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  1. psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
    December 06, 2023 - Commentary Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. Citation Text: Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bm…
  2. psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
    June 16, 2011 - Commentary Integrating CUSP and TRIP to improve patient safety. Citation Text: Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348. Copy Citation Format: DOI Google…
  3. psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
    August 04, 2021 - Study Variation in caregiver perceptions of teamwork climate in labor and delivery units. Citation Text: Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70. Copy Citation …
  4. psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
    January 05, 2017 - Study Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. Citation Text: Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. J Nurs Care …
  5. psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate
    April 24, 2018 - Study A relational leadership perspective on unit-level safety climate. Citation Text: Thompson DN, Hoffman LA, Sereika SM, et al. A relational leadership perspective on unit-level safety climate. J Nurs Adm. 2011;41(11):479-87. doi:10.1097/NNA.0b013e3182346e31. Copy Citation For…
  6. psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - Study The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. Citation Text: Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…
  7. psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
    March 19, 2014 - Study Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. Citation Text: Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…
  8. psnet.ahrq.gov/issue/education-and-reporting-diagnostic-errors-among-physicians-internal-medicine-training
    July 17, 2019 - Study Education and reporting of diagnostic errors among physicians in internal medicine training programs. Citation Text: Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178…
  9. psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
    December 12, 2012 - Study Incident reporting in one UK accident and emergency department. Citation Text: Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37. Copy Citation Format: Google Scholar PubMed …
  10. effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
    January 01, 2012 - Effective Health Care Topic Number: 0437 Document Completion Date: 05-10-12 1 Results of Topic Selection Process & Next Steps  Heart failure hospital readmission prevention will go forward for refinement as an update to or expansion of an existing comparative effectiveness or effectiveness revie…
  11. psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
    September 20, 2011 - Study A framework for classifying patient safety practices: results from an expert consensus process. Citation Text: Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10…
  12. digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
    January 01, 2010 - Randomized Control Trial Embedded in an Electronic Health Record - 2010 Project Name Randomized Controlled Trial Embedded in an Electronic Health Record Principal Investigator Kahn, James Organization University of California, San Francisco Funding Mechanism RFA: HS…
  13. psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
    May 16, 2018 - Book/Report Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Citation Text: Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
  14. psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
    July 11, 2018 - Book/Report Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Citation Text: Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
  15. psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…
  16. psnet.ahrq.gov/issue/identifying-nontechnical-skills-associated-safety-emergency-department-scoping-review
    December 12, 2012 - Review Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. Citation Text: Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of…
  17. psnet.ahrq.gov/issue/teamwork-operating-theatre-cohesion-or-confusion
    July 26, 2011 - Study Teamwork in the operating theatre: cohesion or confusion? Citation Text: Undre S, Sevdalis N, Healey A, et al. Teamwork in the operating theatre: cohesion or confusion? J Eval Clin Pract. 2006;12(2):182-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …
  18. psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
    July 01, 2017 - Commentary The eNOTSS platform for surgeons’ nontechnical skills performance improvement. Citation Text: Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. Copy …
  19. psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
    September 04, 2013 - Study Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. Citation Text: Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…
  20. psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
    August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…