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  1. psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
    October 02, 2019 - Study Towards safer neonatal transfer: the importance of critical incident review. Citation Text: Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639. Copy Citation Format: DOI Googl…
  2. psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
    February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  3. psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
    January 18, 2023 - Commentary Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Citation Text: Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention …
  4. psnet.ahrq.gov/issue/assessing-impact-teaching-patient-safety-principles-medical-students-during-surgical
    November 27, 2012 - Study Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. Citation Text: Stahl K, Augenstein J, Schulman C, et al. Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. J Surg Re…
  5. psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
    October 13, 2018 - Commentary Creating the web-based intensive care unit safety reporting system.  Citation Text: Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. Copy Citati…
  6. psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
    May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …
  7. psnet.ahrq.gov/issue/using-clinical-simulation-teach-patient-safety-acutecritical-care-nursing-course
    July 13, 2022 - Commentary Using clinical simulation to teach patient safety in an acute/critical care nursing course. Citation Text: Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ. 2005;30(4):172-177. Copy Citation …
  8. psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
    April 22, 2016 - Newspaper/Magazine Article The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Citation Text: Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare…
  9. www.ahrq.gov/policymakers/chipra/cpcf-form16.html
    December 01, 2013 - Candidate Measure Submission Form (CPCF) CHIPRA Pediatric Quality Measures Program (PQMP) The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act.  The OMB Control Num…
  10. psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
    March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…
  11. psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
    January 12, 2022 - Review Minimizing surgical error by incorporating objective assessment into surgical education. Citation Text: Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsu…
  12. psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
    August 14, 2019 - Commentary Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. Citation Text: Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.…
  13. psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-sbs.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Short Bowel Syndrome Short Bowel Syndrome Pathophysiology ■ Functional disorder caused by alterations of normal intestinal anatomy and physiology. ■ Shortened bowel combined with malabsorption; dependent on parenteral nutrition >3 months. ■ May result from: necrotizin…
  15. psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
    June 12, 2019 - Study Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Citation Text: Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…
  16. psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…
  17. psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
    January 10, 2011 - Commentary Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Citation Text: Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix. Copy Citation Format…
  18. psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
    August 28, 2024 - Study Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Citation Text: Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. G…
  19. psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
    September 02, 2009 - Commentary Patient experience must move beyond bad apples. Citation Text: Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. Copy Citation Format: DOI Google Scholar PubMed Bib…
  20. psnet.ahrq.gov/issue/setting-quality-and-safety-priorities-target-rich-environment-academic-medical-centers
    September 24, 2018 - Study Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Citation Text: Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 20…