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  1. Tool: Perioperative Staff Safety Assessment (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
    December 01, 2017 - Tool: Perioperative Staff Safety Assessment AHRQ Safety Program for Surgery Perioperative Staff Safety Assessment 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 patie…

  2. Application of failure mode and effect analysis in a radiology department. | PSNet

    psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
    October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department. Citation Text: Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018. …

  3. Burnout in healthcare: the case for organisational change. | PSNet

    psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change
    September 28, 2022 - Commentary Classic Burnout in healthcare: the case for organisational change. Citation Text: Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774. Copy Citation …

  4. Drug Shortages: Root Causes and Potential Solutions. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
    January 13, 2021 - Book/Report Emerging Classic Drug Shortages: Root Causes and Potential Solutions. Citation Text: Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020. Copy Citation …

  5. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. | PSNet

    psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
    January 08, 2016 - Study Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Citation Text: Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. Copy Citation Forma…

  6. Drill down with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/drill-down-root-cause-analysis
    June 15, 2016 - Commentary Drill down with root cause analysis. Citation Text: McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. The impact of team processes on psychiatric case management. | PSNet

    psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
    November 13, 2019 - Study The impact of team processes on psychiatric case management. Citation Text: Simpson A. The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  8. Measuring perinatal patient safety: review of current methods. | PSNet

    psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
    October 19, 2022 - Commentary Measuring perinatal patient safety: review of current methods. Citation Text: Simpson KR. Measuring perinatal patient safety: review of current methods. J Obstet Gynecol Neonatal Nurs. 2006;35(3):432-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  9. Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet

    psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
    July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

  10. Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). | PSNet

    psnet.ahrq.gov/issue/follow-study-medication-errors-reported-vaccine-adverse-event-reporting-system-vaers
    May 27, 2011 - Study Follow-up study of medication errors reported to the Vaccine Adverse Event Reporting System (VAERS). Citation Text: Varricchio F, Reed J, Group VAERSW. Follow-up study of medication errors reported to the vaccine adverse event reporting system (VAERS). South Med J. 2006;99(5):486…

  11. Error training: missing link in surgical education. | PSNet

    psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
    December 21, 2014 - Review Error training: missing link in surgical education. Citation Text: DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  12. Medical simulation gets real. | PSNet

    psnet.ahrq.gov/issue/medical-simulation-gets-real
    June 14, 2023 - Newspaper/Magazine Article Medical simulation gets real. Citation Text: Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  13. Medical errors in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/medical-errors-neurosurgery
    February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  14. Doctors saved her life. She didn’t want them to. | PSNet

    psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
    November 02, 2016 - Newspaper/Magazine Article Doctors saved her life. She didn’t want them to. Citation Text: Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  15. Changing how we think about healthcare improvement. | PSNet

    psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
    October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

  16. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. | PSNet

    psnet.ahrq.gov/issue/major-cultural-compatibility-complex-considerations-cross-cultural-dissemination-patient
    May 26, 2010 - Commentary Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. Citation Text: Jeong H-J, Pham JC, Kim M, et al. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programm…

  17. Exhibits 53 to 55 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh53-55.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 53 to 55 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  18. Reducing medication errors by using applied technology. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
    January 07, 2011 - Commentary Reducing medication errors by using applied technology. Citation Text: Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  19. Exhibits 62 to 64 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh62-64.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 62 to 64 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  20. Defensive medicine: it is time to finally slow down an epidemic. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
    November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…
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