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  1. psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
    December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
  2. psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
    January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  3. psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
    May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…
  4. psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
    April 25, 2018 - Review Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. Citation Text: Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…
  5. psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
    August 04, 2021 - Commentary Excessive work hours of physicians in training in El Salvador: putting patients at risk. Citation Text: Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. Copy Citation Format: Google S…
  6. psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
    August 02, 2010 - Study Computer based medication error reporting: insights and implications. Citation Text: Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13. Copy Citation Format: Google Scholar …
  7. psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
    February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…
  8. psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
    January 02, 2017 - Commentary Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Citation Text: Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
  9. psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …
  10. psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
    October 10, 2015 - Study Medication reconciliation: a qualitative analysis of clinicians' perceptions. Citation Text: Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…
  11. psnet.ahrq.gov/issue/bearing-witness-ethics-practice-storying-physicians-medical-mistake-narratives
    July 17, 2024 - Study Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Citation Text: Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. …
  12. psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict
    December 21, 2014 - Study Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Citation Text: Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg.…
  13. psnet.ahrq.gov/issue/covid-19-can-last-several-months-diseases-long-haulers-have-endured-relentless-waves
    April 03, 2005 - Newspaper/Magazine Article COVID-19 can last for several months. The disease’s “long-haulers” have endured relentless waves of debilitating symptoms—and disbelief from doctors and friends. Citation Text: Young E. COVID-19 can last for several months. The disease’s “long-haulers” have end…
  14. psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
    September 24, 2010 - Study A practical approach to measure the quality of handwritten medication orders: a tool for improvement. Citation Text: Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.…
  15. psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
    February 18, 2011 - Study AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. Citation Text: Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e. Copy Cita…
  16. psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
    November 02, 2010 - Study Rapid response teams: qualitative analysis of their effectiveness. Citation Text: Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990. Copy Citation Format: DOI Google Schol…
  17. psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
    June 12, 2018 - Commentary Addressing disease-related malnutrition in hospitalized patients: a call for a national goal. Citation Text: Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(1…
  18. psnet.ahrq.gov/issue/using-ora-explore-relationship-nursing-unit-communication-patient-safety-and-quality-outcomes
    December 11, 2008 - Study Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Citation Text: Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Me…
  19. psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
    May 19, 2021 - Newspaper/Magazine Article Preventing medication errors at small and rural hospitals. Citation Text: Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. Copy Citatio…
  20. psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
    July 14, 2009 - Commentary The role of nursing surveillance in keeping patients safe. Citation Text: Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377. Copy Citation Format: DOI Google Scholar PubMed B…

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