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  1. psnet.ahrq.gov/issue/patient-safety-and-adverse-events
    July 20, 2022 - Special or Theme Issue Patient Safety and Adverse Events. Citation Text: Patient Safety and Adverse Events. Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISB…
  2. psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
    June 30, 2011 - Commentary Disclosure of medical error: policies and practice. Citation Text: Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
  3. psnet.ahrq.gov/issue/motion-study-surgery
    September 02, 2020 - Study Classic Motion study in surgery. Citation Text: Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  4. psnet.ahrq.gov/issue/reality-check-checklists
    April 21, 2015 - Commentary Classic Reality check for checklists. Citation Text: Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  5. psnet.ahrq.gov/issue/changing-narratives-patient-safety
    April 17, 2019 - Commentary Changing the narratives for patient safety. Citation Text: Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. Copy Citation Format: DOI Google Scholar PubMed…
  6. psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
    September 09, 2015 - Commentary Conducting root cause analysis with nursing students: best practice in nursing education. Citation Text: Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…
  7. psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
    November 13, 2024 - Commentary Should patients get direct access to their laboratory test results?: An answer with many questions. Citation Text: Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.10…
  8. psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
    April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…
  9. psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
    October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…
  10. www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
    August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix B Team Roles and Responsibilities Role Responsibilities Suggested Background or Experience for Staff Roles I. CANDOR Implementation Team     CANDOR Implementation Team Leader Organization-wide implementation of the CANDOR pr…
  11. psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
    February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…
  12. psnet.ahrq.gov/issue/what-value-and-impact-quality-and-safety-teams-scoping-review
    December 06, 2017 - Review What is the value and impact of quality and safety teams? A scoping review. Citation Text: White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. Copy Citation …
  13. psnet.ahrq.gov/issue/educational-and-audit-tool-reduce-prescribing-error-intensive-care
    August 04, 2021 - Study An educational and audit tool to reduce prescribing error in intensive care. Citation Text: Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. C…
  14. psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
    November 16, 2022 - Review New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. Citation Text: Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
  15. psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
    March 27, 2024 - Commentary Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Citation Text: McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…
  16. psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
    April 28, 2021 - Commentary Why is it so hard to reduce harm from medicines? Citation Text: Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. doi:10.1016/j.fhj.2024.100205. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…
  17. www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/lets-talk-about-it-discussion-guides
    April 01, 2024 - Let’s Talk About It: Discussion Guides Share to Facebook Share to X Share to WhatsApp Share to Email Print For certain topics, the Task Force develops companion discussion guides to facilitate meaningful discussions between healthcare profess…
  18. psnet.ahrq.gov/issue/patient-safety-consumers-perspective
    January 12, 2022 - Study Patient safety: a consumer's perspective. Citation Text: Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
  19. psnet.ahrq.gov/issue/medication-safety-just-label-away
    August 18, 2021 - Commentary Medication safety: just a label away. Citation Text: Jennings J, Foster J. Medication safety: just a label away. AORN J. 2007;86(4):618-25. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  20. www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
    May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care National Quality Strategy: Using Levers to Achieve Improved Health and Health Care About the National Quality Strategy The National Quality Strategy is the first-ever national effort backed by legislation to align public- and privat…