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  1. psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
    October 03, 2011 - Commentary Human factors and error prevention in emergency medicine. Citation Text: Bleetman A, Sanusi S, Dale T, et al. Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29(5):389-93. doi:10.1136/emj.2010.107698. Copy Citation Format: DOI Google…
  2. psnet.ahrq.gov/issue/organizational-silence-and-hidden-threats-patient-safety
    September 27, 2010 - Commentary Organizational silence and hidden threats to patient safety. Citation Text: Henriksen K, Dayton E. Organizational Silence and Hidden Threats to Patient Safety. Health Serv Res. 2006;41(4p2). doi:10.1111/j.1475-6773.2006.00564.x. Copy Citation Format: DOI Google…
  3. psnet.ahrq.gov/issue/technology-education-and-safety-3
    October 11, 2023 - Special or Theme Issue Technology, Education and Safety. Citation Text: Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  4. psnet.ahrq.gov/issue/improving-patient-safety-repeating-read-back-telephone-reports-critical-information
    March 02, 2011 - Study Improving patient safety by repeating (read-back) telephone reports of critical information. Citation Text: Barenfanger J, Sautter RL, Lang DL, et al. Improving patient safety by repeating (read-back) telephone reports of critical information. Am J Clin Pathol. 2004;121(6):801-3. …
  5. psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
    September 05, 2012 - Book/Report Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Citation Text: Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
  6. psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together
    August 21, 2015 - Commentary Disclosure and apology: nursing and risk management working together. Citation Text: Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage. 2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2. Copy Citation Format: DOI…
  7. psnet.ahrq.gov/issue/understanding-communication-during-hospitalist-service-changes-mixed-methods-study
    December 14, 2022 - Study Understanding communication during hospitalist service changes: a mixed methods study. Citation Text: doi:10.1002/jhm.523. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …
  8. psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
    September 27, 2016 - Commentary A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. Citation Text: Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22. Copy Citati…
  9. psnet.ahrq.gov/issue/ethical-issues-patient-safety
    November 02, 2014 - Commentary Ethical issues in patient safety. Citation Text: Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…
  10. psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
    November 16, 2022 - Commentary Surgical accountability in the 1880s: the death of Susan Nixon. Citation Text: Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg. 2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x. Copy Citation Format: DOI Google …
  11. psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
    September 02, 2015 - Review Preventing complications of central venous catheterization. Citation Text: McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
  12. psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …
  13. psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
    October 19, 2022 - Commentary A spotlight on strategies for increasing safety reporting in nursing education. Citation Text: Cooper EE. A spotlight on strategies for increasing safety reporting in nursing education. J Contin Educ Nurs. 2012;43(4):162-8. doi:10.3928/00220124-20111201-02. Copy Citation …
  14. psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
    March 02, 2016 - Commentary Diagnostic error: untapped potential for improving patient safety? Citation Text: Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149. Copy Citation Format: DOI Google Sc…
  15. psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
    September 04, 2013 - Commentary Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. Citation Text: Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…
  16. psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
    December 02, 2020 - Study Risk models to improve safety of dispensing high-alert medications in community pharmacies. Citation Text: Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-6…
  17. psnet.ahrq.gov/issue/student-perceptions-clinical-quality-and-safety
    September 01, 2021 - Study Student perceptions of clinical quality and safety. Citation Text: Swamy L, Badke C, Suguness A, et al. Student Perceptions of Clinical Quality and Safety. Am J Med Qual. 2016;31(6):601. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  18. psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
    March 13, 2024 - Commentary A performance improvement plan to increase nurse adherence to use of medication safety software. Citation Text: Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
  19. psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
    January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…
  20. psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
    September 24, 2016 - Study Interruptions and blood transfusion checks: lessons from the simulated operating room. Citation Text: Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…

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