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  1. psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
    April 01, 2015 - Newspaper/Magazine Article Making checklists work: South Carolina's statewide experiment. Citation Text: Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
  2. psnet.ahrq.gov/issue/restoring-trust-va-health-care
    June 21, 2016 - Commentary Restoring trust in VA health care. Citation Text: Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  3. psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
    January 20, 2010 - Commentary Developing process-support tools for patient safety: finding the balance between validity and feasibility. Citation Text: Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility.…
  4. psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
    July 17, 2024 - Commentary A cycle of redemption in a medical error disclosure and apology program. Citation Text: Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869. Copy Citation Format: Google Scholar PubMed BibTeX En…
  5. psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
    May 20, 2020 - Newspaper/Magazine Article Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Citation Text: Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Levy S. Drug Topics. July 9, 2007 Copy…
  6. psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
    November 18, 2020 - Newspaper/Magazine Article Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? Citation Text: Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …
  7. psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
    January 11, 2017 - Newspaper/Magazine Article Omission of high-alert medications: a hidden danger. Citation Text: Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. Copy Citation Save Save to your libra…
  8. psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
    February 14, 2024 - Commentary Why your TeamSTEPPS program may not be working. Citation Text: Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …
  9. psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
    October 21, 2020 - Audiovisual Doctors' unconscious bias affects quality of health care services, research shows. Citation Text: Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020. Copy Cita…
  10. psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
    September 19, 2012 - Study Losing the moment: understanding interruptions to nurses' work. Citation Text: Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162. Copy Citation Format: DOI …
  11. psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…
  12. psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
    December 07, 2016 - Newspaper/Magazine Article Medically Induced Trauma Support Services (MITSS). Citation Text: Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013. Copy Citation Save Save to your library Print Do…
  13. psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
    February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…
  14. psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
    October 12, 2011 - Commentary A nurse-driven system for improving patient quality outcomes. Citation Text: Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175. Copy Citation Format: Google Scholar PubMe…
  15. psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
    September 27, 2017 - Study The impact of teamwork on missed nursing care. Citation Text: Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. doi:10.1016/j.outlook.2010.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
  16. psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
    December 01, 2004 - Commentary Preventing communication errors in telephone medicine. Citation Text: Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  17. psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
    September 30, 2020 - Newspaper/Magazine Article Pharmacy-led medication reconciliation is best practice. Citation Text: Pharmacy-led medication reconciliation is best practice. Tanski MC. Pharmacy Times Health Systems edition. September 2023;12(5):34-35. Copy Citation Save Save to y…
  18. psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
    August 10, 2022 - Study Patient safety culture in nephrology nurse practice settings: initial findings. Citation Text: Patient safety culture in nephrology nurse practice settings: initial findings. Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476. Copy Citation Save Save to your …
  19. psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
    October 03, 2018 - Newspaper/Magazine Article Insulin pumps have most reported problems in FDA database. Citation Text: Insulin pumps have most reported problems in FDA database. Mohr H, Weiss M. Associated Press. November 27, 2018. Copy Citation Save Save to your library Prin…
  20. psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
    November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP November 1, 2005  Also Read an Essay Citation Text: In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…

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