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  1. Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
    June 21, 2023 - Book/Report Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Citation Text: Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024. Copy Citation Save Save to your library …

  2. Abandon the term "second victim." | PSNet

    psnet.ahrq.gov/issue/abandon-term-second-victim
    October 09, 2024 - Commentary Emerging Classic Abandon the term "second victim." Citation Text: Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233. Copy Citation Format: DOI Google Scholar PubMed …

  3. From Safety-I to Safety-II: A White Paper. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
    July 22, 2019 - Book/Report From Safety-I to Safety-II: A White Paper. Citation Text: From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. Copy Citation Save Save to your library Print Dow…

  4. Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. | PSNet

    psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
    August 17, 2022 - Book/Report Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Citation Text: Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…

  5. Using the AHRQ Quality Indicators to improve health care quality. | PSNet

    psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality
    December 23, 2008 - Commentary Using the AHRQ Quality Indicators to improve health care quality. Citation Text: Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality. Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5. Copy Cit…

  6. Do not let "Depo-" medications be a depot for mistakes. | PSNet

    psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
    March 15, 2022 - Newspaper/Magazine Article Do not let "Depo-" medications be a depot for mistakes. Citation Text: Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. Copy Citation Save Save to your libra…

  7. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet

    psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
    January 12, 2011 - Commentary TeamSTEPPS: assuring optimal teamwork in clinical settings. Citation Text: Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  8. AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
    April 30, 2008 - Toolkit AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Citation Text: AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. Copy Citation …

  9. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  10. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet

    psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
    November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…

  11. Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
    January 08, 2014 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…

  12. Impact of a standard medication chart on prescribing errors: a before-and-after audit. | PSNet

    psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
    May 02, 2012 - Study Impact of a standard medication chart on prescribing errors: a before-and-after audit. Citation Text: Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.11…

  13. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 2023 - Study Adverse drug events in hospitalized cardiac patients. Citation Text: Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  14. High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. | PSNet

    psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
    October 09, 2013 - Book/Report High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. Citation Text: High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…

  15. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. | PSNet

    psnet.ahrq.gov/issue/unleash-power-patients-make-care-safer-around-world-essay-helen-haskell
    January 08, 2020 - Commentary Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. Citation Text: Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565. Copy Citation …

  16. Behind Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/behind-human-error-second-edition
    April 13, 2018 - Book/Report Classic Behind Human Error, Second Edition. Citation Text: Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. Copy Citation Save Save to your lib…

  17. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet

    psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
    September 09, 2020 - Newspaper/Magazine Article A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Citation Text: A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Linnane R, Diedrich J. Milwaukee Journal Sentinel. F…

  18. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  19. Peer support for clinicians: a programmatic approach. | PSNet

    psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
    July 25, 2018 - Commentary Peer support for clinicians: a programmatic approach. Citation Text: Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  20. Planning an MR suite: what can be done to enhance safety? | PSNet

    psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
    September 12, 2016 - Commentary Planning an MR suite: what can be done to enhance safety? Citation Text: Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794. Copy Citation Format: DOI Google Scholar PubMed B…
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