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  1. psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
    March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…
  2. psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
    September 23, 2020 - Commentary Portable advanced medical simulation for new emergency department testing and orientation. Citation Text: Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. C…
  3. psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
    June 16, 2010 - Study Nurses' work schedule characteristics, nurse staffing, and patient mortality. Citation Text: Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d. Copy…
  4. psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…
  5. psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - Study More to teamwork than knowledge, skill and attitude. Citation Text: Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x. Copy Citation Format: DOI Google Sc…
  6. psnet.ahrq.gov/issue/case-simulation-part-comprehensive-patient-safety-program
    September 02, 2015 - Review The case for simulation as part of a comprehensive patient safety program. Citation Text: Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…
  7. psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
    June 09, 2015 - Review Quality improvement in medical education: current state and future directions. Citation Text: Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x. Cop…
  8. psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
    May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. Citation Text: Berenholtz SM, Hartsell TL, Pronovost P. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009;24(3):192-5. doi:10.1177/1062860609332370. Copy Citation …
  9. psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
    September 24, 2010 - Study Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Citation Text: Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …
  10. psnet.ahrq.gov/issue/hope-modified-association-between-distress-and-incidence-self-perceived-medical-errors-among
    June 07, 2018 - Study Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. Citation Text: Hayashino Y, Utsugi-Ozaki M, Feldman MD, et al. Hope modified the association between distress and incidence of self-…
  11. psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
    August 14, 2024 - Commentary A piece of my mind. The patient you least want to see. Citation Text: Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  12. psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
    November 06, 2024 - Commentary A piece of my mind. After the medical error. Citation Text: Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  13. psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
  14. psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
    August 04, 2021 - Study The cost of pneumonia after acute stroke. Citation Text: Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …
  15. psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
    June 08, 2011 - Study The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. Citation Text: Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
  16. psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
    November 15, 2023 - Commentary Framework for direct observation of performance and safety in healthcare. Citation Text: Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. …
  17. psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
    January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
  18. psnet.ahrq.gov/issue/interruption-handling-strategies-during-paediatric-medication-administration
    July 27, 2018 - Study Interruption handling strategies during paediatric medication administration. Citation Text: Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. Copy Citation Format…
  19. psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
    October 28, 2020 - Commentary Why patients need leaders: introducing a ward safety checklist. Citation Text: Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
    October 13, 2018 - Review Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Citation Text: Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:1…

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