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  1. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  2. Better understanding the downsides of low value healthcare could reduce harm. | PSNet

    psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
    August 11, 2021 - Commentary Better understanding the downsides of low value healthcare could reduce harm. Citation Text: Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117. Copy Citation Format: D…

  3. Medication governance: preventing errors and promoting patient safety. | PSNet

    psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
    November 08, 2023 - Commentary Medication governance: preventing errors and promoting patient safety. Citation Text: Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. Copy Citation Format: DOI Goog…

  4. Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

    psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…

  5. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. | PSNet

    psnet.ahrq.gov/issue/daytime-sleepiness-sleep-habits-and-occupational-accidents-among-hospital-nurses
    June 19, 2024 - Study Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Citation Text: Suzuki K, Ohida T, Kaneita Y, et al. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J Adv Nurs. 2005;52(4):445-53. Copy Citation Format: …

  6. Medication errors in nursing—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
    March 23, 2016 - Commentary Medication errors in nursing—part 1 and part 2. Citation Text: Leufer T, Cleary-Holdforth J. Let's do no harm: medication errors in nursing: part 1. Nurse Educ Pract. 2013;13(3):213-216. doi:10.1016/j.nepr.2013.01.013. Copy Citation Format: DOI Google Scholar P…

  7. Taking a closer look at medication errors that involve oxytocin. | PSNet

    psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
    July 18, 2018 - Newspaper/Magazine Article Taking a closer look at medication errors that involve oxytocin. Citation Text: Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6. Copy Citation Save …

  8. A systematic review of the literature on multidisciplinary rounds to design information technology. | PSNet

    psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
    November 20, 2024 - Review A systematic review of the literature on multidisciplinary rounds to design information technology. Citation Text: Gurses AP, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information technology. J Am Med Inform Assoc. 2006;13(3):267-76. C…

  9. Review of the Australian Incident Monitoring System. | PSNet

    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  10. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  11. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

    psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
    April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

  12. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Oakbrook Terrace, IL: The Joint Commission; November 2015. Copy Citation …

  13. Preventing patient positioning injuries in the nonoperating room setting. | PSNet

    psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
    November 21, 2012 - Commentary Preventing patient positioning injuries in the nonoperating room setting. Citation Text: Moody A, Chacin B, Chang C. Preventing patient positioning injuries in the nonoperating room setting. Curr Opin Anaesthesiol. 2022;35(4):465-471. doi:10.1097/aco.0000000000001153. Copy C…

  14. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. | PSNet

    psnet.ahrq.gov/issue/adaptive-regulation-or-governmentality-patient-safety-and-changing-regulation-medicine
    December 09, 2020 - Commentary Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Citation Text: Waring J. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. Sociol Health Illn. 2007;29(2):163-79. Copy Citation …

  15. HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. | PSNet

    psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
    December 16, 2009 - Book/Report HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. Citation Text: Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…

  16. Making doctors better. | PSNet

    psnet.ahrq.gov/issue/making-doctors-better
    June 15, 2016 - Commentary Making doctors better. Citation Text: Gerada C, Chatfield C, Rimmer A, et al. Making doctors better. BMJ. 2018;363:k4147. doi:10.1136/bmj.k4147. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…

  18. Using simulation to teach patient safety behaviors in undergraduate nursing education. | PSNet

    psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education
    March 23, 2011 - Study Using simulation to teach patient safety behaviors in undergraduate nursing education. Citation Text: Gantt LT, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurs Educ. 2010;49(1):48-51. doi:10.3928/01484834-20090918-10. …

  19. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. | PSNet

    psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
    November 06, 2024 - Newspaper/Magazine Article FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. Citation Text: Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024; Copy Citation Format: …

  20. What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet

    psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
    September 23, 2020 - Review What is the effectiveness of reporting systems in promoting learning in healthcare? Citation Text: Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444. Copy Citation F…
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