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  1. Implementing human factors in clinical practice. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
    June 28, 2023 - Study Implementing human factors in clinical practice. Citation Text: Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203. Copy Citation Format: DOI Google Scholar PubMed …

  2. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet

    psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
    February 14, 2024 - Study Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. Citation Text: Wubben I, van Manen JG, van den Akker BJ, et al. Equipment-related incidents in the operating room: an analysis of occurrence,…

  3. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

    psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
    September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

  4. "Everybody makes mistakes": children's views on medical errors and disclosure. | PSNet

    psnet.ahrq.gov/issue/everybody-makes-mistakes-childrens-views-medical-errors-and-disclosure
    March 20, 2019 - Study "Everybody makes mistakes": children's views on medical errors and disclosure. Citation Text: Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014. Copy Cita…

  5. 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet

    psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
    May 19, 2021 - Commentary 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. Citation Text: Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…

  6. A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

    psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model
    June 14, 2017 - Commentary A framework for patient safety: a defense nuclear industry-based high-reliability model. Citation Text: Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…

  7. Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? | PSNet

    psnet.ahrq.gov/issue/canadian-association-university-surgeons-annual-symposium-surgical-simulation-solution-safe
    March 09, 2022 - Review Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? Citation Text: Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulat…

  8. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet

    psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
    April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

  9. Consensus building for development of outpatient adverse drug event triggers. | PSNet

    psnet.ahrq.gov/issue/consensus-building-development-outpatient-adverse-drug-event-triggers
    November 10, 2010 - Study Consensus building for development of outpatient adverse drug event triggers. Citation Text: Mull HJ, Nebeker JR, Shimada SL, et al. Consensus building for development of outpatient adverse drug event triggers. J Patient Saf. 2011;7(2):66-71. doi:10.1097/PTS.0b013e31820c98ba. C…

  10. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. | PSNet

    psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
    July 19, 2023 - Study The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. Citation Text: Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1…

  11. Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
    January 13, 2010 - Commentary Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. Citation Text: Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…

  12. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
    June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…

  13. Transitions in Care | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/transitions-care
    January 01, 2023 - Transitions in Care Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery Description This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that…

  14. Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
    April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. Citation Text: Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…

  15. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. | PSNet

    psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
    February 16, 2011 - Study Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. Citation Text: Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …

  16. In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
    March 13, 2013 - Review In-facility delirium programs as a patient safety strategy: a systematic review. Citation Text: Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158…

  17. Health information technology and patient safety: evidence from panel data. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
    February 23, 2011 - Study Health information technology and patient safety: evidence from panel data. Citation Text: Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. Copy Citation…

  18. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
    August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…

  19. Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. | PSNet

    psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
    August 02, 2015 - Commentary Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. Citation Text: Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patien…

  20. The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. | PSNet

    psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
    January 23, 2019 - Study The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. Citation Text: Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…
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