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  1. psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
    July 19, 2023 - Commentary Perfusion safety: new initiatives and enduring principles. Citation Text: Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  2. psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…
  3. psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
    May 02, 2018 - Book/Report AHRQ Health Information Technology Division's 2017 Annual Report. Citation Text: AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF. Copy Citation …
  4. psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
  5. psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
    March 29, 2023 - Commentary Look-alike and sound-alike medicines: risks and 'solutions.' Citation Text: Emmerton LM, Rizk MFS. Look-alike and sound-alike medicines: risks and 'solutions'. Int J Clin Pharm. 2012;34(1):4-8. doi:10.1007/s11096-011-9595-x. Copy Citation Format: DOI Google Sch…
  6. psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
    February 02, 2022 - Commentary Smart pumps: implications for nurse leaders. Citation Text: Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  7. psnet.ahrq.gov/issue/operating-room-briefings
    January 02, 2017 - Commentary Operating room briefings. Citation Text: Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  8. psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
    June 08, 2011 - Audiovisual Electronic Health Record (EHR) Safety and Usability: See What We Mean. Citation Text: Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare. Copy Citation Save Save to …
  9. psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
    March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…
  10. psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
    July 19, 2023 - Book/Report Adverse Events Toolkit: Medical Record Review Methodology. Citation Text: Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00…
  11. psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
    May 22, 2019 - Commentary Patient safety: listen to whistleblowers. Citation Text: Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  12. psnet.ahrq.gov/issue/err-human-apologize-hard
    September 28, 2022 - Commentary To err is human, to apologize is hard. Citation Text: Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
  13. psnet.ahrq.gov/issue/patient-safety-crossroads
    March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…
  14. psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
    May 29, 2014 - Commentary Measuring safety culture in healthcare: a case for accurate diagnosis. Citation Text: Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003. Copy Citation Format: DOI Google Scholar …
  15. psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
    January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
    October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…
  17. psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
    June 28, 2011 - Newspaper/Magazine Article When machine learning goes off the rails. A guide to managing the risks. Citation Text: When machine learning goes off the rails. A guide to managing the risks. Babic B, Cohen IG,  Evgeniou T, et al. Harv Bus Rev.  2021 January/February;99(1):76-…
  18. psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
    October 10, 2010 - Study Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. Citation Text: Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…
  19. psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
    November 18, 2016 - Review Changing practice to improve patient safety and quality of care in perinatal medicine. Citation Text: Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826. Copy Cita…
  20. psnet.ahrq.gov/issue/acog-committee-opinion-680-use-and-development-checklists-obstetrics-and-gynecology
    December 14, 2016 - Commentary ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. Citation Text: ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. American College of Obstetricians and Gynecologists’ Committee on Pa…

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