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  1. psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…
  2. psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
    September 19, 2012 - Study Losing the moment: understanding interruptions to nurses' work. Citation Text: Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162. Copy Citation Format: DOI …
  3. psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
    October 19, 2022 - Commentary The increased incidence of anesthetic adverse events in late afternoon surgeries. Citation Text: Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. Copy Citation Format:…
  4. psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
    October 19, 2022 - Commentary Enhanced time out: an improved communication process. Citation Text: Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…
  5. psnet.ahrq.gov/issue/drug-related-hospital-admissions
    September 07, 2016 - Study Classic Drug-related hospital admissions. Citation Text: Drug-related hospital admissions. Einarson TR Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  6. psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
    June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …
  7. psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
    January 19, 2022 - Organizational Policy/Guidelines Standardising wristbands improves patient safety. Citation Text: Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2. Copy Citation Save Save to your libra…
  8. psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
    November 16, 2022 - Commentary Patient safety in the ambulatory OB/GYN setting. Citation Text: Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol. 2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  9. psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
    February 18, 2019 - Review Office-based anesthesia: safety and outcomes. Citation Text: Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-285. doi:10.1213/ane.0000000000000313. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…
  10. psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
    September 23, 2020 - Commentary Medication handling: towards a practical, human-centred approach. Citation Text: Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482. Copy Citation Format: DOI Google Sc…
  11. psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
    March 24, 2021 - Study Gossypiboma: tales of lost sponges and lessons learned. Citation Text: McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  12. psnet.ahrq.gov/issue/tracking-intraoperative-complications
    April 30, 2014 - Study Tracking intraoperative complications. Citation Text: Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  13. psnet.ahrq.gov/issue/when-my-father-died
    July 01, 2011 - Commentary When my father died. Citation Text: Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  14. psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
    September 25, 2013 - Commentary Error reduction through team leadership: applying aviation's CRM model in the OR. Citation Text: Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
    January 11, 2017 - Newspaper/Magazine Article Omission of high-alert medications: a hidden danger. Citation Text: Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. Copy Citation Save Save to your libra…
  16. psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
    January 10, 2024 - Commentary Creating a culture of safety by coaching clinicians to competence. Citation Text: Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. Copy Citation Format: DOI Googl…
  17. psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
    June 23, 2009 - Commentary Building social capital in healthcare organizations: thinking ecologically for safer care. Citation Text: Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…
  18. psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
    October 26, 2011 - Newspaper/Magazine Article ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Citation Text: ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019. Copy Citation Save …
  19. psnet.ahrq.gov/issue/clinical-drug-interactions-outpatients-university-hospital-thailand
    September 20, 2011 - Study Clinical drug interactions in outpatients of a university hospital in Thailand. Citation Text: Janchawee B, Owatranporn T, Mahatthanatrakul W, et al. Clinical drug interactions in outpatients of a university hospital in Thailand. J Clin Pharm Ther. 2005;30(6):583-90. Copy Citat…
  20. psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
    January 23, 2017 - Multi-use Website ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. Citation Text: Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c. Copy Citation Format: DOI Google Scholar BibTeX E…

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