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  1. psnet.ahrq.gov/issue/incidence-and-types-non-ideal-care-events-emergency-department
    April 27, 2010 - Study Incidence and types of non-ideal care events in an emergency department. Citation Text: Hall KK, Schenkel SM, Hirshon JM, et al. Incidence and types of non-ideal care events in an emergency department. Qual Saf Health Care. 2010;19 Suppl 3:i20-5. doi:10.1136/qshc.2010.040246. C…
  2. psnet.ahrq.gov/issue/errors-near-misses-and-adverse-events-emergency-department-what-can-patients-tell-us
    April 25, 2018 - Study Errors, near misses and adverse events in the emergency department: what can patients tell us? Citation Text: Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427. Copy Cit…
  3. psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error
    May 05, 2021 - Commentary Diagnostic stewardship to prevent diagnostic error. Citation Text: Morgan DJ, Malani PN, Diekema DJ. Diagnostic stewardship to prevent diagnostic error. JAMA. 2023;329(15):1255-1256. doi:10.1001/jama.2023.1678. Copy Citation Format: DOI Google Scholar BibTeX EndN…
  4. psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
    June 10, 2020 - Study Health-care professionals' views about safety in maternity services: a qualitative study. Citation Text: Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11…
  5. psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
    May 04, 2012 - Study Methodology and bias in assessing compliance with a surgical safety checklist. Citation Text: Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82. Copy Citation …
  6. psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
    March 11, 2020 - Review The relationship between patient safety culture and patient outcomes: a systematic review. Citation Text: DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058. C…
  7. psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
    January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  8. psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
    August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…
  9. psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
    September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…
  10. psnet.ahrq.gov/issue/safety-home-care-broadened-perspective-patient-safety
    December 04, 2016 - Commentary Safety in home care: a broadened perspective of patient safety. Citation Text: Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety. International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068. Copy Citat…
  11. psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
    August 01, 2018 - Review Core principles of quality improvement and patient safety. Citation Text: Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  12. psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
    April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…
  13. psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
    September 03, 2014 - Commentary A handoff is not a telegram: an understanding of the patient is co-constructed. Citation Text: Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. Copy Citation…
  14. psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
    March 28, 2012 - Study Errors in thyroid gland fine-needle aspiration. Citation Text: Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
  15. psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
    March 27, 2024 - Commentary Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Citation Text: McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…
  16. psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy
    June 25, 2009 - Study Medication errors and patient complications with continuous renal replacement therapy. Citation Text: Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. Copy Cita…
  17. psnet.ahrq.gov/issue/opportunities-performance-improvement-relation-medication-administration-during-pediatric
    June 28, 2023 - Study Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Citation Text: Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…
  18. psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
    January 06, 2018 - Review Lost in translation: impact of language barriers on children's healthcare. Citation Text: Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
    March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. Citation Text: Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/j…
  20. psnet.ahrq.gov/web-mm/delirium-or-dementia
    September 27, 2023 - Delirium is treated by identifying and remedying the underlying causes.

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