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  1. Defending a "never event." | PSNet

    psnet.ahrq.gov/issue/defending-never-event
    February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. 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 …

  3. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet

    psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
    July 24, 2019 - Book/Report Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Citation Text: Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…

  4. Toward the modelling of safety violations in healthcare systems. | PSNet

    psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
    May 01, 2024 - Commentary Toward the modelling of safety violations in healthcare systems. Citation Text: Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. Copy Citation Format: DOI Google Scholar…

  5. The National Database of Nursing Quality Indicators(TM) (NDNQI®). | PSNet

    psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
    May 25, 2022 - Commentary The National Database of Nursing Quality Indicators(TM) (NDNQI®). Citation Text: The National Database of Nursing Quality Indicators(TM) (NDNQI®). Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  Copy Citation Save Save to …

  6. Improving hospital performance: culture change is not the answer. | PSNet

    psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
    September 27, 2016 - Commentary Improving hospital performance: culture change is not the answer. Citation Text: Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q. 2005;8(2):60-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  7. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. | PSNet

    psnet.ahrq.gov/issue/critical-care-delivery-united-states-distribution-services-and-compliance-leapfrog
    November 18, 2020 - Study Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Citation Text: Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Angus DC; Shorr AF; White A; Dr…

  8. Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
    April 01, 2024 - Press Release/Announcement Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. Citation Text: Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National I…

  9. Changing practice to improve patient safety and quality of care in perinatal medicine. | PSNet

    psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
    November 18, 2016 - Review Changing practice to improve patient safety and quality of care in perinatal medicine. Citation Text: Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826. Copy Cita…

  10. 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…

  11. Tackling implicit bias in health care. | PSNet

    psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
    December 01, 2021 - Commentary Tackling implicit bias in health care. Citation Text: Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  12. Silence Kills: The Seven Crucial Conversations for Healthcare. | PSNet

    psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
    July 09, 2012 - Book/Report Silence Kills: The Seven Crucial Conversations for Healthcare. Citation Text: Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.  Copy Citation …

  13. In treating sepsis, questions about timing and mandates. | PSNet

    psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates
    September 04, 2016 - Newspaper/Magazine Article In treating sepsis, questions about timing and mandates. Citation Text: Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  14. Fixing broken bones and broken homes: domestic violence as a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
    September 03, 2011 - Study Fixing broken bones and broken homes: domestic violence as a patient safety issue. Citation Text: Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646. Copy Citation Format: Googl…

  15. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet

    psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…

  16. Multiple accountabilities in incident reporting and management. | PSNet

    psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
    August 28, 2024 - Slideset Multiple accountabilities in incident reporting and management. Citation Text: Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232. Copy Citation Format: …

  17. Nontechnical skills in pediatric surgery: factors influencing operative performance. | PSNet

    psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance
    June 12, 2008 - Commentary Nontechnical skills in pediatric surgery: factors influencing operative performance. Citation Text: Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062. Copy C…

  18. The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. | PSNet

    psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
    June 28, 2023 - Newspaper/Magazine Article The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Citation Text: The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…

  19. A new method to guard inpatient medication safety by the implementation of RFID. | PSNet

    psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
    June 29, 2011 - Study A new method to guard inpatient medication safety by the implementation of RFID. Citation Text: Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32. Copy Citation Format: Google Schola…

  20. Southern Baptist Hospital of Florida v. Charles. | PSNet

    psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
    May 20, 2009 - Legislation/Case Law Southern Baptist Hospital of Florida v. Charles. Citation Text: Southern Baptist Hospital of Florida v. Charles. Fla Ct App, 1st Dist. October 28, 2015. Copy Citation Save Save to your library Print Download PDF Share F…
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