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  1. Issues and complexities in safety culture assessment in healthcare. | PSNet

    psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
    October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

  2. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. | PSNet

    psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
    April 12, 2023 - Review What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Citation Text: Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…

  3. Changing the patient safety mindset: can safety cases help? | PSNet

    psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
    July 14, 2021 - Commentary Changing the patient safety mindset: can safety cases help? Citation Text: Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. Copy Citation Format: DOI Google Scholar BibT…

  4. Placing Diagnosis Errors on the Policy Agenda. | PSNet

    psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
    October 31, 2014 - Book/Report Placing Diagnosis Errors on the Policy Agenda. Citation Text: Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. Copy Citation Save Save…

  5. Fatigue, performance and the work environment: a survey of registered nurses. | PSNet

    psnet.ahrq.gov/issue/fatigue-performance-and-work-environment-survey-registered-nurses
    November 18, 2020 - Study Fatigue, performance and the work environment: a survey of registered nurses. Citation Text: Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. Copy Citation…

  6. A work systems analysis approach to understanding fatigue in hospital nurses. | PSNet

    psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
    July 08, 2020 - Study A work systems analysis approach to understanding fatigue in hospital nurses. Citation Text: Steege LM, Pasupathy KS, Drake DA. A work systems analysis approach to understanding fatigue in hospital nurses. Ergonomics. 2017;61(1):148-161. doi:10.1080/00140139.2017.1280186. Copy Ci…

  7. Guideline implementation: team communication. | PSNet

    psnet.ahrq.gov/issue/guideline-implementation-team-communication
    October 15, 2014 - Commentary Guideline implementation: team communication. Citation Text: Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  8. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  9. Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet

    psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
    October 06, 2011 - Commentary Improving patient care by linking evidence-based medicine and evidence-based management. Citation Text: Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673. C…

  10. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

    psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
    January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

  11. Medication errors in nursing—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
    March 23, 2016 - Commentary Medication errors in nursing—part 1 and part 2. Citation Text: Leufer T, Cleary-Holdforth J. Let's do no harm: medication errors in nursing: part 1. Nurse Educ Pract. 2013;13(3):213-216. doi:10.1016/j.nepr.2013.01.013. Copy Citation Format: DOI Google Scholar P…

  12. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
    November 16, 2022 - Study Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Citation Text: Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61. Copy Citation …

  13. Implementing a fatigue countermeasures program for nurses: a focus group analysis. | PSNet

    psnet.ahrq.gov/issue/implementing-fatigue-countermeasures-program-nurses-focus-group-analysis
    February 19, 2010 - Study Implementing a fatigue countermeasures program for nurses: a focus group analysis. Citation Text: Scott LD, Hofmeister N, Rogness N, et al. Implementing a fatigue countermeasures program for nurses: a focus group analysis. J Nurs Adm. 2010;40(5):233-40. doi:10.1097/NNA.0b013e3181d…

  14. Medical overuse as a physician cognitive error: looking under the hood. | PSNet

    psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
    September 25, 2019 - Commentary Medical overuse as a physician cognitive error: looking under the hood. Citation Text: Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. Copy Citation Format: …

  15. Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-literacy
    April 28, 2021 - Book/Report Classic Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Citation Text: Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …

  16. 10 years in, why time out still matters. | PSNet

    psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
    November 08, 2013 - Commentary 10 years in, why time out still matters. Citation Text: Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  17. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. | PSNet

    psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
    November 11, 2020 - Commentary Using simulation to teach nursing students and licensed clinicians obstetric emergencies. Citation Text: Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…

  18. Review of the Australian Incident Monitoring System. | PSNet

    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  19. Cognitive and system factors contributing to diagnostic errors in radiology. | PSNet

    psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
    October 29, 2012 - Review Cognitive and system factors contributing to diagnostic errors in radiology. Citation Text: Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375. Copy Cita…

  20. Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

    psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
    March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…
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