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  1. psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
    January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
    October 26, 2011 - Newspaper/Magazine Article ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Citation Text: ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019. Copy Citation Save …
  3. psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
    August 17, 2022 - Webinar Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Citation Text: Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…
  4. psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
    October 23, 2019 - Webinar Introducing the New SOPS Hospital Survey 2.0. Citation Text: Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019. Copy Citation Save Save to your library Print Download PDF Share …
  5. psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
    August 09, 2023 - Newspaper/Magazine Article A national safety board made transportation safer and could do the same for health care, advocates say. Citation Text: A national safety board made transportation safer and could do the same for health care, advocates say. Jaklevic MC. CNN. May 30, 2023. Co…
  6. psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
    January 21, 2011 - Commentary Organization and representation of patient safety data: current status and issues around generalizability and scalability. Citation Text: Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…
  7. psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
    December 16, 2015 - Review Tubing misconnections: normalization of deviance. Citation Text: Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. Copy Citation Format: DOI Google Scholar PubM…
  8. psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system
    December 22, 2010 - Study Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. Citation Text: Yule S, Flin R, Maran N, et al. Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World J Sur…
  9. psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
    November 04, 2020 - Commentary Tubing safety in the obstetric setting: preventing medication errors. Citation Text: Broussard BS. Tubing safety in the obstetric setting: preventing medication errors. Nurs Womens Health. 2009;13(2):155-158. doi:10.1111/j.1751-486X.2009.01407.x. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
    November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
  11. psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
    March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…
  12. psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
    October 29, 2014 - Commentary Addressing medication errors - the role of undergraduate nurse education. Citation Text: Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. Copy Citation Format: Google Scholar PubM…
  13. psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
    February 01, 2013 - Review How safe is my intensive care unit? Methods for monitoring and measurement. Citation Text: Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. Copy Citation For…
  14. psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
    April 26, 2023 - Newspaper/Magazine Article New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Citation Text: New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022. Copy Citation …
  15. psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
    June 22, 2022 - Commentary Deaths due to medical error: jumbo jets or just small propeller planes? Citation Text: Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. Copy Citation Format: DOI Google S…
  16. psnet.ahrq.gov/issue/detecting-drug-interactions-using-personal-digital-assistants-out-patient-clinic
    March 28, 2011 - Study Detecting drug interactions using personal digital assistants in an out-patient clinic. Citation Text: Dallenbach F, Bovier PA, Desmeules J. Detecting drug interactions using personal digital assistants in an out-patient clinic. QJM. 2007;100(11):691-7. Copy Citation Format…
  17. psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
    December 12, 2014 - Study Exploring strategies for reducing hospital errors. Citation Text: McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  18. psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
    February 28, 2024 - Commentary Learning from patient safety incidents: creating participative risk regulation in healthcare. Citation Text: Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452. …
  19. psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
    August 29, 2011 - Commentary Improving operating room and perioperative safety: background and specific recommendations. Citation Text: Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
    May 29, 2013 - Review Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. Citation Text: Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…

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