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  1. psnet.ahrq.gov/issue/implementation-safety-huddle
    November 03, 2021 - Commentary Implementation of the safety huddle. Citation Text: Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  2. psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
    September 26, 2012 - Study Surgeon-reported conflict with intensivists about postoperative goals of care. Citation Text: Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403. Co…
  3. psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
    July 07, 2021 - Commentary Patient safety professionals as the third victims of adverse events. Citation Text: Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/multihospital-safety-improvement-effort-and-dissemination-new-knowledge
    September 23, 2020 - Study A multihospital safety improvement effort and the dissemination of new knowledge. Citation Text: Mills PD, Weeks WB, Surott-Kimberly BC. A multihospital safety improvement effort and the dissemination of new knowledge. Jt Comm J Qual Patient Saf. 2003;29(3):124-133. Copy Citati…
  5. psnet.ahrq.gov/issue/addressing-medicines-bias-against-patients-who-are-overweight
    May 15, 2019 - Commentary Addressing medicine's bias against patients who are overweight. Citation Text: Rubin R. Addressing Medicine's Bias Against Patients Who Are Overweight. JAMA. 2019;321(10):925-927. doi:10.1001/jama.2019.0048. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  6. psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
    March 30, 2022 - Review Closing the disclosure gap: medical errors in pediatrics. Citation Text: Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4). doi:10.1542/peds.2019-0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  7. psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
    October 07, 2020 - Book/Report Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. Citation Text: Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…
  8. psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…
  9. psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
    December 02, 2020 - Organizational Policy/Guidelines Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Citation Text: Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
  10. psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
    January 20, 2010 - Study Caregiver perspectives on safety in home dementia care. Citation Text: Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  11. psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
    June 07, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. Citation Text: Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…
  12. psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
    August 02, 2015 - Commentary Cutting-edge efforts in surgical patient safety. Citation Text: Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  13. psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
    May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…
  14. psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
    January 15, 2009 - Study The application of Aronson's taxonomy to medication errors in nursing. Citation Text: Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
    June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…
  16. psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …
  17. psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
    August 07, 2024 - Commentary Events that inspired change: the importance of sharing what happened to stop it from happening again. Citation Text: Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…
  18. psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
    June 16, 2009 - Study Safety climate and medical errors in 62 US emergency departments. Citation Text: Camargo CA, Tsai C-L, Sullivan AF, et al. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med. 2012;60(5):555-563.e20. doi:10.1016/j.annemergmed.2012.02.018. Copy Citati…
  19. psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
    May 27, 2011 - Study Reducing warfarin medication interactions: an interrupted time series evaluation. Citation Text: Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time series evaluation. Arch Intern Med. 2006;166(9):1009-15. Copy Citation Fo…
  20. psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
    January 09, 2019 - Study Reduced verification of medication alerts increases prescribing errors. Citation Text: Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009. Copy Citation Format: …

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