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  1. Checklist implementation for office-based surgery: a team effort. | PSNet

    psnet.ahrq.gov/issue/checklist-implementation-office-based-surgery-team-effort
    August 13, 2014 - Commentary Checklist implementation for office-based surgery: a team effort. Citation Text: Shapiro FE, Punwani N, Urman RD. Checklist implementation for office-based surgery: a team effort. AORN J. 2013;98(3):305-9. doi:10.1016/j.aorn.2013.06.009. Copy Citation Format: …

  2. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
    February 13, 2014 - Review A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. Citation Text: Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…

  3. American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. | PSNet

    psnet.ahrq.gov/issue/american-college-endocrinology-and-american-association-clinical-endocrinologists-position
    August 20, 2018 - Commentary American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. Citation Text: Bates DW, Clark NG, Cook RI, et al. American College of Endocrinology and Amer…

  4. Patient safety: threats and solutions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
    January 19, 2011 - Commentary Patient safety: threats and solutions. Citation Text: McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  5. American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. | PSNet

    psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
    June 12, 2019 - Organizational Policy/Guidelines American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…

  6. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet

    psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
    October 27, 2016 - Study Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Citation Text: Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…

  7. Partnership for Patients. | PSNet

    psnet.ahrq.gov/issue/partnership-patients
    October 30, 2019 - Government Resource Partnership for Patients. Citation Text: Partnership for Patients. Washington, DC: US Department of Health and Human Services. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…

  8. Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet

    psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists
    November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

  9. Medication safety initiative in reducing medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-safety-initiative-reducing-medication-errors
    June 09, 2015 - Study Medication safety initiative in reducing medication errors. Citation Text: Nguyen EE, Connolly PM, Wong V. Medication safety initiative in reducing medication errors. J Nurs Care Qual. 2010;25(3):224-230. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  10. Inability of providers to predict unplanned readmissions. | PSNet

    psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
    December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…

  11. Safety culture as a patient safety practice for alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
    July 07, 2021 - Commentary Safety culture as a patient safety practice for alarm fatigue. Citation Text: Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. Copy Citation Format: DOI Go…

  12. Guidelines for the prevention of intravascular catheter-related infections. | PSNet

    psnet.ahrq.gov/issue/guidelines-prevention-intravascular-catheter-related-infections
    January 22, 2014 - Clinical Guideline Guidelines for the prevention of intravascular catheter-related infections. Citation Text: O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. American journal of infection control. 2011;39(4 Suppl 1):…

  13. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - Commentary CMS changes in reimbursement for HAIs: setting a research agenda. Citation Text: Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. Copy Citation Format: …

  14. Application of lean thinking to health care: issues and observations. | PSNet

    psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
    May 28, 2015 - Commentary Application of lean thinking to health care: issues and observations. Citation Text: Joosten T, Bongers I, Janssen R. Application of lean thinking to health care: issues and observations. International Journal for Quality in Health Care. 2009;21(5). doi:10.1093/intqhc/mzp036…

  15. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

    psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
    January 06, 2016 - Commentary Towards high-reliability organising in healthcare: a strategy for building organisational capacity. Citation Text: Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…

  16. Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. | PSNet

    psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and
    July 01, 2016 - Commentary Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. Citation Text: Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in …

  17. The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet

    psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
    September 14, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…

  18. 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…

  19. Driving improvement in patient care: lessons from Toyota. | PSNet

    psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
    September 24, 2016 - Study Classic Driving improvement in patient care: lessons from Toyota. Citation Text: Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. Copy Citation Format: Google Scholar …

  20. Adverse events in hospitals: the patient's point of view. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
    December 29, 2014 - Review Adverse events in hospitals: the patient's point of view. Citation Text: Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. Copy Citation Format: DO…
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