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  1. psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
    March 06, 2005 - Book/Report Classic Normal Accidents: Living with High-Risk Technologies. Citation Text: Normal Accidents: Living with High-Risk Technologies. Perrow C. Princeton NJ: Princeton University Press; 1999. Copy Citation Save Save to you…
  2. psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
    November 16, 2022 - Study Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. Citation Text: Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…
  3. psnet.ahrq.gov/issue/effective-communication-primary-care-providers
    October 02, 2019 - Commentary Effective communication with primary care providers. Citation Text: Smith K. Effective communication with primary care providers. Pediatr Clin North Am. 2014;61(4):671-679. doi:10.1016/j.pcl.2014.04.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…
  4. psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
    March 23, 2011 - Review Development of medical checklists for improved quality of patient care. Citation Text: Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc…
  5. psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
    October 21, 2010 - Study How do we learn about error? A cross-sectional study of urology trainees. Citation Text: Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. Copy Citation Fo…
  6. psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
    August 26, 2011 - Study Violations of behavioral practices revealed in closed claims reviews. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. Copy Citatio…
  7. psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
    August 02, 2015 - Commentary Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. Citation Text: Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patien…
  8. psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
    April 13, 2022 - Study Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. Citation Text: Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
  9. psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia
    January 14, 2009 - Study Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Citation Text: Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…
  10. psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
    October 19, 2022 - Study Patient access to electronic health records during hospitalization. Citation Text: Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. Copy Citation F…
  11. www.ahrq.gov/evidencenow/model/profiles/valada.html
    March 01, 2021 - Running a Small Practice in the Big Apple Dr. Vidya Valada is a proud New Yorker. Born and raised in India, Vidya moved to New York City in the 1990s to complete her residency in internal medicine. She speaks briskly and enthusiastically about practicing medicine, and it quickly becomes apparent that she feels …
  12. www.ahrq.gov/news/newsroom/case-studies/ktcquips92.html
    October 01, 2014 - Maryland Hospitals Revise Medication Reconciliation Process With AHRQ Toolkit Search All Impact Case Studies April 2012 After participating in AHRQ-sponsored learning sessions and provider support calls, Delmarva Foundation for Medical Care, the Maryland Quality Improvement Organization (QIO), worked with h…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
    September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 4: Summary and Next Steps SAY: SLIDE 1 SAY: You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned that hos…
  14. psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
    December 21, 2014 - Study Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. Citation Text: Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…
  15. psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
    March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
  16. psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
    August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …
  17. psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
    May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…
  18. psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
    July 30, 2014 - Commentary Understanding psychological safety in health care and education organizations: a comparative perspective. Citation Text: Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…
  19. psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
    June 12, 2019 - Study 'Even now it makes me angry': health care students' professionalism dilemma narratives. Citation Text: Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…
  20. psnet.ahrq.gov/issue/ending-disruptive-behavior-staff-nurse-recommendations-nurse-educators
    July 19, 2023 - Study Ending disruptive behavior: staff nurse recommendations to nurse educators. Citation Text: Lux KM, Hutcheson JB, Peden AR. Ending disruptive behavior: staff nurse recommendations to nurse educators. Nurse Educ Pract. 2014;14(1):37-42. doi:10.1016/j.nepr.2013.06.014. Copy Citati…