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  1. psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
    September 23, 2020 - Study Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Citation Text: Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…
  2. psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
    July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …
  3. psnet.ahrq.gov/issue/toward-definition-teamwork-emergency-medicine
    May 31, 2017 - Commentary Toward a definition of teamwork in emergency medicine. Citation Text: Fernandez R, Kozlowski SWJ, Shapiro MJ, et al. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008;15(11):1104-12. doi:10.1111/j.1553-2712.2008.00250.x. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
    March 17, 2010 - Study Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. Citation Text: Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Eme…
  5. psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week
    November 21, 2012 - Review Myths and realities of the 80-hour work week. Citation Text: Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  6. psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
    July 29, 2020 - Study Characteristics of medical liability claims against dermatologists from 1991 through 2015. Citation Text: Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…
  7. psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
    November 28, 2018 - Book/Report Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Citation Text: Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Silver Spring, MD: US Food and Drug Administration; April 2018. Copy Citation Sav…
  8. psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
    December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
  9. psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
    October 03, 2012 - Review Emerging Classic Interventions for postsurgical opioid prescribing: a systematic review. Citation Text: Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. Copy Cit…
  10. psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
    December 14, 2022 - Commentary Better off at home--how we fail children with complex medical conditions. Citation Text: Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657. Copy Citation Format: DOI …
  11. psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
  12. psnet.ahrq.gov/issue/just-culture-its-more-policy
    July 05, 2017 - Study Just culture: it's more than policy. Citation Text: Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
  13. psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict
    December 21, 2014 - Study Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Citation Text: Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg.…
  14. psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety
    January 08, 2020 - Commentary View from the cockpit: what the airline industry can teach us about patient safety. Citation Text: Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53. Copy Citation Format: Google S…
  15. psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
    April 03, 2005 - Newspaper/Magazine Article COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. Citation Text: Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…
  16. psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
    October 29, 2017 - Commentary Using simulation to improve patient safety: dawn of a new era. Citation Text: Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
    May 09, 2014 - Organizational Policy/Guidelines Emerging Classic ASHP guidelines on preventing medication errors in hospitals. Citation Text: Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…
  18. psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…
  19. psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
    December 12, 2012 - Study Development and implementation of a patient safety program in an academic, urban emergency department. Citation Text: Blank FSJ, Henneman PL, Maynard AM, et al. Development and implementation of a patient safety program in an academic, urban emergency department. Journal of emerg…
  20. psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
    July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

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