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  1. psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
    May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. Citation Text: Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. Copy Citation Format: DOI Google Scholar …
  2. psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
  3. psnet.ahrq.gov/issue/tiering-drug-drug-interaction-alerts-severity-increases-compliance-rates
    February 18, 2011 - Study Tiering drug–drug interaction alerts by severity increases compliance rates. Citation Text: Paterno MD, Maviglia SM, Gorman PN, et al. Tiering drug-drug interaction alerts by severity increases compliance rates. J Am Med Inform Assoc. 2009;16(1):40-6. doi:10.1197/jamia.M2808. C…
  4. psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
    February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. Citation Text: Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. Copy Citation Format: Googl…
  5. psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
    November 27, 2012 - Commentary The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. Citation Text: Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…
  6. psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …
  7. psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
    October 27, 2021 - Book/Report What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. Citation Text: Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …
  8. psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
    May 25, 2022 - Study Diagnostic error in internal medicine. Citation Text: Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
  9. psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
    July 29, 2020 - Study Bar-code technology for medication administration: medication errors and nurse satisfaction. Citation Text: Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9. Copy Citatio…
  10. psnet.ahrq.gov/issue/workforce-safety-key-patient-safety
    December 09, 2020 - Newspaper/Magazine Article Workforce safety key to patient safety. Citation Text: Workforce safety key to patient safety. McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50. Copy Citation Save Save to your library Print …
  11. psnet.ahrq.gov/issue/can-teaching-medical-students-investigate-medication-errors-change-their-attitudes-towards
    August 14, 2014 - Image/Poster Can teaching medical students to investigate medication errors change their attitudes towards patient safety? Citation Text: Dudas RA, Bundy DG, Miller MR, et al. Can teaching medical students to investigate medication errors change their attitudes towards patient safety? …
  12. psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine
    November 30, 2012 - Study A survey of the use of time-out protocols in emergency medicine. Citation Text: Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288. Copy Citation Format: Google Schola…
  13. psnet.ahrq.gov/issue/scoping-review-exploring-confidence-healthcare-professionals-assessing-all-skin-tones
    July 17, 2019 - Review A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Citation Text: Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.202…
  14. psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
    October 28, 2020 - Commentary Learning from tragedy: the Julia Berg story. Citation Text: Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  15. psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care
    July 13, 2010 - Commentary Using information technology to improve the quality and safety of emergency care. Citation Text: Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…
  16. psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
    January 31, 2024 - Commentary Finding and fixing diagnosis errors: can triggers help? Citation Text: Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…
  17. psnet.ahrq.gov/issue/research-nursing-handoffs-medical-and-surgical-settings-integrative-review
    October 19, 2011 - Review Research on nursing handoffs for medical and surgical settings: an integrative review. Citation Text: Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. …
  18. psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
    November 07, 2018 - Study A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. Citation Text: O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. Copy Citation …
  19. psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study
    January 02, 2017 - Study Interruptions in a level one trauma center: a case study. Citation Text: Brixey J, Tang Z, Robinson DJ, et al. Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …
  20. psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
    October 13, 2018 - Commentary Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. Citation Text: Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471. Copy Citation Format: …

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