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  1. psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative
    October 07, 2015 - Commentary Transforming the health care environment collaborative. Citation Text: Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529-39. doi:10.1016/j.aorn.2014.01.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…
  2. psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
    June 12, 2008 - Study Development of a rating system for surgeons' non-technical skills. Citation Text: Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104. Copy Citation Format: Google Scholar PubMed …
  3. psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
    March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…
  4. psnet.ahrq.gov/issue/measurement-quality-and-assurance-safety-critically-ill
    March 21, 2012 - Commentary Measurement of quality and assurance of safety in the critically ill. Citation Text: Pronovost P, Sexton B, Pham JC, et al. Measurement of quality and assurance of safety in the critically ill. Clin Chest Med. 2009;30(1):169-79, x. doi:10.1016/j.ccm.2008.09.004. Copy Citat…
  5. psnet.ahrq.gov/issue/fallacy-single-diagnosis
    October 05, 2022 - Study The fallacy of a single diagnosis. Citation Text: Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  6. psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
    October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …
  7. psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
    April 21, 2021 - Commentary The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. Citation Text: Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…
  8. psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
    January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…
  9. psnet.ahrq.gov/issue/database-construction-improving-patient-safety-examining-pathology-errors
    December 22, 2008 - Commentary Database construction for improving patient safety by examining pathology errors.   Citation Text: Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7…
  10. psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center
    June 28, 2010 - Study Medication errors in a pharmacy-based bar-code-repackaging center. Citation Text: Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am J Health Syst Pharm. 2006;63(2):165-8. Copy Citation Format: Google Scholar Pu…
  11. psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
    August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…
  12. psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
    January 09, 2008 - Commentary Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. Citation Text: Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5…
  13. psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
    September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
  14. psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
    July 18, 2016 - Commentary Did hospital engagement networks actually improve care? Citation Text: Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  15. psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
    September 28, 2010 - Commentary Operating room briefings: working on the same page. Citation Text: Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. Copy Citation Format: Google Scholar PubMed BibTeX …
  16. psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
    August 20, 2018 - Commentary Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. Citation Text: Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
  17. psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
    May 11, 2019 - Review 2019 update on pediatric medical overuse: a systematic review. Citation Text: Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. Copy Citation Format: DOI Goog…
  18. digital.ahrq.gov/ahrq-funded-projects/physicians-experiences-using-commercial-e-prescribing-systems
    January 01, 2023 - Physicians' Experiences Using Commercial E-Prescribing Systems Project Description Publications Project Details - Completed Contract Number 290-05-0007-1 Funding Mechanism(s) Health Information Technology Community Tracking …
  19. meps.ahrq.gov/data_files/publications/st7/stat07.pdf
    September 17, 2024 - Statistical Brief #7: Smoking Status of Adults --- United States, 2000 Statistical Brief #7: Smoking Status of Adults --- United States, 2000 By Mamatha Pancholi, M.S. Introduction Preventing disease and illness in Americans is one of several strategic goals the Department of Health and Human Services has est…
  20. psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…