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  1. Rapid response systems as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
    March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

  2. Crisis resource management: evaluating outcomes of a multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
    December 23, 2011 - Study Crisis resource management: evaluating outcomes of a multidisciplinary team. Citation Text: Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d. Co…

  3. Integrating human factors research and surgery: a review. | PSNet

    psnet.ahrq.gov/issue/integrating-human-factors-research-and-surgery-review
    August 02, 2015 - Review Integrating human factors research and surgery: a review. Citation Text: Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review. Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596. Copy Citation Format: DOI Go…

  4. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. | PSNet

    psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality
    February 29, 2012 - Commentary The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. Citation Text: Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. Copy Citation Format: DOI Google S…

  5. Lessons from the Covid War: An Investigative Report. | PSNet

    psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
    March 09, 2022 - Book/Report Lessons from the Covid War: An Investigative Report. Citation Text: Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN‏: ‎9781541703803. Copy Citation Save Save to your library Print …

  6. Organisational failure: rethinking whistleblowing for tomorrow's doctors. | PSNet

    psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
    May 18, 2022 - Commentary Organisational failure: rethinking whistleblowing for tomorrow's doctors. Citation Text: Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328. Copy Citation Format: …

  7. Application of human error theory in case analysis of wrong procedures. | PSNet

    psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
    November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

  8. Human factors engineering: its place and potential in OR safety. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
    May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…

  9. Safety, performance, and satisfaction outcomes in the operating room: a literature review. | PSNet

    psnet.ahrq.gov/issue/safety-performance-and-satisfaction-outcomes-operating-room-literature-review
    April 03, 2019 - Review Emerging Classic Safety, performance, and satisfaction outcomes in the operating room: a literature review. Citation Text: Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review.…

  10. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
    September 02, 2020 - Commentary Patient safety of perioperative medication through the lens of digital health and artificial intelligence. Citation Text: Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…

  11. Deaths in Acute Hospitals: Caring to the End? | PSNet

    psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
    March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

  12. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
    February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

  13. Mask shortage straps pharmacists who need them to keep medicines pure. | PSNet

    psnet.ahrq.gov/issue/mask-shortage-straps-pharmacists-who-need-them-keep-medicines-pure
    August 02, 2023 - Newspaper/Magazine Article Mask shortage straps pharmacists who need them to keep medicines pure. Citation Text: Mask shortage straps pharmacists who need them to keep medicines pure. Jewett C, Lupkin S. Health Shots. National Public Radio. March 20, 2020. Copy Citation …

  14. Nurse staffing levels and patient-reported missed nursing care. | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
    September 27, 2017 - Study Nurse staffing levels and patient-reported missed nursing care. Citation Text: Dabney BW, Kalisch BJ. Nurse Staffing Levels and Patient-Reported Missed Nursing Care. J Nurs Care Qual. 2015;30(4):306-12. doi:10.1097/NCQ.0000000000000123. Copy Citation Format: DOI Googl…

  15. Development and psychometric testing of a tool to measure missed nursing care. | PSNet

    psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
    August 20, 2018 - Study Development and psychometric testing of a tool to measure missed nursing care. Citation Text: Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. Copy Citation …

  16. The problem with 'never events'. | PSNet

    psnet.ahrq.gov/issue/problem-never-events
    July 12, 2023 - Commentary The problem with 'never events'. Citation Text: Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  17. Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/barriers-self-reporting-patient-safety-incidents-paramedics-mixed-methods-study
    November 16, 2022 - Study Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. Citation Text: Sinclair JE, Austin MA, Bourque C, et al. Barriers to Self-Reporting Patient Safety Incidents by Paramedics: A Mixed Methods Study. Prehosp Emerg Care. 2018;22(6):762-772. doi:1…

  18. Infection prevention in the operating room anesthesia work area. | PSNet

    psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
    March 02, 2014 - Commentary Infection prevention in the operating room anesthesia work area. Citation Text: Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. Copy Citation …

  19. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. | PSNet

    psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
    October 31, 2014 - Study Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Citation Text: Srinivasan J, Scala S, Jones R, et al. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve. 2006;34(3):359-60. Copy Ci…

  20. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet

    psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - Study Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. Citation Text: Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…
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