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  1. psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
    March 05, 2014 - Study Development and validation of a taxonomy of adverse handover events in hospital settings. Citation Text: Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…
  2. psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
    April 24, 2018 - Commentary Medical team training improves team performance: AOA critical issues. Citation Text: Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. Copy …
  3. psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
    July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…
  4. psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
    January 16, 2017 - Study Classic Adapting to new technologies in the operating room. Citation Text: Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-613. doi:10.1518/001872096778827224. Copy Citation Format: DOI Google …
  5. psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
    September 08, 2010 - Study Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Citation Text: Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…
  6. psnet.ahrq.gov/issue/relationship-between-perceived-practice-quality-and-quality-improvement-activities-and
    December 21, 2014 - Study The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress. Citation Text: Quinn MA, Wilcox A, Orav J, et al. The relationship between perceived practice quality and q…
  7. psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
    August 10, 2011 - Study Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Citation Text: Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…
  8. psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
    August 12, 2014 - Review Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Citation Text: Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
  9. psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
  10. psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
    December 21, 2014 - Study Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. Citation Text: Michtalik HJ, Pronovost P, Marsteller JA, et al. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013;8…
  11. psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
    July 13, 2010 - Study Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Citation Text: Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…
  12. psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
    August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…
  13. psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
    July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…
  14. psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
    March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…
  15. psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
    September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…
  16. psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
    June 23, 2010 - Study Clinical oversight: conceptualizing the relationship between supervision and safety. Citation Text: Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. Copy Citation …
  17. psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
    February 13, 2008 - Study The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. Citation Text: Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded …
  18. psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
    August 18, 2021 - Study Evaluating patient identification practices during intrahospital transfers: a human factors approach. Citation Text: Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…
  19. psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
    June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…
  20. psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
    October 14, 2020 - Study Errors in medication history at hospital admission: prevalence and predicting factors. Citation Text: Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…

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