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  1. psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making
    September 17, 2010 - Commentary A framework for encouraging patient engagement in medical decision making. Citation Text: Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. Copy C…
  2. psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
    December 02, 2020 - Commentary More than a tick box: medical checklist development, design, and use. Citation Text: Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. Copy Citat…
  3. psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
    December 02, 2020 - Review Alarm fatigue: impacts on patient safety. Citation Text: Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  4. psnet.ahrq.gov/issue/winning-battle-standardization
    March 02, 2022 - Newspaper/Magazine Article Winning the battle for standardization. Citation Text: Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…
  5. psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
    December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
  6. psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
    June 08, 2011 - Study The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. Citation Text: Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
  7. psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
    December 02, 2020 - Review Improving patient safety in developing countries—moving towards an integrated approach. Citation Text: Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2…
  8. psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
    January 19, 2016 - Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: …
  9. psnet.ahrq.gov/issue/apology-errors-whose-responsibility
    September 27, 2016 - Commentary Apology for errors: whose responsibility? Citation Text: Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  10. psnet.ahrq.gov/issue/health-literacy-and-quality-focus-chronic-illness-care-and-patient-safety
    September 26, 2012 - Commentary Health literacy and quality: focus on chronic illness care and patient safety. Citation Text: Rothman RL, Yin S, Mulvaney S, et al. Health literacy and quality: focus on chronic illness care and patient safety. Pediatrics. 2009;124 Suppl 3:S315-S326. doi:10.1542/peds.2009-11…
  11. psnet.ahrq.gov/issue/policies-promote-shared-responsibility-safer-electronic-health-records
    August 25, 2021 - Commentary Policies to promote shared responsibility for safer electronic health records. Citation Text: Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945. Copy Citation Forma…
  12. psnet.ahrq.gov/issue/research-nursing-handoffs-medical-and-surgical-settings-integrative-review
    October 19, 2011 - Review Research on nursing handoffs for medical and surgical settings: an integrative review. Citation Text: Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. …
  13. 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…
  14. psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative
    October 17, 2012 - Commentary Promoting patient safety: results of a TeamSTEPPS initiative. Citation Text: Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…
  16. psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
    December 02, 2020 - Organizational Policy/Guidelines Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Citation Text: Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
  17. psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
    October 16, 2012 - Commentary An innovative tool for experiential learning of nursing quality and safety competencies. Citation Text: St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…
  18. psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
    August 02, 2015 - Commentary Cutting-edge efforts in surgical patient safety. Citation Text: Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  19. psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …
  20. psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective
    February 15, 2017 - Review Pediatric quality and safety: a nursing perspective. Citation Text: Butler GA, Hupp DS. Pediatric Quality and Safety. Pediatr Clin North Am. 2016;63(2). doi:10.1016/j.pcl.2015.11.005. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…