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  1. psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
    July 19, 2023 - Study The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. Citation Text: Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1…
  2. psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
    January 23, 2008 - Study Structural empowerment and patient safety culture among registered nurses working in adult critical care units. Citation Text: Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…
  3. psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety
    August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…
  4. psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
    March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…
  5. psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
    May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…
  6. psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment
    September 01, 2018 - Study Error disclosure: a new domain for safety culture assessment. Citation Text: Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530. Copy Citation Format: …
  7. psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth
    July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…
  8. psnet.ahrq.gov/issue/inappropriate-drug-use-elderly-nationwide-register-based-study
    July 09, 2008 - Study Inappropriate drug use in the elderly: a nationwide register-based study. Citation Text: Johnell K, Fastbom J, Rosén M, et al. Inappropriate drug use in the elderly: a nationwide register-based study. Ann Pharmacother. 2007;41(7):1243-8. Copy Citation Format: Google…
  9. psnet.ahrq.gov/issue/disposal-paper-records-containing-personal-information-hospitals
    March 13, 2024 - Study Disposal of paper records containing personal information in hospitals. Citation Text: Ramjist JK, Coburn N, Urbach DR, et al. Disposal of Paper Records Containing Personal Information in Hospitals. JAMA. 2018;319(11):1162-1163. doi:10.1001/jama.2017.21533. Copy Citation Form…
  10. psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high
    February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …
  11. psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
    July 03, 2016 - Study Handover after pediatric heart surgery: a simple tool improves information exchange. Citation Text: Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…
  12. psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
    September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…
  13. psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context
    December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…
  14. psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
    March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…
  15. psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
    October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…
  16. psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records
    November 06, 2013 - Study Multidose drug dispensing and discrepancies between medication records. Citation Text: Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. Copy Citati…
  17. psnet.ahrq.gov/issue/neonatal-intensive-care-unit-safety-culture-varies-widely
    April 18, 2012 - Study Neonatal intensive care unit safety culture varies widely. Citation Text: Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. Copy Citati…
  18. psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and
    March 23, 2022 - Study An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Citation Text: Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…
  19. psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences
    November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…
  20. psnet.ahrq.gov/issue/effect-80-hour-work-week-resident-case-coverage
    July 21, 2010 - Study Effect of the 80-hour work week on resident case coverage. Citation Text: Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. Copy Citation Format…

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