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  1. psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
    March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…
  2. psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
    October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…
  3. psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial
    March 12, 2025 - Study Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. Citation Text: Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspec…
  4. psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
  5. psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
    November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…
  6. psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
    February 20, 2019 - Commentary The problem with using patient complaints for improvement. Citation Text: de Vos MS, Hamming JF, van de Mheen PJM-. The problem with using patient complaints for improvement. BMJ Qual Saf. 2018;27(9):758-762. doi:10.1136/bmjqs-2017-007463. Copy Citation Format: D…
  7. psnet.ahrq.gov/issue/computerized-decision-support-medication-dosing-renal-insufficiency-randomized-controlled
    September 30, 2009 - Study Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. Citation Text: Terrell KM, Perkins AJ, Hui SL, et al. Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial. Ann Emerg …
  8. psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
    January 31, 2024 - Review Debriefing to improve interprofessional teamwork in the operating room: a systematic review. Citation Text: Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. do…
  9. psnet.ahrq.gov/issue/afraid-hospital-parental-concern-errors-during-childs-hospitalization
    April 21, 2011 - Study Classic Afraid in the hospital: parental concern for errors during a child's hospitalization. Citation Text: Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's hospitalization. J Hosp Med. 2009;41(9):…
  10. psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
    January 23, 2012 - Study Patient-reported safety and quality of care in outpatient oncology. Citation Text: Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94. Copy Citation Format: Google S…
  11. psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
    July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…
  12. psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing-occupational-well-being
    October 28, 2020 - Commentary A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. Citation Text: Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to enhancing occupational well-being among cl…
  13. psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
    October 19, 2022 - Study Who's covering our loved ones: surprising barriers in the sign-out process. Citation Text: Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. Co…
  14. psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
    September 27, 2017 - Commentary Classic Understanding and responding to health literacy as a social determinant of health. Citation Text: Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…
  15. psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
    June 23, 2021 - Review An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Citation Text: Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…
  16. psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis
    February 07, 2024 - Study Understanding risk factors for complaints against pharmacists: a content analysis. Citation Text: Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217. …
  17. psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
    May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…
  18. psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
    September 28, 2010 - Review Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. Citation Text: Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patien…
  19. psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
    September 23, 2020 - Study Poor resident–attending intraoperative communication may compromise patient safety. Citation Text: Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…
  20. psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and
    July 31, 2019 - Review Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. Citation Text: Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30…

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