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  1. psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
    June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…
  2. psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
    January 09, 2019 - Study Reduced verification of medication alerts increases prescribing errors. Citation Text: Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/overarching-goals-strategy-improving-healthcare-quality-and-safety
    September 24, 2018 - Review Overarching goals: a strategy for improving healthcare quality and safety? Citation Text: Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082. Copy Ci…
  4. psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
    June 14, 2019 - Review How is medication prescribing ceased? A systematic review. Citation Text: Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e. Copy Citation Format: DOI Google…
  5. psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
    February 01, 2017 - Commentary Administering and monitoring high-alert medications in acute care. Citation Text: Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. Copy Citation Format: DOI Google Scholar…
  6. psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
    August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…
  7. psnet.ahrq.gov/issue/predictive-combinations-monitor-alarms-preceding-hospital-code-blue-events
    March 18, 2020 - Study Predictive combinations of monitor alarms preceding in-hospital code blue events. Citation Text: Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001. Copy…
  8. psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
    June 24, 2010 - Commentary Implementation of patient centeredness to enhance patient safety. Citation Text: Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  9. psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
    May 28, 2014 - Study Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. Citation Text: Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…
  10. psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
    January 15, 2009 - Study The application of Aronson's taxonomy to medication errors in nursing. Citation Text: Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14. Copy Citation Format: …
  11. psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
    June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…
  12. psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
    May 22, 2015 - Commentary Creating an oversight infrastructure for electronic health record–related patient safety hazards. Citation Text: Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …
  13. psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
    September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…
  14. psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
    September 09, 2020 - Newspaper/Magazine Article As college students return, a crisis in campus care awaits. Citation Text: Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The Seattle Times. 2020;July 13. Copy Citation Format: Google Scholar Bi…
  15. psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
    July 18, 2016 - Commentary Did hospital engagement networks actually improve care? Citation Text: Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  16. psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
    October 03, 2011 - Study Evaluation of causes and frequency of medication errors during information technology downtime. Citation Text: Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…
  17. psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
    September 21, 2016 - Review Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. Citation Text: Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…
  18. psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
    June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…
  19. psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
    August 20, 2018 - Commentary Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. Citation Text: Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
  20. psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
    August 01, 2018 - Commentary Classic "Going solid": a model of system dynamics and consequences for patient safety. Citation Text: Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4. Copy …

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