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  1. 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…
  2. psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
    August 02, 2013 - Study Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Citation Text: Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33620/psn-pdf
    September 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005) September 1, 2005 Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005 In response to "Getting to the R…
  4. psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
    August 02, 2015 - Study Characteristics of medical professional liability claims in patients with cardiovascular diseases. Citation Text: Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):…
  5. psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
    April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…
  6. psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
    January 23, 2017 - Commentary Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Citation Text: Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…
  7. psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
    February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …
  8. psnet.ahrq.gov/issue/student-observed-surgical-safety-practices-across-urban-regional-health-authority
    August 12, 2020 - Study Student-observed surgical safety practices across an urban regional health authority. Citation Text: Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.04…
  9. psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. Copy Citation Form…
  10. psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
    April 24, 2018 - Study Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. Citation Text: McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit C…
  11. psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
    January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Citation Text: Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual S…
  12. psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
    November 13, 2024 - Commentary Ending extra payment for "never events"—stronger incentives for patients' safety. Citation Text: Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125. Copy Citation F…
  13. psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty
    October 31, 2014 - Commentary Assumptions of quality medicine: the role of uncertainty. Citation Text: Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. Copy Citation Format:…
  14. psnet.ahrq.gov/issue/patient-safety-office-based-setting
    August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  15. psnet.ahrq.gov/issue/overdiagnosis-how-our-compulsion-diagnosis-may-be-harming-children
    March 04, 2020 - Commentary Overdiagnosis: how our compulsion for diagnosis may be harming children. Citation Text: Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778. Copy Citation …
  16. psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
    April 05, 2023 - Study Rapid response teams and continuous quality improvement. Citation Text: Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. Copy Citation Save Save to your l…
  17. psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
    June 30, 2021 - Commentary Five new ways to advance diagnostic safety in your clinical practice. Citation Text: Five new ways to advance diagnostic safety in your clinical practice. Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16. Copy Citation Save …
  18. psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
    June 22, 2022 - Commentary HIPAA and patient care: the role for professional judgment. Citation Text: Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…
  19. psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
    January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …
  20. psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
    November 16, 2022 - Commentary Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. Citation Text: Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…

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