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  1. psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
    November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
  2. psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-education-interpreter-training
    October 19, 2022 - Study Reducing clinical errors in cancer education: interpreter training. Citation Text: Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
    January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
  4. psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
    September 24, 2017 - Review Communication errors in radiology—pitfalls and how to avoid them. Citation Text: Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. Copy Citation Format: …
  5. psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
    May 14, 2008 - Study Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. Citation Text: Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…
  6. psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
    August 18, 2021 - Book/Report Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Citation Text: Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
  7. 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…
  8. psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
    May 01, 2020 - Commentary Using the medication error prioritization system to improve patient safety. Citation Text: Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
  9. psnet.ahrq.gov/issue/computerized-provider-order-entry-strategies-successful-implementation
    February 15, 2017 - Commentary Computerized provider order entry: strategies for successful implementation. Citation Text: Jones S, Moss J. Computerized Provider Order Entry. J Nurs Admin. 2006;36(3):136-139. doi:10.1097/00005110-200603000-00007. Copy Citation Format: DOI Google Scholar BibT…
  10. psnet.ahrq.gov/issue/citation-classics-patient-safety-research-invitation-contribute-online-bibliography
    January 19, 2011 - Study Citation classics in patient safety research: an invitation to contribute to an online bibliography. Citation Text: Lilford R, Stirling S, Maillard N. Citation classics in patient safety research: an invitation to contribute to an online bibliography. Qual Saf Health Care. 2006;1…
  11. psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
    September 09, 2011 - Review Always having to say you're sorry: an ethical response to making mistakes in professional practice. Citation Text: Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76. Copy Citation …
  12. psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
    December 06, 2023 - Commentary Eight rights of safe electronic health record use. Citation Text: Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3. doi:10.1001/jama.2009.1311. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…
  13. psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
    September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…
  14. psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
    August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …
  15. psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
    September 30, 2020 - Study Interrater agreement with a standard scheme for classifying medication errors. Citation Text: Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81. Copy Citation Format…
  16. psnet.ahrq.gov/issue/faultno-fault-bearing-brunt-medical-mishaps
    January 27, 2021 - Commentary Fault/no fault: bearing the brunt of medical mishaps. Citation Text: Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
  17. psnet.ahrq.gov/web-mm/triple-handoff
    March 01, 2004 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49522/psn-pdf
    November 01, 2006 - Failure Mode Effects Analysis (FMEA) is a systematic, proactive method for evaluating a process to identify
  19. psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
    December 01, 2005 - Medical Liability Legislation December 1, 2005 Serious hazards of transfusion: evaluating
  20. psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
    October 01, 2004 - Failure Mode Effects Analysis (FMEA) is a systematic, proactive method for evaluating a process to identify

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