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  1. psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
    March 15, 2016 - Review The effect of bedrails on falls and injury: a systematic review of clinical studies. Citation Text: Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …
  2. psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
    September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…
  3. psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
    January 02, 2008 - Review Health literacy, medication errors, and health outcomes: is there a relationship? Citation Text: Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. Copy Cita…
  4. psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family
    January 17, 2024 - Commentary Insensible losses: when the medical community forgets the family. Citation Text: Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. Copy Citation Format: DOI Google …
  5. psnet.ahrq.gov/issue/clinical-handovers-between-prehospital-and-hospital-staff-literature-review
    March 23, 2022 - Review Clinical handovers between prehospital and hospital staff: literature review. Citation Text: Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165. Copy C…
  6. psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
    August 25, 2021 - Study Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. Citation Text: Gounder P, Beers R, Bornschlegel K, et al. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. J Clin Anesth. 2013;25(7)…
  7. psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
    May 01, 2006 - Study Competence and certification of registered nurses and safety of patients in intensive care units. Citation Text: Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…
  8. psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
    December 22, 2008 - Commentary Lessons learned: basic evidence-based advice for preventing medication errors in children. Citation Text: Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…
  9. psnet.ahrq.gov/issue/getting-underuse-interpreters-resident-physicians
    February 21, 2018 - Study Getting by: underuse of interpreters by resident physicians. Citation Text: Diamond LC, Schenker Y, Curry LA, et al. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2009;24(2):256-62. doi:10.1007/s11606-008-0875-7. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
    February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…
  11. psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
    May 18, 2022 - Study Omitted and unjustified medications in the discharge summary. Citation Text: Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…
  13. psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
    September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…
  14. psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
    April 24, 2018 - Study Is there evidence of a July effect among patients undergoing hysterectomy surgery? Citation Text: Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…
  15. psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
    August 02, 2015 - Study Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. Citation Text: Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
  16. psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical
    October 05, 2022 - Review Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. Citation Text: Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical er…
  17. psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education
    June 07, 2023 - Study Handoff practices in undergraduate medical education. Citation Text: Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0. Copy Citation Format: DOI Google Scho…
  18. psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
    October 19, 2022 - Study Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. Citation Text: Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate me…
  19. psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
    November 10, 2021 - Study Changes in intern attitudes toward medical error and disclosure. Citation Text: Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. Copy Citation Fo…
  20. psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
    July 13, 2010 - Review Peer support in anesthesia: turning war stories into wellness. Citation Text: Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591. Copy Citation Format: DOI G…