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  1. psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
    March 20, 2024 - Review The effects of bar-coding technology on medication errors: a systematic literature review. Citation Text: Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…
  2. psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
    March 02, 2016 - Study An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients. Citation Text: Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical studen…
  3. psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
    October 30, 2013 - Commentary Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? Citation Text: Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…
  4. psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
    September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…
  5. psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
    August 09, 2023 - Review Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Citation Text: Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…
  6. psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
    January 07, 2015 - Study Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Citation Text: Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…
  7. psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
    July 13, 2010 - Study Resident physicians' advice seeking and error making: a social networks approach. Citation Text: Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. …
  8. psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
    November 01, 2016 - Study Classic A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital. Citation Text: Raschke RA, Gollihare B, Wunderlich TA, et al. A Computer Alert System to Prevent Injury From Adverse …
  9. psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
    January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…
  10. psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
    September 05, 2009 - Study Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. Citation Text: Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
  11. psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
    October 19, 2022 - Study The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. Citation Text: Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…
  12. psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
    April 12, 2011 - Study Patient risk factors for medical injury: a case–control study. Citation Text: Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
    May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  14. psnet.ahrq.gov/issue/implications-case-managers-perceptions-and-attitude-safety-home-delivered-care
    September 18, 2016 - Study Implications of case managers' perceptions and attitude on safety of home-delivered care. Citation Text: Jones S. Implications of case managers' perceptions and attitude on safety of home-delivered care. Br J Community Nurs. 2015;20(12):602-7. doi:10.12968/bjcn.2015.20.12.602. Co…
  15. psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
    March 12, 2025 - Study Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? Citation Text: Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …
  16. psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing-concentrated-potassium
    April 22, 2011 - Study Best practices for safe handling of products containing concentrated potassium. Citation Text: Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7. Copy Citation Format: Googl…
  17. psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
    March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40335/psn-pdf
    December 18, 2014 - Assessing teamwork and communication in the authentic patient care learning environment. December 18, 2014 Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767. https://psnet.ahrq.gov/issue/assessing-…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34138/psn-pdf
    January 20, 2016 - National Quality Forum. January 20, 2016 1099 14th Street NW, Suite 500, Washington DC 20005. https://psnet.ahrq.gov/issue/national-quality-forum The National Quality Forum (NQF) is a private, not-for-profit membership organization created to develop and implement a national strategy for quality and safety measure…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41395/psn-pdf
    May 23, 2012 - Bridging gaps in handoffs: a continuity of care based approach. May 23, 2012 Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011. https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-b…

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