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  1. psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
    November 01, 2017 - Review Developing team cognition: a role for simulation. Citation Text: Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96-103. doi:10.1097/sih.0000000000000200. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…
  2. psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
    July 01, 2017 - Commentary The eNOTSS platform for surgeons’ nontechnical skills performance improvement. Citation Text: Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. Copy …
  3. psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
    April 17, 2024 - Commentary The inevitability of physician burnout: implications for interventions. Citation Text: Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002. Copy Citation Format: DOI Google Scho…
  4. psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
  5. psnet.ahrq.gov/issue/attitudes-and-experiences-trainees-regarding-disclosing-medical-errors-patients
    April 13, 2011 - Study The attitudes and experiences of trainees regarding disclosing medical errors to patients. Citation Text: White AA, Gallagher TH, Krauss MJ, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med. 2008;83(3):250-6. doi:10.1097/A…
  6. psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
    May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…
  7. psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
    July 19, 2017 - Commentary An elusive balance — residents' work hours and the continuity of care. Citation Text: Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
  8. psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
    February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. Citation Text: Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. Copy Citation Format: Googl…
  9. psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
    July 19, 2023 - Review What is patient safety culture? A review of the literature. Citation Text: Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
    July 29, 2020 - Study Bar-code technology for medication administration: medication errors and nurse satisfaction. Citation Text: Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9. Copy Citatio…
  11. psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
    January 25, 2023 - Study Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. Citation Text: Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
  12. psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
    March 09, 2022 - Commentary Positive deviance: a new tool for infection prevention and patient safety. Citation Text: Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. Copy Citation Format: Google Sch…
  13. psnet.ahrq.gov/issue/workforce-safety-key-patient-safety
    December 09, 2020 - Newspaper/Magazine Article Workforce safety key to patient safety. Citation Text: Workforce safety key to patient safety. McGaffigan P, Gerwig K, Kingston MB. Healthcare Executive. 2020 Nov;35(6):48-50. Copy Citation Save Save to your library Print …
  14. psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
    August 08, 2018 - Commentary Use of a surgical safety checklist to improve team communication. Citation Text: Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. Copy Citation Format…
  15. psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
    July 16, 2009 - Commentary Best practices in medication administration: preventing adverse drug events in perinatal settings. Citation Text: Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8. Cop…
  16. psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
    September 21, 2008 - Study Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Citation Text: Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…
  17. psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
    February 06, 2019 - Newspaper/Magazine Article The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Citation Text: The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
  18. psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
    May 25, 2011 - Commentary A necessary sea change for nurse faculty development: spotlight on quality and safety. Citation Text: Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…
  19. psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
    June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
  20. psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
    February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …

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