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  1. psnet.ahrq.gov/issue/apologies-and-medical-error
    November 16, 2022 - Commentary Apologies and medical error. Citation Text: Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  2. psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
    June 16, 2019 - Study Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Citation Text: Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
  3. psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
    August 08, 2018 - Commentary Pharmacist involvement in a rapid-response team at a community hospital. Citation Text: Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8. Copy Citation Format: Google Scholar PubMe…
  4. psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
    May 31, 2017 - Commentary A mediation skills model to manage disclosure of errors and adverse events to patients. Citation Text: Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…
  5. psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
    January 04, 2017 - Book/Report HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Denver, CO; Health Grades Inc; 2007. Copy Citation Save Save …
  6. psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
    May 25, 2016 - Commentary Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Citation Text: Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
  7. psnet.ahrq.gov/issue/communication-operating-theatre
    September 29, 2017 - Review Communication in the operating theatre. Citation Text: Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
  8. psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
    June 09, 2021 - Book/Report Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Citation Text: Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. Copy Citation …
  9. psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
    September 06, 2017 - Study Accuracies of diagnostic methods for acute appendicitis. Citation Text: Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
  10. psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
    August 21, 2019 - Book/Report Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Citation Text: Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …
  11. psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
  12. psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
    September 26, 2012 - Commentary A new frontier in healthcare risk management: working to reduce avoidable patient suffering. Citation Text: Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.2…
  13. psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
    July 24, 2024 - Newspaper/Magazine Article How studying human factors improves patient safety. Citation Text: Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  14. psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
    September 27, 2023 - Study Perceptions of radiation safety culture in medical imaging by role. Citation Text: Perceptions of radiation safety culture in medical imaging by role. Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347. Copy Citation Save Save to your library Pr…
  15. psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
    January 20, 2021 - Book/Report Mistakes, Errors and Failures across Cultures. Citation Text: Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 Copy Citation Save Save to your library P…
  16. psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
    September 04, 2019 - Review Judging whether a patient is actually improving: more pitfalls from the science of human perception. Citation Text: Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…
  17. psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
    December 24, 2008 - Measurement Tool/Indicator Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Citation Text: Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022. Copy Citation …
  18. psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
    April 17, 2024 - Newspaper/Magazine Article Total systems safety supports practitioners in partnering with families to protect patients. Citation Text: Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. …
  19. psnet.ahrq.gov/issue/intimidation-concept-analysis
    May 20, 2020 - Review Intimidation: a concept analysis. Citation Text: Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-6198.2009.00162.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  20. psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
    May 04, 2016 - Book/Report Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Citation Text: Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…

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