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  1. Improving diagnosis in health care—the next imperative for patient safety. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
    July 15, 2015 - Commentary Classic Improving diagnosis in health care—the next imperative for patient safety. Citation Text: Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33620/psn-pdf
    September 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005) September 1, 2005 Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005 In response to "Getting to the R…

  3. Investigating the causes of adverse events. | PSNet

    psnet.ahrq.gov/issue/investigating-causes-adverse-events
    October 03, 2017 - Commentary Investigating the causes of adverse events. Citation Text: Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. Copy Citation Format: DOI Google …

  4. Evaluating safety and competency at the bedside. | PSNet

    psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
    November 16, 2022 - Commentary Evaluating safety and competency at the bedside. Citation Text: Kaplan T, Pilcher J. Evaluating safety and competency at the bedside. J Nurses Staff Dev. 2011;27(4):187-90. doi:10.1097/NND.0b013e3182236634. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  5. One hospital's initiatives to encourage safe opioid use. | PSNet

    psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

  6. Student-observed surgical safety practices across an urban regional health authority. | PSNet

    psnet.ahrq.gov/issue/student-observed-surgical-safety-practices-across-urban-regional-health-authority
    August 12, 2020 - Study Student-observed surgical safety practices across an urban regional health authority. Citation Text: Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.04…

  7. Handing over patient care: is it just the old broken telephone game? | PSNet

    psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. Copy Citation Form…

  8. Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. | PSNet

    psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
    April 24, 2018 - Study Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. Citation Text: McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit C…

  9. Examining the diagnostic justification abilities of fourth-year medical students. | PSNet

    psnet.ahrq.gov/issue/examining-diagnostic-justification-abilities-fourth-year-medical-students
    December 21, 2014 - Study Examining the diagnostic justification abilities of fourth-year medical students. Citation Text: Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff. Copy Citation…

  10. Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. | PSNet

    psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
    June 01, 2012 - Study Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. Citation Text: Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1…

  11. Nursing handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
    January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

  12. Postoperative opioid prescribing: Getting it RIGHTT. | PSNet

    psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
    August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…

  13. Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. | PSNet

    psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
    December 12, 2012 - Commentary Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. Citation Text: Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…

  14. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet

    psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
    May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

  15. Electronic medical record availability and primary care depression treatment. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
    November 16, 2022 - Study Electronic medical record availability and primary care depression treatment. Citation Text: Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0. Copy …

  16. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

  17. Patient safety in the office-based setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-office-based-setting
    August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  18. Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment request. | PSNet

    psnet.ahrq.gov/issue/agency-information-collection-activities-ambulatory-surgery-center-survey-patient-safety
    June 16, 2021 - Press Release/Announcement Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment request. Citation Text: Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment…

  19. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
    June 26, 2024 - Review The role of practice guidelines and evidence-based medicine in perioperative patient safety. Citation Text: Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…

  20. Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. | PSNet

    psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
    April 11, 2012 - Review Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. Citation Text: Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…
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