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  1. psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
    March 10, 2011 - Review Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Citation Text: Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879. Copy Citat…
  2. psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
    August 09, 2023 - Newspaper/Magazine Article A national safety board made transportation safer and could do the same for health care, advocates say. Citation Text: A national safety board made transportation safer and could do the same for health care, advocates say. Jaklevic MC. CNN. May 30, 2023. Co…
  3. psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
    July 03, 2016 - Review Prevention of medication errors in the pediatric inpatient setting. Citation Text: Prevention of medication errors in the pediatric inpatient setting. Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. …
  4. psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
    December 23, 2020 - Commentary A systemic methodology for risk management in healthcare sector. Citation Text: Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006. Copy Citation Format: DOI Go…
  5. psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
    June 21, 2016 - Commentary The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. Citation Text: Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…
  6. psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
    November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…
  7. psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
    June 17, 2014 - Newspaper/Magazine Article Medication safety issue brief. Look-alike, sound-alike drugs. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication safety issue brief, look-alike, sound-alike drugs. Hospitals and Health Networks. October 2005;79(10):57-58. Copy Ci…
  8. psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
    January 10, 2024 - Book/Report Healthcare Simulation Dictionary, Third Edition. Citation Text: Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
  9. psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
    September 29, 2017 - Multi-use Website Safe Practices for Better Healthcare–2009 Update. Citation Text: Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009. Copy Citation Save Save to your library Print …
  10. psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
    November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…
  11. psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
    February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …
  12. psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
    June 01, 2022 - Newspaper/Magazine Article Survey shows room for improvement with three new best practices for hospitals. Citation Text: Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  Copy Ci…
  13. psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
    July 19, 2023 - Newspaper/Magazine Article 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Citation Text: 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Renault M. STAT. February 6, 2023. Copy Citation …
  14. psnet.ahrq.gov/issue/high-costs-unnecessary-care
    June 28, 2023 - Commentary The high costs of unnecessary care. Citation Text: Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
    May 28, 2015 - Commentary Current status of the monitoring of medication practice. Citation Text: Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605. Copy Citation Format: DOI Google Scholar PubMe…
  16. psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
    September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …
  17. psnet.ahrq.gov/issue/increasing-demands-quality-measurement
    November 16, 2022 - Commentary Increasing demands for quality measurement. Citation Text: Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971-80. doi:10.1001/jama.2013.282047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  18. psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
    December 19, 2017 - Commentary Group urges going metric to head off dosing mistakes. Citation Text: Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. Copy Citation For…
  19. psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
    December 15, 2008 - Commentary Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Citation Text: Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
  20. psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-care-third-say
    September 15, 2021 - Newspaper/Magazine Article Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ Citation Text: Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ McPhillips…

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