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  1. psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
    November 12, 2014 - Study Patient safety in after-hours telephone medicine. Citation Text: Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med. 2007;39(6):404-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…
  2. psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
    May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
  3. psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-during-covid-19-pandemic
    September 29, 2021 - Commentary Cognitive bias and public health policy during the COVID-19 pandemic. Citation Text: Halpern SD, Truog RD, Miller FG. Cognitive bias and public health policy during the COVID-19 pandemic. JAMA. 2020;324(4):337-338. doi:10.1001/jama.2020.11623. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
    July 15, 2015 - Commentary Classic Improving diagnosis in health care—the next imperative for patient safety. Citation Text: Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
  5. psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
    September 24, 2014 - Commentary Why talking is not cheap: adverse events and informal communication. Citation Text: Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635. Copy Citation …
  6. psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
    March 23, 2011 - Study Attitudes toward the large-scale implementation of an incident reporting system. Citation Text: Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…
  7. psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
    January 09, 2025 - Tools/Toolkit The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Citation Text: The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.  Copy Citation Sav…
  8. psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
    September 01, 2021 - Commentary Ethical challenges in child abuse: what is the harm of a misdiagnosis? Citation Text: Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. Copy Citation Format: DOI …
  9. psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
    May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
  10. psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …
  11. psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
    April 22, 2009 - Review The cost of poor blood specimen quality and errors in preanalytical processes. Citation Text: Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. Copy Citation F…
  12. psnet.ahrq.gov/issue/barcode-technology-its-role-increasing-safety-blood-transfusion
    September 08, 2021 - Study Barcode technology: its role in increasing the safety of blood transfusion. Citation Text: Turner CL, Casbard AC, Murphy MF. Barcode technology: its role in increasing the safety of blood transfusion. Transfusion (Paris). 2004;43(9). doi:10.1046/j.1537-2995.2003.00428.x. Copy C…
  13. psnet.ahrq.gov/issue/prescription-teratogenic-medications-united-states-ambulatory-practices
    March 23, 2012 - Study Prescription of teratogenic medications in United States ambulatory practices. Citation Text: Schwarz EB, Maselli J, Norton M, et al. Prescription of teratogenic medications in United States ambulatory practices. Am J Med. 2005;118(11):1240-9. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/attending-physician-work-hours-ethical-considerations-and-last-doctor-standing
    November 21, 2021 - Commentary Attending physician work hours: ethical considerations and the last doctor standing. Citation Text: Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953. Cop…
  15. psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
    October 29, 2012 - Review Cognitive and system factors contributing to diagnostic errors in radiology. Citation Text: Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375. Copy Cita…
  16. psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
    March 13, 2019 - Study Emerging Classic Sleep and alertness in a duty-hour flexibility trial in internal medicine. Citation Text: Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …
  17. psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
    June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…
  18. psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
    March 23, 2011 - Study Surgical adverse outcome reporting as part of routine clinical care. Citation Text: Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458. Copy Citation …
  19. psnet.ahrq.gov/issue/processes-effective-communication-primary-care
    December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
  20. psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use
    October 19, 2022 - Study Diagnostic errors that lead to inappropriate antimicrobial use. Citation Text: Filice GA, Drekonja DM, Thurn JR, et al. Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. Infect Control Hosp Epidemiol. 2015;36(8):949-56. doi:10.1017/ice.2015.113. Copy Citation Fo…

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