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  1. psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
    April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …
  2. psnet.ahrq.gov/issue/raising-alarm-cross-sectional-study-exploring-factors-affecting-patients-willingness-escalate
    September 12, 2016 - Study Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. Citation Text: Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness…
  3. psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
    September 10, 2014 - Study The tipping point: the relationship between volume and patient harm. Citation Text: Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628. Copy Citation Format: DOI Google Scho…
  4. psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
    October 19, 2022 - Study Rapid response team in a rural hospital. Citation Text: Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…
  5. psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
    July 13, 2010 - Commentary Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Citation Text: DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…
  6. psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
    March 16, 2016 - Study Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. Citation Text: Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…
  7. psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe
    December 04, 2024 - Review Emerging Classic The computerized ECG: friend and foe. Citation Text: Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…
  8. psnet.ahrq.gov/issue/response-appd-cops-and-aap-institute-medicine-report-resident-duty-hours
    November 12, 2014 - Commentary The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Citation Text: Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4…
  9. psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
    November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…
  10. psnet.ahrq.gov/issue/effects-extended-work-shifts-and-shift-work-patient-safety-productivity-and-employee-health
    October 20, 2021 - Commentary Effects of extended work shifts and shift work on patient safety, productivity, and employee health. Citation Text: Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009;57(12):497-504. doi:10.3928/08910…
  11. psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-information-2019
    June 22, 2022 - Commentary ACR guidance document on MR safe practices: updates and critical information 2019. Citation Text: ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…
  12. psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
    March 14, 2018 - Study Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Citation Text: Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…
  13. psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
    February 15, 2011 - Study Residents report on adverse events and their causes. Citation Text: Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …
  14. psnet.ahrq.gov/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship
    March 02, 2022 - Study Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. Citation Text: Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…
  15. psnet.ahrq.gov/issue/prevention-opioid-overdose
    July 18, 2018 - Review Emerging Classic Prevention of opioid overdose. Citation Text: Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose.  N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054. Copy Citation Format: DOI Google Scholar PubMed Bi…
  16. psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center
    July 22, 2020 - Study Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. Citation Text: Strunk LB, Matson AW, Steinke DT. Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical Center. Hosp Pharm.…
  17. psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
    January 12, 2022 - Commentary Error traps in pediatric patient blood management in the perioperative period. Citation Text: Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. Copy C…
  18. psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
    March 30, 2022 - Study Medication sharing, storage, and disposal practices for opioid medications among US adults. Citation Text: Kennedy-Hendricks A, Gielen A, McDonald E, et al. Medication Sharing, Storage, and Disposal Practices for Opioid Medications Among US Adults. JAMA Intern Med. 2016;176(7):1027…
  19. psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
    July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …
  20. psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
    June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

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