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  1. A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. | PSNet

    psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
    February 07, 2024 - Commentary A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. Citation Text: Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…

  2. Incorporating quality and safety values into a CLABSI simulation experience. | PSNet

    psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-clabsi-simulation-experience
    February 14, 2017 - Commentary Incorporating quality and safety values into a CLABSI simulation experience. Citation Text: Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience. Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175. Copy Citation Format: …

  3. The human face of simulation: patient-focused simulation training. | PSNet

    psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
    January 13, 2010 - Study The human face of simulation: patient-focused simulation training. Citation Text: Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24. Copy Citation Format: Google Scholar PubMed BibT…

  4. Severity of medication administration errors detected by a bar-code medication administration system. | PSNet

    psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
    June 17, 2010 - Study Severity of medication administration errors detected by a bar-code medication administration system. Citation Text: Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…

  5. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. | PSNet

    psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
    October 30, 2019 - Study First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. Citation Text: Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes…

  6. Measuring safety climate in elderly homes. | PSNet

    psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
    March 29, 2023 - Study Measuring safety climate in elderly homes. Citation Text: Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  7. Impact of the unit-based patient safety officer. | PSNet

    psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
    September 19, 2012 - Study Impact of the unit-based patient safety officer. Citation Text: Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm. 2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e. Copy Citation Format: DOI Google Scholar PubM…

  8. The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. | PSNet

    psnet.ahrq.gov/issue/influence-tall-man-lettering-errors-visual-perception-recognition-written-drug-names
    December 19, 2017 - Study The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Citation Text: Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Ergono…

  9. Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet

    psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
    February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

  10. Quality and safety of artificial intelligence generated health information. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
    October 19, 2022 - Commentary Quality and safety of artificial intelligence generated health information. Citation Text: Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596. Copy Citation Format: …

  11. Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. | PSNet

    psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
    March 12, 2019 - Book/Report Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Citation Text: Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Silver Spring, MD: US Department of Health and Human Services, Food and Drug …

  12. Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/online-counseling-enable-lifestyle-focused-obesity-treatment-primary-care/annual-summary/2010
    January 01, 2010 - Online Counseling to Enable Lifestyle-focused Obesity Treatment in Primary Care - 2010 Project Name Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care Principal Investigator McTigue, Kathleen M. Organization University of Pittsburgh Fundin…

  13. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. | PSNet

    psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
    April 24, 2018 - Review Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. Citation Text: Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…

  14. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet

    psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
    September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

  15. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. | PSNet

    psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior
    September 03, 2011 - Study Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. Citation Text: Clare CA, Afzal O, Knapp K, et al. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. J Patient Saf. 2013;9(2):68-74. doi:10.…

  16. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

  17. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
    June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture © Aurora Health Care, Inc. © Aurora Health Care, Inc. Pharmacy Survey on Patient Safety Culture Jim Motz, R.Ph. Specialty Pharmacy Program Manager Aurora Pharmacy, Inc. © Aurora Health Care, Inc. Aurora Pharmacies Overview • Integrated health sys…

  18. Using the ABCs of situational awareness for patient safety. | PSNet

    psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
    November 16, 2022 - Commentary Using the ABCs of situational awareness for patient safety. Citation Text: Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. Copy Citation Format: DOI Google Scholar…

  19. How can the criminal law support the provision of quality in healthcare? | PSNet

    psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quality-healthcare
    December 19, 2018 - Review How can the criminal law support the provision of quality in healthcare? Citation Text: Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. Copy Citation Format: D…

  20. Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet

    psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
    August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…
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