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  1. Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
    October 03, 2018 - Book/Report Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Citation Text: Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …

  2. Incident learning in radiation oncology: a review. | PSNet

    psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
    October 14, 2020 - Review Emerging Classic Incident learning in radiation oncology: a review. Citation Text: Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. Copy Citation Format: DOI Google Sc…

  3. Patient safety in dermatology: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
    May 25, 2022 - Review Patient safety in dermatology: a review of the literature. Citation Text: Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  4. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
    October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…

  5. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

    psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

  6. An evolving hospital quality star rating system from CMS: aligning the stars. | PSNet

    psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
    December 13, 2017 - Commentary An evolving hospital quality star rating system from CMS: aligning the stars. Citation Text: Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. Copy Citation For…

  7. Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
    May 21, 2014 - Book/Report Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. Citation Text: Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748…

  8. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Introduction On-Time Falls Prevention was developed to provide the multidisciplinary nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall risk and implement proactive strategies to prevent fal…

  9. 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 …

  10. Workarounds are routinely used by nurses—but are they ethical? | PSNet

    psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
    October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…

  11. MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. | PSNet

    psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
    July 07, 2021 - Multi-use Website MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Citation Text: MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Oxford, UK: The National Perinatal Epidemiology U…

  12. The medical emergency team as a safety net. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-safety-net
    September 30, 2010 - Commentary The medical emergency team as a safety net. Citation Text: Buttfield MA, Amos JD, Hillman KM. The medical emergency team as a safety net. Jt Comm J Qual Patient Saf. 2006;32(11):641-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  13. Medication Overload: America's Other Drug Problem. | PSNet

    psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
    April 01, 2020 - Book/Report Medication Overload: America's Other Drug Problem. Citation Text: Medication Overload: America's Other Drug Problem. Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019. Copy Citation Save Save to your library Print Download PDF …

  14. Better Safer Care Victoria. | PSNet

    psnet.ahrq.gov/issue/better-safer-care-victoria
    August 09, 2023 - Government Resource Better Safer Care Victoria. Citation Text: Better Safer Care Victoria. Safer Care Victoria and Victorian Agency for Health Information. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  15. Cognitive Systems Engineering in Health Care. | PSNet

    psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
    October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…

  16. Implementing a systematic response to medication errors. | PSNet

    psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
    August 27, 2009 - Commentary Implementing a systematic response to medication errors. Citation Text: Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  17. Systemic error in radiology. | PSNet

    psnet.ahrq.gov/issue/systemic-error-radiology
    August 01, 2018 - Commentary Systemic error in radiology. Citation Text: Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  18. Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. | PSNet

    psnet.ahrq.gov/issue/surgical-checklists-detailed-review-their-emergence-development-and-relevance-neurosurgical
    September 29, 2017 - Review Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. Citation Text: McConnell DJ, Fargen KM, Mocco J. Surgical checklists: A detailed review of their emergence, development, and relevance to neurosurgical practice. Surg…

  19. Transformation of health care at the front line. | PSNet

    psnet.ahrq.gov/issue/transformation-health-care-front-line
    July 24, 2017 - Commentary Transformation of health care at the front line. Citation Text: Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  20. Patient safety beyond the hospital. | PSNet

    psnet.ahrq.gov/issue/patient-safety-beyond-hospital
    August 24, 2011 - Commentary Patient safety beyond the hospital. Citation Text: Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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