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  1. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. | PSNet

    psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
    May 11, 2016 - Book/Report Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. Citation Text: Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Resear…

  2. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet

    psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
    April 27, 2022 - Newspaper/Magazine Article Nurses: Guilty verdict for dosing mistake could cost lives. Citation Text: Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022. Copy Citation Save Save to your library …

  3. Handoffs: transitions of care for children in the emergency department. | PSNet

    psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
    July 03, 2016 - Organizational Policy/Guidelines Handoffs: transitions of care for children in the emergency department. Citation Text: Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…

  4. Customer focused incident monitoring in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
    April 24, 2018 - Study Customer focused incident monitoring in anaesthesia. Citation Text: Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  5. Systemic error in radiology. | PSNet

    psnet.ahrq.gov/issue/systemic-error-radiology
    August 01, 2018 - Commentary Systemic error in radiology. Citation Text: Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  6. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…

  7. Patient Safety: Achieving a New Standard for Care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
    January 04, 2009 - Book/Report Patient Safety: Achieving a New Standard for Care. Citation Text: Patient Safety: Achieving a New Standard for Care. Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776. Copy…

  8. Developing a medication patient safety program — infrastructure and strategy. | PSNet

    psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
    May 11, 2014 - Commentary Developing a medication patient safety program — infrastructure and strategy. Citation Text: Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149. Copy Citation Format: …

  9. Following the patient journey to improve medicines management and reduce errors. | PSNet

    psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
    October 27, 2010 - Newspaper/Magazine Article Following the patient journey to improve medicines management and reduce errors. Citation Text: Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. Copy Citation Format: Go…

  10. Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. | PSNet

    psnet.ahrq.gov/issue/surgical-checklists-detailed-review-their-emergence-development-and-relevance-neurosurgical
    September 29, 2017 - Review Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. Citation Text: McConnell DJ, Fargen KM, Mocco J. Surgical checklists: A detailed review of their emergence, development, and relevance to neurosurgical practice. Surg…

  11. Perchance to think. | PSNet

    psnet.ahrq.gov/issue/perchance-think
    December 08, 2016 - Commentary Perchance to think. Citation Text: Ofri D. Perchance to Think. New Engl J Med. 2019;380(13):1197-1199. doi:10.1056/NEJMp1814019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  12. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet

    psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

  13. Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. | PSNet

    psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
    March 11, 2017 - Toolkit Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Citation Text: Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…

  14. Negligence, genuine error, and litigation. | PSNet

    psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
    July 10, 2024 - Review Negligence, genuine error, and litigation. Citation Text: Sohn D. Negligence, genuine error, and litigation. Int J Gen Med. 2013. doi:10.2147/ijgm.s24256. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. Medication prescribing errors involving the route of administration. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…

  16. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
    May 20, 2009 - Commentary The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Citation Text: Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Am J Med Qual. 2006;21(5):348-51. Copy Citation Format: …

  17. Whose responsibility is it to address bullying in health care? | PSNet

    psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
    February 22, 2023 - Commentary Whose responsibility is it to address bullying in health care? Citation Text: Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  18. DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. | PSNet

    psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
    December 09, 2020 - Book/Report DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Citation Text: DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. Washington, DC: United States Government Accoun…

  19. Behavioral Health Clinic | Digital Healthcare Research

    digital.ahrq.gov/care-setting/behavioral-health-clinic
    January 01, 2023 - Behavioral Health Clinic The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) Description This project evaluated the impact of the “Telephone Intervention Problem Solving” (TIPS) intervention on adherence to treatment for schizoaffective disorder. …

  20. Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. | PSNet

    psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
    September 28, 2010 - Study Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Citation Text: Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
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