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  1. Recommendations for quality assurance and improvement in surgical and autopsy pathology. | PSNet

    psnet.ahrq.gov/issue/recommendations-quality-assurance-and-improvement-surgical-and-autopsy-pathology
    September 29, 2010 - Commentary Recommendations for quality assurance and improvement in surgical and autopsy pathology. Citation Text: Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):9…

  2. Critical diagnoses (critical values) in anatomic pathology. | PSNet

    psnet.ahrq.gov/issue/critical-diagnoses-critical-values-anatomic-pathology
    September 29, 2010 - Commentary Critical diagnoses (critical values) in anatomic pathology. Citation Text: Pathology A of D of A and S, Silverman JF, Fletcher CDM, et al. Critical diagnoses (critical values) in anatomic pathology. Hum Pathol. 2006;37(8):982-4. Copy Citation Format: Google Sch…

  3. No simple fix for fixation errors: cognitive processes and their clinical applications. | PSNet

    psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
    February 10, 2012 - Study No simple fix for fixation errors: cognitive processes and their clinical applications. Citation Text: Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia. 2009;65(1). doi:10.1111/j.1365-2044.2009.05994…

  4. Toward the modelling of safety violations in healthcare systems. | PSNet

    psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
    May 01, 2024 - Commentary Toward the modelling of safety violations in healthcare systems. Citation Text: Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. Copy Citation Format: DOI Google Scholar…

  5. HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
    September 12, 2012 - Book/Report HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006. Copy Citation Save Save to your l…

  6. Through and beyond anaesthesia awareness. | PSNet

    psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
    September 20, 2023 - Commentary Through and beyond anaesthesia awareness. Citation Text: Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  7. Disclosure of adverse events in pediatrics. | PSNet

    psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
    April 21, 2021 - Organizational Policy/Guidelines Disclosure of adverse events in pediatrics. Citation Text: Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…

  8. Human and organizational biases affecting the management of safety. | PSNet

    psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
    May 29, 2014 - Commentary Human and organizational biases affecting the management of safety. Citation Text: Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010. Copy Citation Format: …

  9. Multilayered approach to patient safety culture. | PSNet

    psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
    March 14, 2016 - Commentary Multilayered approach to patient safety culture. Citation Text: Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793. Copy Citation Format: DOI Google Scholar Pu…

  10. Large-scale Coordination: Health Care. | PSNet

    psnet.ahrq.gov/issue/large-scale-coordination-health-care
    August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…

  11. Implementation of a rapid response team: a success story. | PSNet

    psnet.ahrq.gov/issue/implementation-rapid-response-team-success-story
    August 21, 2024 - Commentary Implementation of a rapid response team: a success story. Citation Text: Scott SS, Elliott S. Implementation of a rapid response team: a success story. Crit Care Nurse. 2009;29(3):66-75; quiz 76. doi:10.4037/ccn2009802. Copy Citation Format: DOI Google Scholar …

  12. The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. | PSNet

    psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
    March 23, 2012 - Book/Report The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Citation Text: The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010. Copy Citation Sa…

  13. Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. | PSNet

    psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
    November 17, 2010 - Book/Report Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Citation Text: Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Rese…

  14. Patient safety in the era of healthcare reform. | PSNet

    psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform
    November 02, 2014 - Commentary Patient safety in the era of healthcare reform. Citation Text: Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  15. Guideline implementation: prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
    October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…

  16. Physician communication when prescribing new medications. | PSNet

    psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
    December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…

  17. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/programs/index.html?page=4
    Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More CAHPS The CAHPS program aims to advance our scientific …

  18. 2009 National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/2009-national-patient-safety-goals
    August 03, 2016 - Commentary 2009 National Patient Safety Goals. Citation Text: Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  19. The lost sponge: patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
    January 26, 2022 - Commentary The lost sponge: patient safety in the operating room. Citation Text: Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900. Copy Citation Format: DOI Google Scholar PubM…

  20. Enhancing a culture of safety through disclosure of adverse events. | PSNet

    psnet.ahrq.gov/issue/enhancing-culture-safety-through-disclosure-adverse-events
    October 26, 2022 - Newspaper/Magazine Article Enhancing a culture of safety through disclosure of adverse events. Citation Text: Enhancing a culture of safety through disclosure of adverse events. Cornelissen C, Call RC, Harbell MW, et al. APSF Newsletter. February 202136(1);25-27 Copy Citati…
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