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  1. Interruptions and miscommunications in surgery: an observational study. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
    August 11, 2021 - Study Interruptions and miscommunications in surgery: an observational study. Citation Text: Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012. Copy Citation For…

  2. 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…

  3. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet

    psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

  4. Network of Patient Safety Databases Chartbook. | PSNet

    psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…

  5. 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: …

  6. 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…

  7. 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…

  8. Health Information Technology in the United States: The Information Base for Progress. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
    April 04, 2018 - Book/Report Health Information Technology in the United States: The Information Base for Progress. Citation Text: Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…

  9. Creating safety culture on nursing units: human performance and organizational system factors that make a difference. | PSNet

    psnet.ahrq.gov/issue/creating-safety-culture-nursing-units-human-performance-and-organizational-system-factors
    May 29, 2013 - Study Creating safety culture on nursing units: human performance and organizational system factors that make a difference. Citation Text: Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000242978.40424.24. Co…

  10. Cognitive Systems Engineering in Health Care. | PSNet

    psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
    October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…

  11. Advancing the research agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
    May 25, 2022 - Review Advancing the research agenda for diagnostic error reduction. Citation Text: Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. Copy Citation Format: DOI G…

  12. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. | PSNet

    psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
    July 19, 2023 - Study Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. Citation Text: Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…

  13. A piece of my mind. Mentorship malpractice. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
    September 16, 2020 - Commentary A piece of my mind. Mentorship malpractice. Citation Text: Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  14. Aviation tools to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
    June 19, 2024 - Commentary Aviation tools to improve patient safety. Citation Text: Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  15. Patient safety in nursing practice. | PSNet

    psnet.ahrq.gov/issue/patient-safety-nursing-practice
    November 24, 2021 - Commentary Patient safety in nursing practice. Citation Text: Clancy CM, Farquhar MB, Sharp BAC. Patient safety in nursing practice. J Nurs Care Qual. 2005;20(3):193-197. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  16. Creating a culture of safety by using checklists. | PSNet

    psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
    July 30, 2014 - Commentary Creating a culture of safety by using checklists. Citation Text: Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  17. Second opinions improve healthcare outcomes and reduce costs. | PSNet

    psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
    April 12, 2023 - Newspaper/Magazine Article Second opinions improve healthcare outcomes and reduce costs. Citation Text: Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  18. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. Citation Text: Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…

  19. Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

    psnet.ahrq.gov/issue/assessing-evidence-context-sensitive-effectiveness-and-safety-patient-safety-practices
    July 27, 2018 - Book/Report Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Shekelle PG, Pron…

  20. Causes of near misses: perceptions of perioperative nurses. | PSNet

    psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
    October 07, 2020 - Study Causes of near misses: perceptions of perioperative nurses. Citation Text: Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
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