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  1. Patient safety: Part II. Opportunities for improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
    August 19, 2009 - Review Patient safety: Part II. Opportunities for improvement in patient safety. Citation Text: Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…

  2. With Safety in Mind: Mental Health Services and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
    August 07, 2018 - Book/Report With Safety in Mind: Mental Health Services and Patient Safety. Citation Text: With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. Copy Citation Save …

  3. The role of patient safety culture in the causation of unintended events in hospitals. | PSNet

    psnet.ahrq.gov/issue/role-patient-safety-culture-causation-unintended-events-hospitals
    October 14, 2009 - Study The role of patient safety culture in the causation of unintended events in hospitals. Citation Text: Smits M, Wagner C, Spreeuwenberg P, et al. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012;21(23-24):3392-401. doi:10.1111…

  4. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  5. Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. | PSNet

    psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
    December 21, 2017 - Commentary Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. Citation Text: Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpati…

  6. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet

    psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
    December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

  7. Patient reports of preventable problems and harms in primary health care. | PSNet

    psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
    February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…

  8. Operating room fires. | PSNet

    psnet.ahrq.gov/issue/operating-room-fires
    March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  9. Motion study in surgery. | PSNet

    psnet.ahrq.gov/issue/motion-study-surgery
    September 02, 2020 - Study Classic Motion study in surgery. Citation Text: Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  10. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
    November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…

  11. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet

    psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
    March 14, 2022 - Organizational Policy/Guidelines Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Citation Text: Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …

  12. Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. | PSNet

    psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
    March 11, 2015 - Study Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. Citation Text: Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…

  13. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. | PSNet

    psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
    November 11, 2020 - Commentary Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Citation Text: Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…

  14. Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. | PSNet

    psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
    October 06, 2011 - Commentary Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Citation Text: Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…

  15. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

  16. Disruptive behaviors among physicians. | PSNet

    psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
    August 14, 2014 - Commentary Disruptive behaviors among physicians. Citation Text: Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  17. The effectiveness of management-by-walking-around: a randomized field study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
    October 01, 2014 - Study The effectiveness of management-by-walking-around: a randomized field study. Citation Text: Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. Copy Citation Format: DO…

  18. Detecting adverse drug events through data mining. | PSNet

    psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
    February 17, 2009 - Commentary Detecting adverse drug events through data mining. Citation Text: Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  19. Patterns of nurse–physician communication and agreement on the plan of care. | PSNet

    psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
    December 21, 2014 - Study Patterns of nurse–physician communication and agreement on the plan of care. Citation Text: O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.03022…

  20. Safe and equitable pediatric clinical use of AI. | PSNet

    psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
    February 26, 2025 - Commentary Safe and equitable pediatric clinical use of AI. Citation Text: Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. Copy Citation Format: DOI Google Scholar …
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