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  1. A framework for operationalizing risk: a practical approach to patient safety.  | PSNet

    psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
    October 13, 2018 - Commentary A framework for operationalizing risk: a practical approach to patient safety.  Citation Text: Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…

  2. Creating a safer operating room: groups, team dynamics and crew resource management principles. | PSNet

    psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
    June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…

  3. A practical approach to measure the quality of handwritten medication orders: a tool for improvement. | PSNet

    psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
    September 24, 2010 - Study A practical approach to measure the quality of handwritten medication orders: a tool for improvement. Citation Text: Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…

  4. Crisis resource management in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
    October 23, 2024 - Review Crisis resource management in emergency medicine. Citation Text: Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x. Copy Citation Format: DO…

  5. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. | PSNet

    psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
    July 02, 2014 - Study Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. Citation Text: Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;3…

  6. Duty hour reform in a shifting medical landscape. | PSNet

    psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
    June 08, 2022 - Commentary Duty hour reform in a shifting medical landscape. Citation Text: Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  7. Overuse of medical imaging and its radiation exposure: who’s minding our children? | PSNet

    psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
    August 04, 2021 - Commentary Overuse of medical imaging and its radiation exposure: who’s minding our children? Citation Text: Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…

  8. Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. | PSNet

    psnet.ahrq.gov/issue/nursing-perception-impact-automated-dispensing-cabinets-patient-safety-and-ergonomics
    September 27, 2016 - Study Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. Citation Text: Rochais E, Atkinson S, Guilbeault M, et al. Nursing perception of the impact of automated dispensing cabinets on patient safety and er…

  9. Teams of psychologists helping teams: the evolution of the science of team training. | PSNet

    psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
    February 26, 2020 - Commentary Emerging Classic Teams of psychologists helping teams: the evolution of the science of team training. Citation Text: Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…

  10. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
    September 09, 2013 - Study Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Citation Text: Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …

  11. Alarm fatigue: use of an evidence-based alarm management strategy. | PSNet

    psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
    July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  12. Analysis of laboratory critical value reporting at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
    December 05, 2013 - Study Analysis of laboratory critical value reporting at a large academic medical center. Citation Text: Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. Copy Citation For…

  13. A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

    psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
    April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient experience. Citation Text: Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…

  14. AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
    April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …

  15. Medication errors in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
    October 05, 2022 - Study Medication errors in a neonatal intensive care unit. Citation Text: Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757. Copy Citation Format: DOI Google S…

  16. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. | PSNet

    psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
    October 19, 2022 - Study A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Citation Text: Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…

  17. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet

    psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
    August 12, 2020 - Newspaper/Magazine Article 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. Citation Text: 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…

  18. The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. | PSNet

    psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
    February 10, 2016 - Book/Report The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Citation Text: The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…

  19. Advancement toward High Reliability in Healthcare Awards. | PSNet

    psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
    June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military

  20. Fatal drug mix-up exposes hospital flaws. | PSNet

    psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
    March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military
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