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  1. Patient safety in obstetrics: what aviators, firefighters and others can teach us. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
    January 22, 2017 - Commentary Patient safety in obstetrics: what aviators, firefighters and others can teach us. Citation Text: Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…

  2. Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. | PSNet

    psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
    October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…

  3. Preventing mistransfusions: an evaluation of institutional knowledge and a response. | PSNet

    psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
    June 06, 2018 - Study Preventing mistransfusions: an evaluation of institutional knowledge and a response. Citation Text: MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…

  4. Association between surgeon stress and major surgical complications. | PSNet

    psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
    November 29, 2023 - Study Association between surgeon stress and major surgical complications. Citation Text: Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. Copy Citation Format:…

  5. Failure mode and effects analysis outputs: are they valid? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
    November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…

  6. Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet

    psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
    February 01, 2023 - Study Understanding complexity in a safety critical setting: a systems approach to medication administration. Citation Text: Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…

  7. The incidence and severity of adverse events affecting patients after discharge from the hospital. | PSNet

    psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
    March 11, 2019 - Study Classic The incidence and severity of adverse events affecting patients after discharge from the hospital. Citation Text: Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…

  8. Expert consensus on currently accepted measures of harm. | PSNet

    psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
    January 25, 2023 - Commentary Expert consensus on currently accepted measures of harm. Citation Text: Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. Copy Citation Format: …

  9. Posthospital medication discrepancies: prevalence and contributing factors. | PSNet

    psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
    July 10, 2008 - Study Classic Posthospital medication discrepancies: prevalence and contributing factors. Citation Text: Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847. …

  10. Adverse drug events in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
    February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  11. Diagnostic error in pediatrics: a narrative review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
    June 08, 2022 - Review Diagnostic error in pediatrics: a narrative review. Citation Text: Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics. 2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d. Copy Citation Format: DOI Google…

  12. Optimizing Pediatric Patient Safety in the Emergency Care Setting. | PSNet

    psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
    March 15, 2023 - Organizational Policy/Guidelines Optimizing Pediatric Patient Safety in the Emergency Care Setting. Citation Text: Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. …

  13. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
    September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

  14. Building a Better Delivery System: A New Engineering/Health Care Partnership. | PSNet

    psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
    September 12, 2018 - Book/Report Building a Better Delivery System: A New Engineering/Health Care Partnership. Citation Text: Building a Better Delivery System: A New Engineering/Health Care Partnership. Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of Enginee…

  15. Improving medication-related safety for residents in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
    March 24, 2019 - Study Improving medication-related safety for residents in nursing homes: a qualitative study. Citation Text: Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…

  16. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. | PSNet

    psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
    April 06, 2011 - Review Classic Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. JAMA. 2003;2…

  17. Machine learning in medication prescription: a systematic review. | PSNet

    psnet.ahrq.gov/issue/machine-learning-medication-prescription-systematic-review
    October 16, 2013 - Study Machine learning in medication prescription: a systematic review. Citation Text: Iancu A, Leb I, Prokosch H-U, et al. Machine learning in medication prescription: a systematic review. Int J Med Inform. 2023;180:105241. doi:10.1016/j.ijmedinf.2023.105241. Copy Citation Format:…

  18. The wrong patient. | PSNet

    psnet.ahrq.gov/issue/wrong-patient
    December 23, 2008 - Commentary Classic The wrong patient. Citation Text: Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Five strategies for a safer EHR modernization journey. | PSNet

    psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
    November 11, 2020 - Commentary Five strategies for a safer EHR modernization journey. Citation Text: Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. Copy Citation Format: DOI Google Sch…

  20. Human-computer collaboration for skin cancer recognition. | PSNet

    psnet.ahrq.gov/issue/human-computer-collaboration-skin-cancer-recognition
    June 26, 2019 - Study Classic Human-computer collaboration for skin cancer recognition. Citation Text: Tschandl P, Rinner C, Apalla Z, et al. Human–computer collaboration for skin cancer recognition. Nat Med. 2020;26(8):1229-1234. doi:10.1038/s41591-020-0942-0. Copy Citation …
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