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  1. psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
    September 27, 2010 - Study Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. Citation Text: Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2…
  2. 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…
  3. psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
    March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…
  4. psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
    August 03, 2022 - Review How well do health professionals interpret diagnostic information? A systematic review. Citation Text: Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…
  5. psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
    March 11, 2009 - Commentary A leadership initiative to improve communication and enhance safety. Citation Text: Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. Copy…
  6. psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice
    March 05, 2008 - Study The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Citation Text: Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…
  7. psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
    January 19, 2016 - Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
    July 25, 2018 - Commentary Cultivating a culture of medication safety in prelicensure nursing students. Citation Text: Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. C…
  9. psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
    April 12, 2011 - Study A multifaceted program for improving quality of care in intensive care units: IATROREF study. Citation Text: Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-7…
  10. psnet.ahrq.gov/issue/acute-care-patients-discuss-patient-role-patient-safety
    October 12, 2011 - Study Acute care patients discuss the patient role in patient safety. Citation Text: Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31. Copy Citation Format:…
  11. psnet.ahrq.gov/issue/model-building-standardized-hand-protocol
    September 22, 2010 - Commentary A model for building a standardized hand-off protocol.  Citation Text: Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf. 2006;32(11):646-655. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
  12. psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
    July 06, 2012 - Study Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Citation Text: Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Exp…
  13. psnet.ahrq.gov/issue/financial-incentives-and-mortality-taking-pay-performance-step-too-far
    December 21, 2017 - Commentary Financial incentives and mortality: taking pay for performance a step too far. Citation Text: Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. Copy …
  14. psnet.ahrq.gov/issue/patient-safety-geriatrics-call-action
    June 29, 2009 - Review Patient safety in geriatrics: a call for action. Citation Text: Tsilimingras D, Rosen AK, Berlowitz DR. Patient safety in geriatrics: a call for action. J Gerontol A Biol Sci Med Sci. 2003;58(9):M813-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  15. psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention
    November 02, 2010 - Study Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Citation Text: Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346…
  16. psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care
    February 03, 2011 - Study Team structure and adverse events in home health care. Citation Text: Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…
  17. psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
    May 04, 2012 - Study Methodology and bias in assessing compliance with a surgical safety checklist. Citation Text: Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82. Copy Citation …
  18. psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
    February 27, 2014 - Study Preventing patient harms through systems of care. Citation Text: Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
  19. psnet.ahrq.gov/issue/implementing-safety-hotlines-stamford-healths-experience-and-future-opportunities
    March 23, 2011 - Commentary Implementing safety hotlines: Stamford Health's experience and future opportunities. Citation Text: Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.2…
  20. psnet.ahrq.gov/issue/improving-patient-safety-using-interactive-evidence-based-decision-support-tools
    September 14, 2022 - Commentary Improving patient safety using interactive, evidence-based decision support tools. Citation Text: Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. Copy Citation Form…

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