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  1. psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
    June 10, 2013 - Review Detecting adverse events in dermatologic surgery. Citation Text: Pinney D, Pearce DJ, Feldman SR. Detecting adverse events in dermatologic surgery. Dermatol Surg. 2010;36(1):8-14. doi:10.1111/j.1524-4725.2009.01378.x. Copy Citation Format: DOI Google Scholar PubMed…
  2. psnet.ahrq.gov/issue/swapping-horses-midstream-factors-related-physicians-changing-their-minds-about-diagnosis
    January 29, 2020 - Study Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Citation Text: Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.…
  3. psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …
  4. psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
    November 21, 2012 - Review Training situational awareness to reduce surgical errors in the operating room. Citation Text: Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. C…
  5. psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
  6. psnet.ahrq.gov/issue/cost-disruptive-and-unprofessional-behaviors-health-care
    August 04, 2021 - Commentary The cost of disruptive and unprofessional behaviors in health care. Citation Text: Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009. Copy Citation …
  7. psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
    September 28, 2010 - Government Resource VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. Citation Text: VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…
  8. psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…
  9. psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
    June 02, 2021 - Government Resource FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. Citation Text: FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…
  10. psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
    September 13, 2017 - Commentary Human factors engineering in patient safety. Citation Text: Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…
  11. psnet.ahrq.gov/issue/improving-communication-emergency-department
    September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…
  12. psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
    April 10, 2024 - Review The relationship between nurse education level and patient safety: an integrative review. Citation Text: Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. Copy Citation Format: Goo…
  13. psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
    March 11, 2020 - Commentary Three simple rules to improve medication safety. Citation Text: Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  14. psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
    March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…
  15. psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
    August 01, 2018 - Commentary Classic "Going solid": a model of system dynamics and consequences for patient safety. Citation Text: Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4. Copy …
  16. psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting
    December 21, 2022 - Study Barriers to incident notification in a regional prehospital setting. Citation Text: Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738. Copy Citation Format: DOI Goog…
  17. psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care
    April 23, 2014 - Study Prioritizing threats to patient safety in rural primary care. Citation Text: Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
  18. psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
    February 22, 2023 - Study Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. Citation Text: WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…
  19. psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
    February 27, 2014 - Study Preventing patient harms through systems of care. Citation Text: Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
  20. psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
    April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…