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  1. psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events Citation Text: Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867427/psn-pdf
    December 18, 2024 - The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls Falls are not a new issue, especially among older adults. The Centers for D…
  3. psnet.ahrq.gov/primer/maternal-safety
    January 10, 2024 - Maternal Safety Citation Text: Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  4. psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
    November 01, 2006 - In Conversation With...Donald A. Norman, PhD November 1, 2006  Also Read an Essay Citation Text: In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006.In Conversation With...Donald A. Norman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthca…
  5. psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
    September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
  6. psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital
    April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …
  7. psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
    September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
  8. psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine
    April 04, 2012 - Newspaper/Magazine Article Are med school grads prepared to practice medicine? Citation Text: Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal…
  9. psnet.ahrq.gov/issue/12-h-shifts-and-rates-error-among-nurses-systematic-review
    October 20, 2021 - Review 12 h shifts and rates of error among nurses: a systematic review. Citation Text: Clendon J, Gibbons V. 12 h shifts and rates of error among nurses: a systematic review.  Int J Nurs Stud. 2015;52(7):1231-1242. doi:10.1016/j.ijnurstu.2015.03.011. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
    January 31, 2024 - Study Double checking medicines: defence against error or contributory factor? Citation Text: Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
  11. psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
    September 09, 2020 - Commentary Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Citation Text: Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/…
  12. psnet.ahrq.gov/issue/impact-performance-obstacles-intensive-care-nurses-workload-perceived-quality-and-safety-care
    March 11, 2020 - Study Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life. Citation Text: Gurses AP, Carayon P, Wall M. Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of …
  13. psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
    September 11, 2024 - Study The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. Citation Text: Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…
  14. psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
    November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary healt…
  15. psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-care
    April 21, 2015 - Study Do hospital boards matter for better, safer, patient care? Citation Text: Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045. Copy Citation Format: DOI G…
  16. psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
    July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…
  17. psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
    January 03, 2017 - Study A review of verbal order policies in acute care hospitals. Citation Text: Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. Copy Citation Format: Google Scholar PubMed…
  18. psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
    August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…
  19. psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
    August 04, 2021 - Study From research to practice: factors affecting implementation of prospective targeted injury-detection systems. Citation Text: Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …
  20. psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
    May 26, 2021 - Review Nursing surveillance: a concept analysis Citation Text: Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

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