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  1. psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
    March 28, 2011 - Commentary A theoretical framework and competency-based approach to improving handoffs. Citation Text: Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
  2. psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
    November 16, 2022 - Study Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):8…
  3. psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
    October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …
  4. psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
    December 21, 2014 - Study Cost-effective enhancement of claims data to improve comparisons of patient safety. Citation Text: Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…
  5. psnet.ahrq.gov/issue/health-care-huddles-managing-complexity-achieve-high-reliability
    November 17, 2015 - Study Health care huddles: managing complexity to achieve high reliability. Citation Text: Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. Copy Citat…
  6. psnet.ahrq.gov/issue/how-do-black-serving-hospitals-perform-patient-safety-indicators-implications-national-public
    February 18, 2011 - Study How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance. Citation Text: Ly DP, López L, Isaac T, et al. How do black-serving hospitals perform on patient safety indicators? Implications for national …
  7. psnet.ahrq.gov/issue/resident-and-nurse-perspectives-use-secure-text-messaging-systems
    March 02, 2022 - Study Resident and nurse perspectives on the use of secure text messaging systems. Citation Text: Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. Copy Citation For…
  8. psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
    June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…
  9. psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
    August 03, 2022 - Study Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Citation Text: Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci…
  10. psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
    February 10, 2021 - Study Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture Citation Text: Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…
  11. psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal-medicine-residency
    May 08, 2017 - Study Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. Citation Text: Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicin…
  12. psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
    May 27, 2011 - Commentary Improving Weekend Out Of Hours Surgical Handover (WOOSH). Citation Text: Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. Copy Citation Format: DOI G…
  13. psnet.ahrq.gov/issue/design-and-trial-new-ambulance-emergency-department-handover-protocol-imist-ambo
    March 14, 2022 - Study Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' Citation Text: Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/b…
  14. psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
    January 30, 2019 - Review Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. Citation Text: Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…
  15. psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
    February 13, 2019 - Commentary Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. Citation Text: Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management Environment…
  16. psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
    March 05, 2025 - Commentary Interrogating and uprooting systemic racism in the emergency department. Citation Text: Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347. Copy…
  17. psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
    October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…
  18. psnet.ahrq.gov/issue/do-faculty-and-resident-physicians-discuss-their-medical-errors
    February 15, 2011 - Study Do faculty and resident physicians discuss their medical errors? Citation Text: Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713. Copy Citation For…
  19. psnet.ahrq.gov/issue/medication-errors-injured-patients
    April 03, 2019 - Study Medication errors in injured patients. Citation Text: Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  20. psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
    March 03, 2011 - Study Surgical team training: the Northwestern Memorial Hospital experience. Citation Text: Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545. Copy Citatio…

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