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9361. Incidence, nature and impact of error in surgery. | PSNet
      psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
      December 16, 2020 - Study Incidence, nature and impact of error in surgery. Citation Text: Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

9362. How can the criminal law support the provision of quality in healthcare? | PSNet
      psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quality-healthcare
      December 19, 2018 - Review How can the criminal law support the provision of quality in healthcare? Citation Text: Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. Copy Citation Format: D…

9363. Patient safety climate in 92 US hospitals: differences by work area and discipline. | PSNet
      psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline
      September 02, 2009 - Study Patient safety climate in 92 US hospitals: differences by work area and discipline. Citation Text: Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189…

9364. Impact of organizations on healthcare-associated infections. | PSNet
      psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
      December 11, 2024 - Commentary Impact of organizations on healthcare-associated infections. Citation Text: Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. Copy Citation Format: DOI Googl…

9365. Development and implementation of a hospital-based patient safety program. | PSNet
      psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
      June 21, 2006 - Commentary Development and implementation of a hospital-based patient safety program. Citation Text: Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. Copy Citation Format: Google Schol…

9366. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet
      psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
      September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…

9367. Drug shortages: a complex health care crisis. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-complex-health-care-crisis
      September 12, 2016 - Review Drug shortages: a complex health care crisis. Citation Text: Fox ER, Sweet B, Jensen V. Drug shortages: a complex health care crisis. Mayo Clin Proc. 2014;89(3):361-73. doi:10.1016/j.mayocp.2013.11.014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

9368. Interventions to improve teamwork and communications among healthcare staff. | PSNet
      psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
      March 03, 2011 - Review Interventions to improve teamwork and communications among healthcare staff. Citation Text: McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434. Copy Citation …

9369. Teamwork in healthcare: key discoveries enabling safer, high-quality care. | PSNet
      psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
      July 02, 2014 - Review Classic Teamwork in healthcare: key discoveries enabling safer, high-quality care. Citation Text: Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…

9370. A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet
      psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
      April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient experience. Citation Text: Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…

9371. America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. | PSNet
      psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
      November 27, 2018 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017. Copy Citation …

9372. Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet
      psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
      August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

9373. State of science: human factors and ergonomics in healthcare. | PSNet
      psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
      April 01, 2015 - Commentary State of science: human factors and ergonomics in healthcare. Citation Text: Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932. Copy Citation Format: …

9374. Preventing unintended retained foreign objects. | PSNet
      psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
      January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

9375. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet
      psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
      September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

9376. Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet
      psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
      September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

9377. Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet
      psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
      February 03, 2011 - Commentary Aiming higher to enhance professionalism: beyond accreditation and certification. Citation Text: Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818. Copy Citation F…

9378. National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
      May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…

9379. The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. | PSNet
      psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
      October 05, 2022 - Book/Report The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Scienc…

9380. Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet
      psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
      January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…