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  1. psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. Copy Citation Form…
  2. psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
    January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…
  3. psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
    February 20, 2013 - Study Exploring the causes of adverse events in hospitals and potential prevention strategies. Citation Text: Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…
  4. psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
    December 12, 2012 - Commentary Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. Citation Text: Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…
  5. psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty
    October 31, 2014 - Commentary Assumptions of quality medicine: the role of uncertainty. Citation Text: Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. Copy Citation Format:…
  6. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
    January 14, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. Citation Text: Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b…
  7. psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
    February 15, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. Citation Text: Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …
  8. psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …
  9. psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
    August 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…
  10. psnet.ahrq.gov/issue/speaking-ethical-action-exercise
    February 13, 2014 - Commentary Speaking up: an ethical action exercise. Citation Text: Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
  11. psnet.ahrq.gov/issue/threats-patient-safety-primary-care-office-concerns-physicians-and-nurses
    November 09, 2015 - Study Threats to patient safety in the primary care office: concerns of physicians and nurses. Citation Text: Schwappach DLB, Gehring K, Battaglia M, et al. Threats to patient safety in the primary care office: concerns of physicians and nurses. Swiss Med Wkly. 2012;142:w13601. doi:10.…
  12. psnet.ahrq.gov/issue/patient-safety-office-based-setting
    August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  13. psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
    July 15, 2009 - Commentary Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. Citation Text: Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…
  14. psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
    June 17, 2015 - Commentary Intraoperative surgical performance measurement and outcomes: choose your tools carefully. Citation Text: Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837. C…
  15. psnet.ahrq.gov/issue/culture-safety-ems-systems-0
    February 18, 2011 - Organizational Policy/Guidelines A culture of safety in EMS systems. Citation Text: A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services.  Ann Emerg Med. 2021;78(3):e37-e57.  Copy Citation …
  16. psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
    September 23, 2020 - Commentary Taking the blame: appropriate responses to medical error. Citation Text: Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687. Copy Citation Format: DOI Google Scholar PubMed BibT…
  17. psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
    October 23, 2024 - Review Crisis resource management in emergency medicine. Citation Text: Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x. Copy Citation Format: DO…
  18. psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
    October 19, 2022 - Review Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. Citation Text: Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…
  19. psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
    March 19, 2019 - Commentary Implementing the Safety Thermometer tool in one NHS trust. Citation Text: Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…
  20. psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
    June 21, 2016 - Study Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. Citation Text: Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…

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