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  1. psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
    April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. Citation Text: Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…
  2. psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
    January 07, 2015 - Review Telenursing in incidents and disasters: a systematic review of the literature. Citation Text: Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005. Copy …
  3. psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
    April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. Citation Text: Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x. Copy …
  4. psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
    November 09, 2022 - Study Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. Citation Text: Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…
  5. psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration
    November 16, 2022 - Study Quality-monitoring program for bar-code–assisted medication administration.   Citation Text: Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172. Copy…
  6. psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
    February 15, 2011 - Study Raising the awareness of inpatient nursing staff about medication errors. Citation Text: Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90. Copy Citation Format: Google Sc…
  7. psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
    September 01, 2016 - Review Maths anxiety and medication dosage calculation errors: a scoping review. Citation Text: Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
    November 15, 2023 - Commentary Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. Citation Text: Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …
  9. psnet.ahrq.gov/issue/frequency-comprehension-and-attitudes-physicians-towards-abbreviations-medical-record
    October 14, 2011 - Study Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. Citation Text: Hamiel U, Hecht I, Nemet A, et al. Frequency, comprehension and attitudes of physicians towards abbreviations in the medical record. Postgrad Med J. 2018;94(1111):254-25…
  10. psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
    November 07, 2012 - Study Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Citation Text: Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85. Copy C…
  11. psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
    February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…
  12. psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
    June 29, 2011 - Study Challenges in communication from referring clinicians to pathologists in the electronic health record era. Citation Text: Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform.…
  13. psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
    December 03, 2014 - Study Rapid response team implementation and in-hospital mortality. Citation Text: Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
    November 16, 2022 - Commentary Clinical perspective: creating an effective practice peer review process—a primer. Citation Text: Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…
  15. psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…
  16. psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
    June 29, 2011 - Study People are more error-prone after committing an error. Citation Text: Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. Copy Citation Format: DOI Google Scholar BibTeX EndNot…
  17. psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
    August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
  18. psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
    March 20, 2024 - Review The effects of bar-coding technology on medication errors: a systematic literature review. Citation Text: Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…
  19. psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
    September 23, 2020 - Study Risk factors for i.v. compounding errors when using an automated workflow management system. Citation Text: Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
  20. psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
    October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

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