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  1. psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
    February 26, 2020 - Commentary Emerging Classic Teams of psychologists helping teams: the evolution of the science of team training. Citation Text: Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…
  2. psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
    April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…
  3. psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
    November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
  4. psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
    September 30, 2010 - Book/Report Textbook of Rapid Response Systems: Concept and Implementation. Citation Text: Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). Springer; 2025. ISBN 9783031679513. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…
  5. psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
    February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…
  6. psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
    December 03, 2018 - Commentary Classic Organizational culture as a source of high reliability. Citation Text: Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. Copy Citation Format: DOI Google…
  7. psnet.ahrq.gov/issue/implementation-perioperative-checklist-increases-patients-perioperative-safety-and-staff
    April 03, 2013 - Study The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Citation Text: Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfacti…
  8. psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
    July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…
  9. psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
    June 18, 2014 - Review Disclosure of harmful medical errors in out-of-hospital care. Citation Text: Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…
  11. psnet.ahrq.gov/issue/learning-samples-one-or-fewer
    December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…
  12. psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
    June 30, 2021 - Commentary Five new ways to advance diagnostic safety in your clinical practice. Citation Text: Five new ways to advance diagnostic safety in your clinical practice. Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16. Copy Citation Save …
  13. psnet.ahrq.gov/issue/preventable-errors-organ-transplantation-emerging-patient-safety-issue
    September 09, 2015 - Commentary Preventable errors in organ transplantation: an emerging patient safety issue? Citation Text: Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…
  14. psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
    May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…
  15. psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
    July 10, 2008 - Study Role of medical students in preventing patient harm and enhancing patient safety. Citation Text: Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient safety. Qual Saf Health Care. 2006;15(4):272-6. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
    June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…
  17. psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
    February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…
  18. psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
    February 15, 2017 - Commentary Using an automated risk assessment report to identify patients at risk for clinical deterioration. Citation Text: Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…
  19. psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
    December 29, 2014 - Review Adverse events in hospitals: the patient's point of view. Citation Text: Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. Copy Citation Format: DO…
  20. psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
    July 21, 2009 - Commentary Building and sustaining a systemwide culture of safety. Citation Text: Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689. Copy Citation Format: Google Scholar PubMed Bib…

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