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  1. Development of an "infusion pump safety score". | PSNet

    psnet.ahrq.gov/issue/development-infusion-pump-safety-score
    January 06, 2017 - Commentary Development of an "infusion pump safety score". Citation Text: Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421. Copy Citation Format: DOI Google Scholar PubMed BibT…

  2. Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers.  | PSNet

    psnet.ahrq.gov/issue/social-and-environmental-conditions-creating-fluctuating-agency-safety-two-urban-academic
    August 12, 2019 - Study Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers.  Citation Text: Lyndon A. Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. J Obstet Gynecol Neonatal Nurs…

  3. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist
    November 01, 2023 - Review Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Citation Text: Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007…

  4. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-safety-effectiveness-and-efficiency-web-based-virtual
    September 13, 2023 - Commentary John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Citation Text: Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtu…

  5. Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
    September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

  6. Retractions in the medical literature: how many patients are put at risk by flawed research? | PSNet

    psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
    August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …

  7. Social aspects of clinical errors: a discussion paper. | PSNet

    psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
    September 12, 2018 - Commentary Social aspects of clinical errors: a discussion paper. Citation Text: Richman J, Mason T, Mason-Whitehead E, et al. Social aspects of clinical errors. Int J Nurs Stud. 2009;46(8). doi:10.1016/j.ijnurstu.2009.01.006. Copy Citation Format: DOI Google Scholar BibT…

  8. Using Plan Do Study Act to transform a simulation center. | PSNet

    psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
    March 13, 2024 - Commentary Using Plan Do Study Act to transform a simulation center. Citation Text: Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

  9. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet

    psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
    January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

  10. Human factors considerations relevant to CPOE implementations. | PSNet

    psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
    October 23, 2024 - Review Human factors considerations relevant to CPOE implementations. Citation Text: Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  11. Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. | PSNet

    psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
    January 27, 2021 - Book/Report Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. Citation Text: Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…

  12. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet

    psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…

  13. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  14. Effective healthcare teams require effective team members: defining teamwork competencies. | PSNet

    psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-team-members-defining-teamwork-competencies
    September 27, 2016 - Study Effective healthcare teams require effective team members: defining teamwork competencies. Citation Text: Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17. Copy Citation Format: Goog…

  15. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
    October 03, 2011 - Study Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Citation Text: Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…

  16. The contribution of sociotechnical factors to health information technology–related sentinel events. | PSNet

    psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
    September 18, 2024 - Study The contribution of sociotechnical factors to health information technology–related sentinel events. Citation Text: Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…

  17. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet

    psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
    November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …

  18. Adverse events during dental care for children: implications for practitioner health and wellness. | PSNet

    psnet.ahrq.gov/issue/adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
    December 22, 2021 - Review Adverse events during dental care for children: implications for practitioner health and wellness. Citation Text: Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326. Copy Citation Fo…

  19. Data Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/data/resources/index.html
    June 12, 2025 - Data Resources The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results 1-10 of 10 Resources displayed Compendium of U.S. Health…

  20. The culture of a trauma team in relation to human factors. | PSNet

    psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
    February 22, 2023 - Study The culture of a trauma team in relation to human factors. Citation Text: Cole E, Crichton N. The culture of a trauma team in relation to human factors. J Clin Nurs. 2006;15(10). doi:10.1111/j.1365-2702.2006.01566.x. Copy Citation Format: DOI Google Scholar BibTeX E…
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