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  1. psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
    June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
  2. psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
    September 24, 2010 - Study A practical approach to measure the quality of handwritten medication orders: a tool for improvement. Citation Text: Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
  3. psnet.ahrq.gov/issue/addressing-health-worker-burnout
    May 25, 2022 - Book/Report Addressing Health Worker Burnout. Citation Text: Addressing Health Worker Burnout. The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022. Copy Citation Save Save to yo…
  4. psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
    April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. Citation Text: National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citatio…
  5. psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
    September 07, 2021 - Book/Report Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Citation Text: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…
  6. psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside
    August 27, 2009 - Commentary Unintended doses in radiotherapy—over, under and outside? Citation Text: Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. Copy Citation Format: DOI Goo…
  7. psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
    June 17, 2015 - Study Identifying and addressing preventable process errors in trauma care. Citation Text: Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. Copy Citation Form…
  8. psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
    December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…
  9. psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
    May 01, 2024 - Commentary Spreading human factors expertise in healthcare: untangling the knots in people and systems. Citation Text: Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…
  10. psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…
  11. psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
    October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…
  12. psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
    September 21, 2016 - Review Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. Citation Text: Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…
  13. psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
    February 26, 2025 - Commentary Safe and equitable pediatric clinical use of AI. Citation Text: Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. Copy Citation Format: DOI Google Scholar …
  14. psnet.ahrq.gov/issue/quality-minute-new-brief-and-structured-technique-quality-improvement-education-during
    January 09, 2019 - Commentary The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. Citation Text: Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…
  15. psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
    November 06, 2024 - Commentary Managing risk in hazardous conditions: improvisation is not enough. Citation Text: Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. Copy Citation Format: DO…
  16. psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
    March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…
  17. psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
    February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…
  18. psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
    May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…
  19. psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
    April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. Copy C…
  20. psnet.ahrq.gov/issue/changing-narratives-patient-safety
    April 17, 2019 - Commentary Changing the narratives for patient safety. Citation Text: Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. Copy Citation Format: DOI Google Scholar PubMed…