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  1. Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. | PSNet

    psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
    June 13, 2012 - Book/Report Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. Citation Text: Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellenc…

  2. Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. | PSNet

    psnet.ahrq.gov/issue/safeguarding-patients-complexity-science-high-reliability-organizations-and-implications-team
    March 31, 2021 - Commentary Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. Citation Text: McKeon LM, Oswaks JD, Cunningham PD. Safeguarding patients: complexity science, high reliability organizations, and implications for te…

  3. FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
    July 01, 2020 - Newspaper/Magazine Article FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. Citation Text: FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. ISMP Medication Safety Alert! Acute care edition.&…

  4. Patient safety in dermatology: a ten-year update. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update
    February 17, 2010 - Review Patient safety in dermatology: a ten-year update. Citation Text: Patient safety in dermatology: a ten-year update. Patel J, Otto E, Taylor JS, et al. Dermatol Online J. 2021;27(3). Copy Citation Save Save to your library Print Download PDF …

  5. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. | PSNet

    psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
    May 25, 2022 - Commentary Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. Citation Text: Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/b…

  6. A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. | PSNet

    psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
    November 07, 2018 - Study A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. Citation Text: O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. Copy Citation …

  7. The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. | PSNet

    psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap
    May 26, 2021 - Commentary The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Citation Text: The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248. Copy…

  8. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. | PSNet

    psnet.ahrq.gov/issue/power-saying-i-dont-know-psychological-safety-and-participatory-strategies-healthcare-leaders
    August 31, 2011 - Commentary Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. Citation Text: Hunt DF. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. BMJ Lead. 2024;Epub Jan 17. doi:10.1136/l…

  9. Is yours a learning organization? | PSNet

    psnet.ahrq.gov/issue/yours-learning-organization
    March 18, 2019 - Newspaper/Magazine Article Is yours a learning organization? Citation Text: Garvin DA, Edmondson A, Gino F. Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  10. Effect of a hospital command centre on patient safety: an interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
    July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…

  11. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet

    psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
    September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…

  12. The problem with medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/problem-medication-reconciliation
    May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  13. Deprescribing as a clinical improvement focus. | PSNet

    psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
    April 08, 2011 - Study Deprescribing as a clinical improvement focus. Citation Text: Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031. Copy Citation Format: DOI Google Scholar Pub…

  14. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dual-process-cognitive-interventions-enhance-diagnostic-reasoning-systematic-review
    March 20, 2019 - Review Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. Citation Text: Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.113…

  15. An examination of factors that predict the perioperative culture of safety. | PSNet

    psnet.ahrq.gov/issue/examination-factors-predict-perioperative-culture-safety
    May 12, 2021 - Study An examination of factors that predict the perioperative culture of safety. Citation Text: Wright MI, Polivka B, Abusalem S. An examination of factors that predict the perioperative culture of safety. AORN J. 2021;113(5):465-475. doi:10.1002/aorn.13373. Copy Citation Format: …

  16. Apology laws and malpractice liability: what have we learned? | PSNet

    psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
    March 18, 2020 - Commentary Apology laws and malpractice liability: what have we learned? Citation Text: Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. Copy Citation Format: DOI G…

  17. Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet

    psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
    August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

  18. Safe use of health information technology. | PSNet

    psnet.ahrq.gov/issue/safe-use-health-information-technology
    December 23, 2016 - Sentinel Event Alerts Safe use of health information technology. Citation Text: Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6. Copy Citation Save Save to your library Print Download PDF Share Faceb…

  19. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. | PSNet

    psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
    July 28, 2021 - Commentary Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Citation Text: Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):179…

  20. Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. | PSNet

    psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
    August 15, 2007 - Book/Report Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Citation Text: Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…
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