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  1. Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. | PSNet

    psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry
    April 01, 2019 - Organizational Policy/Guidelines Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Citation Text: Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…

  2. Achieving a climate for patient safety by focusing on relationships. | PSNet

    psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
    December 19, 2017 - Study Achieving a climate for patient safety by focusing on relationships. Citation Text: Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068. Copy Citation …

  3. Taking a closer look at medication errors that involve oxytocin. | PSNet

    psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
    July 18, 2018 - Newspaper/Magazine Article Taking a closer look at medication errors that involve oxytocin. Citation Text: Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6. Copy Citation Save …

  4. Creating a stronger culture of safety within US community pharmacies. | PSNet

    psnet.ahrq.gov/issue/creating-stronger-culture-safety-within-us-community-pharmacies
    June 14, 2023 - Commentary Creating a stronger culture of safety within US community pharmacies. Citation Text: Lewis NJW, Marwitz KK, Gaither CA, et al. Creating a stronger culture of safety within US community pharmacies. Jt Comm J Qual Patient Saf. 2023;49(5):280-284. doi:10.1016/j.jcjq.2023.01.012. …

  5. Spreading human factors expertise in healthcare: untangling the knots in people and systems. | PSNet

    psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
    May 01, 2024 - Commentary Spreading human factors expertise in healthcare: untangling the knots in people and systems. Citation Text: Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…

  6. Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. | PSNet

    psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
    October 04, 2011 - Study Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. Citation Text: Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital Syste…

  7. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

    psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
    February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

  8. Have you M.E.T. the future of better patient safety? | PSNet

    psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
    November 13, 2024 - Newspaper/Magazine Article Have you M.E.T. the future of better patient safety? Citation Text: Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. Copy Citation Format: Google Scholar PubMed…

  9. Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. | PSNet

    psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19
    June 10, 2018 - Newspaper/Magazine Article Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. Citation Text: Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. ISMP Medicat…

  10. Strategies for preventing distractions and interruptions in the OR. | PSNet

    psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
    January 23, 2008 - Study Strategies for preventing distractions and interruptions in the OR. Citation Text: Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707. doi:10.1016/j.aorn.2013.01.018. Copy Citation Format: DOI Google Scholar PubMed…

  11. Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. | PSNet

    psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
    July 14, 2010 - Study Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. Citation Text: Flanders S, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: lessons learned and future directions. J Patient Saf. 2009;5(1):3-8. doi:10.1097/P…

  12. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2016
    November 10, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Oakbrook Terrace, IL: The Joint Commission; November 2016. Copy Citation …

  13. The aging surgeon. | PSNet

    psnet.ahrq.gov/issue/aging-surgeon
    February 22, 2019 - Review The aging surgeon. Citation Text: Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  14. America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015. Oakbrook Terrace, IL: The Joint Commission; November 2015. Copy Citation …

  15. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

    psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

  16. America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. | PSNet

    psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
    November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Oakbrook Terrace, IL: The Joint Commission; November 2014. Copy Citatio…

  17. Preventing patient positioning injuries in the nonoperating room setting. | PSNet

    psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
    November 21, 2012 - Commentary Preventing patient positioning injuries in the nonoperating room setting. Citation Text: Moody A, Chacin B, Chang C. Preventing patient positioning injuries in the nonoperating room setting. Curr Opin Anaesthesiol. 2022;35(4):465-471. doi:10.1097/aco.0000000000001153. Copy C…

  18. Engineering a foundation for partnership to improve medication safety during care transitions. | PSNet

    psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
    July 20, 2022 - Commentary Engineering a foundation for partnership to improve medication safety during care transitions. Citation Text: Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …

  19. HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. | PSNet

    psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
    December 16, 2009 - Book/Report HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. Citation Text: Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…

  20. The Impact of Complications on Surgeons. | PSNet

    psnet.ahrq.gov/issue/impact-complications-surgeons
    November 16, 2022 - Special or Theme Issue The Impact of Complications on Surgeons. Citation Text: The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320. doi:10.1016/j.urolonc.2024.05.016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…
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