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  1. NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. | PSNet

    psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
    October 18, 2017 - Book/Report NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. Citation Text: NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…

  2. New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. | PSNet

    psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
    December 10, 2024 - Meeting/Conference Proceedings New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. Citation Text: New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. Agency for Healthcare Research and Quality. January 24, 2023. Copy Citation S…

  3. Heparin: improving treatment and reducing risk of harm. | PSNet

    psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
    July 28, 2021 - Newspaper/Magazine Article Heparin: improving treatment and reducing risk of harm. Citation Text: Heparin: improving treatment and reducing risk of harm. Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25. Copy Citation …

  4. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …

  5. The harms of promoting 'Zero Harm'. | PSNet

    psnet.ahrq.gov/issue/harms-promoting-zero-harm
    February 12, 2020 - Commentary Emerging Classic The harms of promoting 'Zero Harm'. Citation Text: Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-009703. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  6. A morning briefing: setting the stage for a clinically and operationally good day. | PSNet

    psnet.ahrq.gov/issue/morning-briefing-setting-stage-clinically-and-operationally-good-day
    June 28, 2010 - Tools/Toolkit A morning briefing: setting the stage for a clinically and operationally good day. Citation Text: Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9. C…

  7. ONC Health IT Certification Program: Enhanced Oversight and Accountability. | PSNet

    psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
    June 29, 2016 - Government Resource ONC Health IT Certification Program: Enhanced Oversight and Accountability. Citation Text: ONC Health IT Certification Program: Enhanced Oversight and Accountability. Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;…

  8. Influencing leadership perceptions of patient safety through just culture training. | PSNet

    psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
    September 24, 2010 - Commentary Influencing leadership perceptions of patient safety through just culture training. Citation Text: Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…

  9. Doctors' handovers in hospitals: a literature review. | PSNet

    psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
    February 29, 2012 - Review Doctors' handovers in hospitals: a literature review. Citation Text: Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389. Copy Citation Format: DOI Google Schol…

  10. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. | PSNet

    psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
    September 04, 2010 - Review Keeping patients safe in healthcare organizations: a structuration theory of safety culture. Citation Text: Groves PS, Meisenbach RJ, Scott-Cawiezell J. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. J Adv Nurs. 2011;67(8):1846-55. d…

  11. Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
    December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…

  12. Interruptions and medication errors: part I. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
    January 03, 2017 - Commentary Interruptions and medication errors: part I. Citation Text: Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  13. The role of the chief executive officer in maximizing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
    January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…

  14. Unintended exposure in radiotherapy: identification of prominent causes. | PSNet

    psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
    May 01, 2003 - Study Unintended exposure in radiotherapy: identification of prominent causes. Citation Text: Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044. Copy Citation Format: …

  15. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
    April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

  16. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
    January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…

  17. Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
    January 13, 2021 - Book/Report Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…

  18. Safe Practices for Better Healthcare–2009 Update. | PSNet

    psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
    September 29, 2017 - Multi-use Website Safe Practices for Better Healthcare–2009 Update. Citation Text: Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009. Copy Citation Save Save to your library Print …

  19. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet

    psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
    February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

  20. The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
    September 28, 2022 - Book/Report The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. Citation Text: The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Econo…
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