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  1. Complexity and safety. | PSNet

    psnet.ahrq.gov/issue/complexity-and-safety
    February 01, 2012 - Commentary Complexity and safety. Citation Text: Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet

    psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
    October 08, 2016 - Commentary Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. Citation Text: Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…

  3. Teamwork and Teamwork Training in Healthcare. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-teamwork-training-healthcare
    March 02, 2022 - Special or Theme Issue Teamwork and Teamwork Training in Healthcare. Citation Text: Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/105960111877466…

  4. Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet

    psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
    May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…

  5. The cost of poor blood specimen quality and errors in preanalytical processes. | PSNet

    psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
    April 22, 2009 - Review The cost of poor blood specimen quality and errors in preanalytical processes. Citation Text: Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. Copy Citation F…

  6. Facilitating and impeding factors for physicians' error disclosure: a structured literature review. | PSNet

    psnet.ahrq.gov/issue/facilitating-and-impeding-factors-physicians-error-disclosure-structured-literature-review
    September 12, 2011 - Review Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Citation Text: Kaldjian LC, Jones EW, Rosenthal GE. Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Jt Comm J Qual Patient Saf. 2…

  7. Barcode technology: its role in increasing the safety of blood transfusion. | PSNet

    psnet.ahrq.gov/issue/barcode-technology-its-role-increasing-safety-blood-transfusion
    September 08, 2021 - Study Barcode technology: its role in increasing the safety of blood transfusion. Citation Text: Turner CL, Casbard AC, Murphy MF. Barcode technology: its role in increasing the safety of blood transfusion. Transfusion (Paris). 2004;43(9). doi:10.1046/j.1537-2995.2003.00428.x. Copy C…

  8. Teaching medical students to recognise and report errors. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
    March 01, 2023 - Commentary Teaching medical students to recognise and report errors. Citation Text: Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. Copy Citation Format: DOI Google Sc…

  9. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet

    psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

  10. Role of medical students in preventing patient harm and enhancing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
    July 10, 2008 - Study Role of medical students in preventing patient harm and enhancing patient safety. Citation Text: Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient safety. Qual Saf Health Care. 2006;15(4):272-6. Copy Citation Format: …

  11. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

  12. Characteristics of medical professional liability claims in patients with cardiovascular diseases. | PSNet

    psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
    August 02, 2015 - Study Characteristics of medical professional liability claims in patients with cardiovascular diseases. Citation Text: Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):…

  13. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
    July 03, 2014 - Study Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. Citation Text: Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…

  14. Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet

    psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
    November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

  15. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  16. What's that sound? Managing alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
    April 26, 2023 - Newspaper/Magazine Article What's that sound? Managing alarm fatigue. Citation Text: George TP, Martin V. Whatʼs that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. Copy Citation Format: DOI Google Scholar B…

  17. Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. | PSNet

    psnet.ahrq.gov/issue/inadvertent-misadministration-meningococcal-conjugate-vaccine-united-states-june-august-2005
    February 27, 2019 - Government Resource Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. Citation Text: Prevention C for DC and. Inadvertent misadministration of meningococcal conjugate vaccine--United States, June-August 2005. MMWR Morb Mortal Wkly Rep. 20…

  18. Infant deaths associated with cough and cold medications—two states, 2005. | PSNet

    psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
    February 27, 2019 - Government Resource Infant deaths associated with cough and cold medications—two states, 2005. Citation Text: Prevention C for DC and. Infant deaths associated with cough and cold medications--two states, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(1):1-4. Copy Citation Format: …

  19. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? | PSNet

    psnet.ahrq.gov/issue/quali-quantitative-analysis-new-model-evaluation-unusual-cases-hospital-performance
    October 25, 2018 - Review Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? Citation Text: Bell E. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? Aust Health Rev. 2007;31 Suppl 1:S86-97. Copy Citation …

  20. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. | PSNet

    psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
    January 24, 2024 - Commentary Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Citation Text: Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…
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