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  1. psnet.ahrq.gov/issue/artificial-intelligence-health-care-hope-hype-promise-peril
    October 12, 2022 - Book/Report Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. Citation Text: Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. Matheny M, Israni ST, Ahmed M, et al, eds. Washington, DC: National Academy of Medicine. 2022…
  2. psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
    January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…
  3. psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
    June 19, 2019 - Newspaper/Magazine Article Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. Citation Text: Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…
  4. psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
    June 16, 2011 - Book/Report Classic Health IT and Patient Safety: Building Safer Systems for Better Care. Citation Text: Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…
  5. psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
    April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
  6. psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
    November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…
  7. psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
    April 26, 2023 - Study A natural language processing approach to categorise contributing factors from patient safety event reports. Citation Text: A natural language processing approach to categorise contributing factors from patient safety event reports. Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Healt…
  8. psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…
  9. psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
    April 24, 2019 - Newspaper/Magazine Article Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. Citation Text: Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
  10. psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
    September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …
  11. psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
    January 02, 2017 - Study SBAR: a shared mental model for improving communication between clinicians. Citation Text: Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
    September 27, 2017 - Study Patient-reported missed nursing care correlated with adverse events. Citation Text: Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
    November 13, 2024 - Study Resilient actions in the diagnostic process and system performance. Citation Text: Smith MW, Giardina TD, Murphy DR, et al. Resilient actions in the diagnostic process and system performance. BMJ Qual Saf. 2013;22(12):1006-13. doi:10.1136/bmjqs-2012-001661. Copy Citation Fo…
  14. psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
    March 02, 2022 - Study A clinical reasoning curriculum for medical students: an interim analysis. Citation Text: Connor DM, Narayana S, Dhaliwal G. A clinical reasoning curriculum for medical students: an interim analysis. Diagnosis (Berl). 2022;9(2):265-273. doi:10.1515/dx-2021-0112. Copy Citation …
  15. psnet.ahrq.gov/issue/why-nation-needs-policy-push-patient-centered-health-care
    November 11, 2020 - Commentary Why the nation needs a policy push on patient-centered health care. Citation Text: Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888. Copy C…
  16. psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
    August 14, 2017 - Commentary Doing right by our patients when things go wrong in the ambulatory setting. Citation Text: Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96. Copy Citation Forma…
  17. psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
    February 07, 2024 - Review Measurement of ambulatory medication errors in children: a scoping review. Citation Text: Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. Copy Citat…
  18. psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
    November 12, 2014 - Study Costs and consequences associated with misdiagnosed lower extremity cellulitis. Citation Text: Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816. Copy C…
  19. psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
    March 19, 2019 - Study How surgical trainees handle catastrophic errors: a qualitative study. Citation Text: Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. Copy Citation Fo…
  20. psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care-0
    March 29, 2007 - Book/Report Classic Patient Safety: Achieving a New Standard of Care. Citation Text: Patient Safety: Achieving a New Standard of Care. Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, e…

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