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  1. psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
    December 09, 2020 - Study Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Citation Text: Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…
  2. psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications
    September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…
  3. psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach
    August 26, 2020 - Commentary Improving nursing home safety through adoption of a practical resilient health care approach. Citation Text: Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…
  4. psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
    September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…
  5. psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
    January 16, 2013 - Study Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour. Citation Text: Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…
  6. psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients
    June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…
  7. psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
    July 13, 2010 - Study Association between implementation of an intensivist-led medical emergency team and mortality. Citation Text: Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…
  8. psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
    December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…
  9. psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
    January 23, 2017 - Commentary Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery Citation Text: Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…
  10. psnet.ahrq.gov/issue/theoretical-model-flow-disruptions-anesthesia-team-during-cardiovascular-surgery
    July 21, 2021 - Study A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. Citation Text: Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi…
  11. psnet.ahrq.gov/issue/impacts-medication-shortages-patient-outcomes-scoping-review
    March 10, 2021 - Review Emerging Classic The impacts of medication shortages on patient outcomes: a scoping review. Citation Text: Phuong JM, Penm J, Chaar B, et al. The impacts of medication shortages on patient outcomes: A scoping review. PLoS One. 2019;14(5):e0215837. doi:10.…
  12. psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care
    October 19, 2022 - Study Patient safety and satisfaction with fully remote management of radiation oncology care. Citation Text: Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…
  13. psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
    August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…
  14. psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted
    July 21, 2021 - Study Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Citation Text: Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…
  15. psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
    July 07, 2021 - Study Human errors in emergency medical services: a qualitative analysis of contributing factors. Citation Text: Poranen A, Kouvonen A, Nordquist H. Human errors in emergency medical services: a qualitative analysis of contributing factors. Scand J Trauma Resusc Emerg Med. 2024;32(1):78.…
  16. psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
    December 18, 2013 - Study Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Citation Text: Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…
  17. psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
    May 27, 2011 - Study Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Citation Text: Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…
  18. psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work-hour-regulations
    May 27, 2011 - Study Classic Changes in hospital mortality associated with residency work-hour regulations. Citation Text: Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147(2):73-80. Copy Cit…
  19. www.ahrq.gov/es/tools/index.html?page=2
    January 01, 2018 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …
  20. psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
    June 21, 2016 - Study Rudeness and medical team performance. Citation Text: Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017;139(2):e20162305. doi:10.1542/peds.2016-2305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …