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  1. psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
    December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. Citation Text: Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  2. psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
    August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Citation Text: Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. Copy Citation For…
  3. psnet.ahrq.gov/issue/problem-incident-reporting
    February 28, 2024 - Commentary The problem with incident reporting. Citation Text: Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  4. psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
    June 01, 2022 - Study Health information technology-related wrong-patient errors: context is critical. Citation Text: Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.    Copy Citation …
  5. psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…
  6. psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
    September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization paradigm. Citation Text: Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…
  7. psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
    May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …
  8. psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
    April 01, 2015 - Commentary State of science: human factors and ergonomics in healthcare. Citation Text: Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932. Copy Citation Format: …
  9. psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
    August 04, 2021 - Review Medical error and human factors engineering: where are we now? Citation Text: Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67. Copy Citation Format: Google Scholar PubMed BibTe…
  10. www.ahrq.gov/cahps/surveys-guidance/item-sets/literacy/index.html
    December 01, 2022 - CAHPS Health Literacy Item Sets The CAHPS Health Literacy Item Sets ask about providers' efforts to foster and improve the health literacy of patients. Health literacy is commonly defined as patients' ability to obtain, process, and understand the basic health information and services they need to make appropri…
  11. psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
    May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. Citation Text: Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. Copy Citation Format: DOI Google Scholar …
  12. 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…
  13. 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…
  14. digital.ahrq.gov/ahrq-funded-projects/impact-consumer-health-informatics-applications
    January 01, 2023 - Impact of Consumer Health Informatics Applications Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-07-10061-5 Funding Mechanism(s) Evidence-based Practice Centers (EPCs) …
  15. 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…
  16. 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 …
  17. 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…
  18. psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
    January 18, 2011 - Commentary Studying patient safety in health care organizations: accentuate the qualitative. Citation Text: Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/safety-incidents-family-medicine
    December 11, 2013 - Study Safety incidents in family medicine. Citation Text: O'Beirne M, Sterling PD, Zwicker K, et al. Safety incidents in family medicine. BMJ Qual Saf. 2011;20(12):1005-10. doi:10.1136/bmjqs-2011-000105. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…
  20. 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: …