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  1. psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
    December 03, 2018 - Commentary Classic Organizational culture as a source of high reliability. Citation Text: Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. Copy Citation Format: DOI Google…
  2. psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
    September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…
  3. psnet.ahrq.gov/issue/dual-process-cognitive-interventions-enhance-diagnostic-reasoning-systematic-review
    March 20, 2019 - Review Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. Citation Text: Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.113…
  4. psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
    May 25, 2016 - Book/Report Guide to Reducing Unintended Consequences of Electronic Health Records. Citation Text: Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …
  5. psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
    March 18, 2020 - Commentary Apology laws and malpractice liability: what have we learned? Citation Text: Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. Copy Citation Format: DOI G…
  6. psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
    August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …
  7. psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
    August 04, 2021 - Commentary Does a unit shift report "blackout" period improve patient safety? Citation Text: Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-10. doi:10.1097/01.NUMA.0000553500.85897.51. Copy Citation Format: DOI Googl…
  8. psnet.ahrq.gov/issue/safe-use-health-information-technology
    December 23, 2016 - Sentinel Event Alerts Safe use of health information technology. Citation Text: Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6. Copy Citation Save Save to your library Print Download PDF Share Faceb…
  9. psnet.ahrq.gov/issue/culture-cure-assessments-patient-safety-culture-oecd-countries
    October 07, 2020 - Book/Report Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. Citation Text: Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and …
  10. psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
    October 26, 2022 - Study Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Citation Text: Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(…
  11. psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
    August 15, 2007 - Book/Report Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Citation Text: Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…
  12. psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
    November 07, 2012 - Book/Report Classic Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Citation Text: Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. Copy Cita…
  13. psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Process indicators of quality clinical pharmacy services during transitions of care. Citation Text: Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…
  14. psnet.ahrq.gov/issue/care-clinician-after-adverse-event
    March 03, 2021 - Review Care of the clinician after an adverse event. Citation Text: Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. doi:10.1016/j.ijoa.2014.10.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…
  15. psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
    March 29, 2017 - Commentary Quality & safety in the time of coronavirus--design better, learn faster. Citation Text: Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051. Copy Citation Format…
  16. psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
    April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …
  17. psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
    November 18, 2020 - Multi-use Website Clinical Learning Environment Review (CLER) Program. Citation Text: Clinical Learning Environment Review (CLER) Program. Accreditation Council for Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF …
  18. psnet.ahrq.gov/issue/role-clinical-learning-environments-preparing-new-clinicians-engage-patient-safety
    November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…
  19. psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
    November 29, 2017 - Meeting/Conference Proceedings Classic Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. Citation Text: Partnering with Patients and Families to Design a Patient- and Famil…
  20. psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework
    June 23, 2021 - Commentary Minimizing inappropriate medications in older populations: a ten-step conceptual framework. Citation Text: Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1…

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