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8541. How event reporting by US hospitals has changed from 2005 to 2009. | PSNet
      psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
      April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

8542. Measuring patient safety climate: a review of surveys. | PSNet
      psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
      June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

8543. Rooting an error review process in just culture: lessons learned. | PSNet
      psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
      April 20, 2022 - Commentary Rooting an error review process in just culture: lessons learned. Citation Text: Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. Copy Citati…

8544. An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet
      psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications
      November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

8545. Paying the piper: investing in infrastructure for patient safety.  | PSNet
      psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety
      July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety.  Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

8546. Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/designing-and-evaluating-automated-system-real-time-medication-administration-error-detection
      November 04, 2020 - Study Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. Citation Text: Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detecti…

8547. Medication reconciliation in ambulatory care: attempts at improvement. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement
      March 28, 2011 - Study Medication reconciliation in ambulatory care: attempts at improvement. Citation Text: Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. Copy Ci…

8548. Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. | PSNet
      psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
      October 19, 2022 - Study Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. Citation Text: Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…

8549. Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. | PSNet
      psnet.ahrq.gov/issue/parents-perceptions-patient-safety-paediatric-hospital-care-mixed-methods-systematic-review
      May 01, 2024 - Review Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods systematic review. Citation Text: Witkowska MI, Janhunen K, Sak‐Dankosky N, et al. Parents' perceptions of patient safety in paediatric hospital care—a mixed‐methods systematic review. J Adv Nurs. 2…

8550. Preventing medical injury. | PSNet
      psnet.ahrq.gov/issue/preventing-medical-injury
      February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

8551. Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. | PSNet
      psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
      March 19, 2019 - Commentary Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. Citation Text: Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…

8552. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. | PSNet
      psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
      February 28, 2024 - Study Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. Citation Text: Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …

8553. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. | PSNet
      psnet.ahrq.gov/issue/improving-reconciliation-following-medical-injury-qualitative-study-responses-patient-safety
      May 05, 2021 - Study Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand. Citation Text: Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Z…

8554. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. | PSNet
      psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
      November 28, 2018 - Study Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Citation Text: Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…

8555. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. | PSNet
      psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
      December 27, 2014 - Study Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. Citation Text: Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2…

8556. FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. | PSNet
      psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
      September 01, 2021 - Press Release/Announcement FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. Citation Text: FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

8557. Associations between patient safety culture and workplace safety culture in hospital settings. | PSNet
      psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings
      December 09, 2020 - Study Associations between patient safety culture and workplace safety culture in hospital settings. Citation Text: Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. do…

8558. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet
      psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power
      October 07, 2020 - Study Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. Citation Text: Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/p…

8559. Get Ready | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Get Ready Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportunities for I…

8560. Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet
      psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
      March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…