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Introducing the patient safety professional: why, what, who, how, and where? | PSNet

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July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

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…

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

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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.…

The effects of on-duty napping on intern sleep time and fatigue. | PSNet

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February 03, 2011 - Study The effects of on-duty napping on intern sleep time and fatigue. Citation Text: Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann Intern Med. 2006;144(11):792-8. Copy Citation Format: Google Scholar PubMed BibTe…

VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. | PSNet

psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take

February 10, 2010 - Government Resource VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. Citation Text: VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…

Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. | PSNet

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May 29, 2015 - Study Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. Citation Text: Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…

Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges. | PSNet

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January 31, 2024 - Commentary Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges. Citation Text: Murray E, Holmes A. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspectiv…

Effect of barcode-assisted medication administration on emergency department medication errors. | PSNet

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May 19, 2014 - Study Effect of barcode-assisted medication administration on emergency department medication errors. Citation Text: Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…

The effectiveness of management-by-walking-around: a randomized field study. | PSNet

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October 01, 2014 - Study The effectiveness of management-by-walking-around: a randomized field study. Citation Text: Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. Copy Citation Format: DO…

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

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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…

Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. | PSNet

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January 31, 2018 - Review Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. Citation Text: Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…

VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect

July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. | PSNet

psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital

September 23, 2020 - Review Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Citation Text: Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…

Implementing a distraction-free practice with the Red Zone Medication Safety initiative. | PSNet

psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative

November 16, 2022 - Commentary Implementing a distraction-free practice with the Red Zone Medication Safety initiative. Citation Text: Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…

Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. | PSNet

psnet.ahrq.gov/issue/safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness

December 20, 2017 - Review Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. Citation Text: Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. Copy Citation …

A method to identify pediatric high-risk diagnoses missed in the emergency department. | PSNet

psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department

October 26, 2022 - Study A method to identify pediatric high-risk diagnoses missed in the emergency department. Citation Text: Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018…

Errors and adverse events in otolaryngology. | PSNet

psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology

October 27, 2010 - Review Errors and adverse events in otolaryngology. Citation Text: Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

What is patient safety culture? A review of the literature. | PSNet

psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature

July 19, 2023 - Review What is patient safety culture? A review of the literature. Citation Text: Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x. Copy Citation Format: …

Patient safety: the what, how, and when. | PSNet

psnet.ahrq.gov/issue/patient-safety-what-how-and-when

June 23, 2021 - Commentary Patient safety: the what, how, and when. Citation Text: Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review

March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

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