq.gov/issue/care-point-impact-insights-second-victim-experience
      January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

9371. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. | PSNet
      psnet.ahrq.gov/issue/maintaining-perioperative-safety-uncertain-times-covid-19-pandemic-response-strategies
      December 23, 2020 - Commentary Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. Citation Text: Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195. Co…

9372. The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet
      psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
      November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

9373. The threat within: mitigating the risk of medical error. | PSNet
      psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
      July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

9374. Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet
      psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
      April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…

9375. Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet
      psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
      January 17, 2012 - Commentary Proposal for a 'surgical checklist' for ambulatory oral surgery. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…

9376. Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum. | PSNet
      psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact-student
      January 30, 2013 - Study Levels of reflective thinking and patient safety: an investigation of the mechanisms that impact on student learning in a single cohort over a 5 year curriculum. Citation Text: Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms t…

9377. Duty hours restriction and their effect on resident education and academic departments: the American perspective. | PSNet
      psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
      November 16, 2022 - Review Duty hours restriction and their effect on resident education and academic departments: the American perspective. Citation Text: Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…

9378. Reducing errors through discharge medication reconciliation by pharmacy services. | PSNet
      psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services
      October 20, 2021 - Study Reducing errors through discharge medication reconciliation by pharmacy services. Citation Text: Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services.  Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…

9379. The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet
      psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
      October 19, 2022 - Study The ins and outs of change of shift handoffs between nurses: a communication challenge. Citation Text: Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…

9380. About the SOPS Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/index.html
      July 01, 2024 - About the SOPS Program Since 2001, the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program has supported AHRQ's mission by advancing the scientific understanding of patient safety culture in healthcare settings. What Is Patient Safety Culture?  Patient safety culture is an aspect of an organization's cultu…