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  1. psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
    April 10, 2024 - Commentary Safety lessons from the NIH Clinical Center. Citation Text: Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  2. psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
    April 25, 2018 - Commentary Maximizing smart pump technology to enhance patient safety. Citation Text: Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139. Copy Citation Format: DOI Google Scholar PubMed…
  3. psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
    September 16, 2020 - Commentary A piece of my mind. Mentorship malpractice. Citation Text: Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
  4. psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
    August 27, 2009 - Commentary Implementing a systematic response to medication errors. Citation Text: Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
  5. psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
    January 15, 2009 - Review Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. Citation Text: Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.111…
  6. psnet.ahrq.gov/issue/risk-society-and-system-failure
    November 29, 2023 - Commentary Risk, society and system failure. Citation Text: Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  7. psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
    March 14, 2023 - Newspaper/Magazine Article Pump up the volume: how to prioritize events and analyze error data. Citation Text: Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. Copy Citation …
  8. psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
    May 11, 2016 - Book/Report Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. Citation Text: Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Resear…
  9. psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
    May 14, 2018 - Sentinel Event Alerts Safely implementing health information and converging technologies. Citation Text: Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  10. psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
    September 24, 2010 - Commentary Detection of patient risk by nurses: a theoretical framework. Citation Text: Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. J Adv Nurs. 2010;66(2). doi:10.1111/j.1365-2648.2009.05215.x. Copy Citation Format: …
  11. psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
    October 17, 2018 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the cont…
  12. psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
    October 27, 2010 - Newspaper/Magazine Article Following the patient journey to improve medicines management and reduce errors. Citation Text: Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. Copy Citation Format: Go…
  13. psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
    September 19, 2018 - Newspaper/Magazine Article Death by 1,000 clicks: where electronic health records went wrong. Citation Text: Death by 1,000 clicks: where electronic health records went wrong. Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019. Copy Citation Save …
  14. psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
    December 22, 2021 - Newspaper/Magazine Article In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Citation Text: In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Silver-Greenbe…
  15. psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…
  16. psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
    November 16, 2015 - Book/Report PHSO Review: Quality of NHS Complaints Investigations. Citation Text: PHSO Review: Quality of NHS Complaints Investigations. First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Of…
  17. psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…
  18. psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…
  19. psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
    March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…
  20. psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
    March 31, 2010 - Newspaper/Magazine Article As COVID-19 bears down, doctors confront difficult choices on elective surgeries. Citation Text: As COVID-19 bears down, doctors confront difficult choices on elective surgeries. Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020. Copy Citation …

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