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  1. psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
    June 07, 2023 - Commentary Addressing the elephant in the room: a shame resilience seminar for medical students. Citation Text: Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…
  2. psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
    April 08, 2011 - Study Classic A preliminary taxonomy of medical errors in family practice. Citation Text: Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety?  Citation Text: Do HSMRs really measure patient safety?  Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…
  4. psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
    January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Citation Text: Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…
  5. psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
    June 10, 2020 - Study Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. Citation Text: Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…
  6. psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
    March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…
  7. psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
    April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…
  8. psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
    January 06, 2018 - Study An observational study of changes to long-term medication after admission to an intensive care unit. Citation Text: Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…
  9. psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
    August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…
  10. psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
    September 23, 2017 - Commentary Blending evidence and innovation: improving intershift handoffs in a multihospital setting. Citation Text: Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
  11. psnet.ahrq.gov/issue/leadership-behaviors-attitudes-and-characteristics-support-culture-safety
    August 03, 2022 - Study Leadership behaviors, attitudes and characteristics to support a culture of safety. Citation Text: Montminy SL. Leadership behaviors, attitudes and characteristics to support a culture of safety. J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521. Copy Citation Fo…
  12. psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
    October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …
  13. psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
    September 28, 2016 - Study The nature and occurrence of registration errors in the emergency department. Citation Text: Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011. …
  14. psnet.ahrq.gov/issue/interruptions-emergency-department-work-observational-and-interview-study
    September 29, 2021 - Study Interruptions in emergency department work: an observational and interview study. Citation Text: Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001…
  15. psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
    December 04, 2013 - Study Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. Citation Text: Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…
  16. psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
    December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…
  17. psnet.ahrq.gov/issue/user-satisfaction-computerized-order-entry-system-and-its-effect-workplace-level-stress
    August 27, 2017 - Study User satisfaction with computerized order entry system and its effect on workplace level of stress. Citation Text: Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):19…
  18. psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
    May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …
  19. psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…
  20. psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
    August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …