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  1. psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
    February 17, 2017 - Newspaper/Magazine Article Could it happen here? Learning from other organizations' safety errors. Citation Text: Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. Copy Citation Format: Google Sc…
  2. psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
    May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…
  3. psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking-and-reminder-systems
    May 22, 2019 - Commentary ACOG Committee Opinion #546: tracking and reminder systems. Citation Text: Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems. Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
    June 07, 2018 - Commentary Hidden danger, obvious opportunity: error and risk in the management of cancer. Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google Scholar PubMe…
  5. psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
    March 08, 2023 - Grant Announcement Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Citation Text: Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
  6. psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
    June 10, 2018 - Newspaper/Magazine Article Multiple latent failures align to allow a serious drug interaction to harm a patient. Citation Text: Multiple latent failures align to allow a serious drug interaction to harm a patient. ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3. Co…
  7. psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
    June 21, 2016 - Book/Report Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005. Citation Text: Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…
  8. psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
    June 19, 2019 - Review Organizational learning in hospitals: a realist review. Citation Text: Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. Copy Citation Format: DOI Google Scholar Bi…
  9. psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
    January 22, 2025 - Commentary The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Citation Text: Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…
  10. psnet.ahrq.gov/issue/twelve-tips-engaging-learners-checking-health-care-decisions
    February 27, 2014 - Commentary Twelve tips on engaging learners in checking health care decisions. Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. Copy Citation …
  11. psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
    October 25, 2013 - Book/Report HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2009.  Copy Citation Save Save to your library …
  12. psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire
    February 11, 2009 - Commentary A just culture after Mid Staffordshire. Citation Text: Dekker SWA, Hugh TB. A just culture after Mid Staffordshire. BMJ Qual Saf. 2014;23(5):356-8. doi:10.1136/bmjqs-2013-002483. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
  13. psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
    September 28, 2010 - Study Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Citation Text: Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
  14. psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
    January 05, 2017 - Study Awareness and use of a cognitive aid for anesthesiology. Citation Text: Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11. Copy Citation Format: Google Scholar PubMed BibTeX En…
  15. psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
    July 22, 2024 - Meeting/Conference Proceedings Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Citation Text: Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…
  16. psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool
    March 09, 2009 - Commentary Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Citation Text: Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Pat…
  17. psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
    September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…
  18. psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
    December 01, 2019 - Book/Report Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Citation Text: Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Gangopa…
  19. psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-creating-national-agenda-systemic-change-enhanced
    April 28, 2021 - Book/Report Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being. Citation Text: Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change …
  20. psnet.ahrq.gov/issue/patient-safety-education-what-was-what-and-what-will-be
    April 10, 2019 - Commentary Patient safety education: what was, what is, and what will be? Citation Text: Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906. Copy Citation Format: …

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