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  1. psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
    January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …
  2. psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
    February 03, 2011 - Study Rural hospital patient safety systems implementation in two states. Citation Text: Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. Copy Citation …
  3. psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
    February 03, 2011 - Study Hospital patient safety: characteristics of best-performing hospitals. Citation Text: Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors
    July 19, 2023 - Study On-site pharmacists in the ED improve medical errors. Citation Text: Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002. Copy Citation Format: DOI Google Scho…
  5. psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
    April 19, 2011 - Study An observational study of laterality errors in a sample of clinical records. Citation Text: Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. Copy Citation Format: Google Scholar PubMed…
  6. psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
    July 28, 2014 - Commentary Health care serial murder: a patient safety orphan. Citation Text: Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
  7. psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
    May 18, 2022 - Commentary Reducing pediatric medication errors: children are especially at risk for medication errors. Citation Text: Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim. Cop…
  8. psnet.ahrq.gov/issue/assessment-quality-and-impact-npsa-medication-safety-outputs-issued-nhs-england-and-wales
    September 24, 2008 - Study An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales. Citation Text: Lankshear A, Lowson K, Weingart SN. An assessment of the quality and impact of NPSA medication safety outputs issued to the NHS in England and Wales. B…
  9. psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
    May 20, 2020 - Newspaper/Magazine Article High-alert medications: the safeguards that you should put in place to reduce risks. Citation Text: High-alert medications: the safeguards that you should put in place to reduce risks. Blank C. Drug Topics. October 13, 2017. Copy Citation Save…
  10. psnet.ahrq.gov/issue/your-code-cart-ready
    August 30, 2017 - Newspaper/Magazine Article Is your code cart ready? Citation Text: Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…
  11. psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
    November 16, 2022 - Commentary Tools and methods for quality improvement and patient safety in perinatal care. Citation Text: Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. Copy C…
  12. psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
    November 29, 2023 - Commentary Impact of nurse peer review on a culture of safety. Citation Text: Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. Copy Citation Format: DOI Google Scholar PubMed …
  13. psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
    August 11, 2021 - Review Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. Citation Text: Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
  14. psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
    May 25, 2011 - Commentary Medication administration process assessment: applying lessons learned from commercial aviation. Citation Text: Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…
  15. psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
  16. psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
    March 13, 2024 - Commentary Diagnostic overshadowing in dentistry. Citation Text: Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
  17. psnet.ahrq.gov/issue/you-cant-blame-wreck-train
    March 03, 2011 - Commentary You can't blame the wreck on the train. Citation Text: Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…
  18. psnet.ahrq.gov/issue/banning-handshake-health-care-setting
    January 12, 2022 - Commentary Banning the handshake from the health care setting. Citation Text: Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  19. psnet.ahrq.gov/issue/standardized-admission-order-set-improves-perceived-quality-pediatric-inpatient-care
    December 04, 2024 - Study Standardized admission order set improves perceived quality of pediatric inpatient care. Citation Text: Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403. Co…
  20. psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

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