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  1. psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
    January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …
  2. psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
    October 08, 2016 - Commentary Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. Citation Text: Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…
  3. psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review
    June 21, 2016 - Review Practices to prevent venous thromboembolism: a brief review. Citation Text: Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf. 2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782. Copy Citation Format: DOI Google Scholar PubMed …
  4. psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
    December 16, 2020 - Review Diagnostic decision-making in the emergency department. Citation Text: Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003. Copy Citation Format: DOI …
  5. psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
    July 19, 2023 - Commentary Understanding patient safety and quality outcome data. Citation Text: Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…
  6. psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
    February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety.  Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…
  7. psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
    October 19, 2022 - Study Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. Citation Text: Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. Copy Citation Forma…
  8. psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
    January 12, 2022 - Study Adverse event protocol for interventional pain medicine: the importance of an organized response. Citation Text: Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…
  9. psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
    July 02, 2014 - Study Quality improvement and patient safety activities in academic departments of medicine. Citation Text: Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…
  10. psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
  11. psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
    December 16, 2009 - Book/Report HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. Citation Text: Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…
  12. psnet.ahrq.gov/issue/framework-patient-safety-research-and-improvement
    May 20, 2009 - Commentary Framework for patient safety research and improvement. Citation Text: Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
    April 24, 2018 - Commentary The role of cognitive bias in breast radiology diagnostic and judgment errors. Citation Text: Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023. Copy Citation …
  14. psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
    July 22, 2020 - Study Diagnostic errors: impact of an educational intervention on pediatric primary care. Citation Text: Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…
  15. psnet.ahrq.gov/issue/early-access-neurologist-reduces-rate-missed-diagnosis-young-strokes
    December 07, 2011 - Study Early access to a neurologist reduces the rate of missed diagnosis in young strokes. Citation Text: Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.101…
  16. psnet.ahrq.gov/issue/duplication-surgical-site-marking
    November 18, 2016 - Commentary Duplication of surgical site marking. Citation Text: Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  17. psnet.ahrq.gov/issue/handovers-or-icu
    January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
  18. psnet.ahrq.gov/issue/improving-discharge-safety-pediatric-emergency-department
    June 22, 2022 - Study Improving discharge safety in a pediatric emergency department. Citation Text: Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
    November 04, 2020 - Commentary Patient safety and leadership: do you walk the walk? Citation Text: Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  20. psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
    November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. Citation Text: Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4. Copy Citation …

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