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  1. psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
    August 02, 2015 - Commentary Staying safe: simple tools for safe surgery. Citation Text: Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  2. psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
    May 21, 2019 - Commentary Evidence under judgment: can we oversee our own decision making? Citation Text: Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  3. psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
    June 01, 2016 - Newspaper/Magazine Article Safety for all: integrated design for inpatient units. Citation Text: Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28. Copy Citation Save Save to your library …
  4. psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
    November 03, 2021 - Book/Report Classic Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Citation Text: Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
  5. psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …
  6. psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
    June 03, 2015 - Commentary Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Citation Text: McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8. Copy Citation Form…
  7. psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
    November 20, 2019 - Newspaper/Magazine Article EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Citation Text: EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Arditi L. Peoples Public Radio. December 3, 2019. …
  8. psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
    March 02, 2010 - Study Expanded surgical time out: a key to real-time data collection and quality improvement. Citation Text: Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. Copy Cita…
  9. psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
    January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…
  10. psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
    October 27, 2021 - Newspaper/Magazine Article Air pressure: human factors are the key to a safer flight environment. Citation Text: Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31. Copy Citation Save Save to your library…
  11. psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
    June 29, 2011 - Study A new method to guard inpatient medication safety by the implementation of RFID. Citation Text: Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32. Copy Citation Format: Google Schola…
  12. psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
    March 27, 2019 - Newspaper/Magazine Article Avoidable sepsis infections send thousands of seniors to gruesome deaths. Citation Text: Avoidable sepsis infections send thousands of seniors to gruesome deaths. Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018. Copy Cita…
  13. psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
    July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…
  14. psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
    June 20, 2014 - Toolkit Re-Engineered Discharge (RED) Toolkit. Citation Text: Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. Copy Citation …
  15. psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
    May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
  16. psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
  17. psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
    May 01, 2006 - Study Barriers to nurses' reporting of medication administration errors in Taiwan. Citation Text: Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. Copy…
  18. psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
    September 24, 2016 - Commentary Overcoming barriers to patient safety. Citation Text: Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123; quiz 149. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  19. psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
    September 27, 2017 - Study The impact of teamwork on missed nursing care. Citation Text: Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. doi:10.1016/j.outlook.2010.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
  20. psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
    November 10, 2011 - Book/Report Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Citation Text: Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Dublin, Ireland: Department of Health & Childre…

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