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  1. psnet.ahrq.gov/issue/talking-behind-their-backs-negative-gossip-and-burnout-hospitals
    April 17, 2024 - Study Talking behind their backs: negative gossip and burnout in hospitals. Citation Text: Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
    August 29, 2018 - Review Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Citation Text: Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…
  3. psnet.ahrq.gov/issue/safety-issues-related-electronic-medical-record-emr-synthesis-literature-last-decade-2000
    January 20, 2016 - Review Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000–2009. Citation Text: Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last…
  4. psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
    January 31, 2018 - Review Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. Citation Text: Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
  5. psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…
  6. digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
    January 01, 2023 - The Medication Metronome Project Project Final Report ( PDF , 850.24 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this…
  7. psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
    February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? Citation Text: Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417. Copy Citation Format: G…
  8. psnet.ahrq.gov/issue/acog-committee-opinion-621-patient-safety-and-health-information-technology
    May 22, 2019 - Commentary ACOG Committee Opinion #621: patient safety and health information technology. Citation Text: Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…
  9. psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
  10. psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
    June 26, 2024 - Review Medical error and decision making: learning from the past and present in intensive care. Citation Text: Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001. C…
  11. psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
    August 12, 2020 - Commentary The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Citation Text: Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
    July 19, 2023 - Study Sources and types of discrepancies between electronic medical records and actual outpatient medication use. Citation Text: Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…
  13. psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
    December 09, 2020 - Commentary The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. Citation Text: Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. Copy Citation Format: Google Sc…
  14. psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
    December 02, 2020 - Review Alarm fatigue: impacts on patient safety. Citation Text: Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  15. psnet.ahrq.gov/issue/winning-battle-standardization
    March 02, 2022 - Newspaper/Magazine Article Winning the battle for standardization. Citation Text: Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…
  16. psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
    December 01, 2021 - Review Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. Citation Text: Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…
  17. psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - Book/Report Health IT Patient Safety Action and Surveillance Plan. Citation Text: Health IT Patient Safety Action and Surveillance Plan. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. Copy Citation Save Sa…
  18. psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
    November 16, 2022 - Commentary Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? Citation Text: Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…
  19. psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
    April 08, 2011 - Study Speaking up and sharing information improves trainee neonatal resuscitations. Citation Text: Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. Copy C…
  20. psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
    November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…