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  1. Understanding communication during hospitalist service changes: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-methods-study
    December 14, 2022 - Study Understanding communication during hospitalist service changes: a mixed methods study. Citation Text: doi:10.1002/jhm.523. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …

  2. Avoiding wrong site surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
    October 19, 2022 - Review Avoiding wrong site surgery: a systematic review. Citation Text: Devine J, Chutkan N, Norvell DC, et al. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa 1976). 2010;35(9 Suppl):S28-36. doi:10.1097/BRS.0b013e3181d833ac. Copy Citation Format: DOI Goo…

  3. Creating complex health improvement programs as mindful organizations: from theory to action. | PSNet

    psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
    October 19, 2022 - Commentary Creating complex health improvement programs as mindful organizations: from theory to action. Citation Text: Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83. Copy C…

  4. Disclosing adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients
    September 23, 2020 - Commentary Disclosing adverse events to patients. Citation Text: Cantor MD, Barach P, Derse A, et al. Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  5. Preventing complications of central venous catheterization. | PSNet

    psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
    September 02, 2015 - Review Preventing complications of central venous catheterization. Citation Text: McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  6. Medical emergency team: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-review-literature
    March 02, 2011 - Review Medical emergency team: a review of the literature. Citation Text: Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  7. Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Fry (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-development-overview.pdf
    June 02, 2025 - Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Fry DEVELOPMENT & OVERVIEW OF THE CLINICIAN & GROUP VISIT SURVEY 4.0 (BETA) Stephanie Fry Senior Study Director Westat Development of the Clinician & Group Visit Survey 4.0 (beta) • Literature review – focus on delivery of telehealth • Exper…

  8. Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. | PSNet

    psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
    September 04, 2013 - Commentary Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. Citation Text: Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…

  9. Current status of the monitoring of medication practice. | PSNet

    psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
    May 28, 2015 - Commentary Current status of the monitoring of medication practice. Citation Text: Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605. Copy Citation Format: DOI Google Scholar PubMe…

  10. The effect of hospital organizational characteristics on postoperative complications. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
    December 18, 2017 - Study The effect of hospital organizational characteristics on postoperative complications. Citation Text: Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf. 2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b. Copy Citation …

  11. SHOT Annual Report. | PSNet

    psnet.ahrq.gov/issue/shot-annual-report-2019
    July 10, 2019 - Book/Report SHOT Annual Report. Citation Text: SHOT Annual Report. S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. Copy Citation Save Save to your library Print Download PDF Share …

  12. Effective approaches to control non-actionable alarms and alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
    January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…

  13. Medical errors, malpractice, and defensive medicine: an ill-fated triad. | PSNet

    psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-ill-fated-triad
    July 06, 2022 - Review Medical errors, malpractice, and defensive medicine: an ill-fated triad. Citation Text: Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl). 2017;4(3):133-139. doi:10.1515/dx-2017-0007. Copy Citation Format: DOI Google …

  14. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. | PSNet

    psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
    March 07, 2012 - Review The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Citation Text: Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…

  15. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. | PSNet

    psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
    May 09, 2014 - Commentary Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Citation Text: Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483. Copy…

  16. Patient safety strategies: a call for physician leadership. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
    January 13, 2021 - Commentary Patient safety strategies: a call for physician leadership. Citation Text: Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011. Copy Citation Format: DOI Google …

  17. Perioperative Staff Safety Assessment | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
    December 01, 2017 - Perioperative Staff Safety Assessment AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…

  18. Implementation of patient safety initiatives in US hospitals. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
    December 12, 2014 - Commentary Implementation of patient safety initiatives in US hospitals. Citation Text: McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052. Copy Citation Format: …

  19. A systems approach to patient-centered care. | PSNet

    psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  20. When public health goes wrong: toward a new concept of public health error. | PSNet

    psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…
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