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  1. Breaking the rules: understanding non-compliance with policies and guidelines. | PSNet

    psnet.ahrq.gov/issue/breaking-rules-understanding-non-compliance-policies-and-guidelines
    September 24, 2018 - Commentary Breaking the rules: understanding non-compliance with policies and guidelines. Citation Text: Carthey J, Walker S, Deelchand V, et al. Breaking the rules: understanding non-compliance with policies and guidelines. BMJ. 2011;343:d5283. doi:10.1136/bmj.d5283. Copy Citation …

  2. How studying human factors improves patient safety. | PSNet

    psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
    July 24, 2024 - Newspaper/Magazine Article How studying human factors improves patient safety. Citation Text: Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  3. Patient safety in obstetrics and gynecology: an agenda for the future. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-agenda-future
    January 12, 2011 - Commentary Patient safety in obstetrics and gynecology: an agenda for the future. Citation Text: Pearlman MD. Patient safety in obstetrics and gynecology: an agenda for the future. Obstet Gynecol. 2006;108(5):1266-71. Copy Citation Format: Google Scholar PubMed BibTeX End…

  4. Cognitive Load Theory and its Impact on Diagnostic Accuracy. | PSNet

    psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
    August 07, 2024 - Book/Report Cognitive Load Theory and its Impact on Diagnostic Accuracy. Citation Text: Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF. …

  5. Back to basics: preventing surgical site infections. | PSNet

    psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
    March 17, 2021 - Commentary Back to basics: preventing surgical site infections. Citation Text: Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. doi:10.1016/j.aorn.2014.02.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  6. Physician perception of hospital safety and barriers to incident reporting. | PSNet

    psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
    February 16, 2011 - Study Physician perception of hospital safety and barriers to incident reporting. Citation Text: Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. Copy Citation Format: Goog…

  7. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet

    psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
    August 17, 2005 - Study Three Australian whistleblowing sagas: lessons for internal and external regulation. Citation Text: Faunce TA, Bolsin SNC. Three Australian whistleblowing sagas: lessons for internal and external regulation. Med J Aust. 2004;181(1):44-7. Copy Citation Format: Google …

  8. Hospitalized patients' understanding of their plan of care. | PSNet

    psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-plan-care
    June 11, 2010 - Study Hospitalized patients' understanding of their plan of care. Citation Text: O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232. Copy Citation Format: DOI Goo…

  9. Optimizing patient safety during hemodialysis. | PSNet

    psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis
    October 28, 2020 - Commentary Optimizing patient safety during hemodialysis. Citation Text: Himmelfarb J. Optimizing patient safety during hemodialysis. JAMA. 2011;306(15):1707-8. doi:10.1001/jama.2011.1507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  10. Wrong site surgery in otolaryngology–head and neck surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
    March 03, 2021 - Review Wrong site surgery in otolaryngology–head and neck surgery. Citation Text: Liou T-N, Nussenbaum B. Wrong site surgery in otolaryngology-head and neck surgery. Laryngoscope. 2014;124(1):104-109. doi:10.1002/lary.24140. Copy Citation Format: DOI Google Scholar PubMed…

  11. 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…

  12. Blind spots in the science of safety. | PSNet

    psnet.ahrq.gov/issue/blind-spots-science-safety
    February 24, 2021 - Commentary Blind spots in the science of safety. Citation Text: Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  13. Measuring safety culture in healthcare: a case for accurate diagnosis. | PSNet

    psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
    May 29, 2014 - Commentary Measuring safety culture in healthcare: a case for accurate diagnosis. Citation Text: Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003. Copy Citation Format: DOI Google Scholar …

  14. Engineering the system of communication for safer surgery. | PSNet

    psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
    January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …

  15. Wise before the event. | PSNet

    psnet.ahrq.gov/issue/wise-event
    October 09, 2024 - Commentary Wise before the event. Citation Text: Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  16. Mortality as a measure of quality: implications for palliative and end-of-life care. | PSNet

    psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
    June 30, 2011 - Commentary Mortality as a measure of quality: implications for palliative and end-of-life care. Citation Text: Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804. Copy Citation Format: Google…

  17. Adverse Events in Hospitals: Methods for Identifying Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events
    February 18, 2009 - Book/Report Adverse Events in Hospitals: Methods for Identifying Events. Citation Text: Adverse Events in Hospitals: Methods for Identifying Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; March 2010. Report No. OEI-06…

  18. 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. | PSNet

    psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
    November 23, 2015 - Book/Report 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Citation Text: 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …

  19. Failure to rescue in neonatal care. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-neonatal-care
    July 06, 2011 - Commentary Failure to rescue in neonatal care. Citation Text: Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  20. Adverse Events Toolkit: Clinical Guidance for Identifying Harm | PSNet

    psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
    July 26, 2023 - Tools/Toolkit Adverse Events Toolkit: Clinical Guidance for Identifying Harm Citation Text: Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…
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