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  1. 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…
  2. psnet.ahrq.gov/issue/consensus-based-recommendations-standardizing-terminology-and-reporting-adverse-events
    December 22, 2018 - Commentary Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. Citation Text: Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminol…
  3. psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
    October 22, 2008 - Review Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. Citation Text: Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …
  4. 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…
  5. psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist
    November 09, 2022 - Commentary "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Citation Text: Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…
  6. psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
    April 11, 2011 - Study Preventable adverse events in infants hospitalized with bronchiolitis. Citation Text: McBride SC, Chiang VW, Goldmann DA, et al. Preventable adverse events in infants hospitalized with bronchiolitis. Pediatrics. 2005;116(3):603-608. doi:10.1542/peds.2004-2387. Copy Citation …
  7. psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
    April 24, 2013 - Study Assessing the quality of patient handoffs at care transitions. Citation Text: Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
    February 15, 2017 - Review Organizational resilience as paradox management: a systematic review of the literature. Citation Text: Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
  9. psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
    September 27, 2016 - Commentary Reducing continuous intravenous medication errors in an intensive care unit. Citation Text: OʼByrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. Copy …
  10. psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
    September 09, 2013 - Study Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Citation Text: Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …
  11. 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…
  12. psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
    February 06, 2019 - Study Medication safety in community pharmacy: a qualitative study of the sociotechnical context. Citation Text: Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…
  13. psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
    June 18, 2014 - Review Disclosure of harmful medical errors in out-of-hospital care. Citation Text: Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
    July 10, 2024 - Newspaper/Magazine Article Pediatric perioperative medication errors. Citation Text: Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  15. 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…
  16. psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation
    February 05, 2020 - Review Closed medical negligence claims can drive patient safety and reduce litigation. Citation Text: Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. Copy …
  17. 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…
  18. psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
    January 14, 2009 - Study Drug selection errors in relation to medication labels: a simulation study. Citation Text: Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. Copy Citation Format: Go…
  19. psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications
    January 23, 2019 - Commentary Mitigating error vulnerability at the transition of care through the use of health IT applications. Citation Text: Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). d…
  20. psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault
    March 16, 2022 - Study Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? Citation Text: Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099. Copy Citation Format: Goo…

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