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  1. psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
    February 28, 2018 - Press Release/Announcement 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. Copy Citation Save Save to your library Pr…
  2. psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
    January 22, 2020 - Book/Report Inadvertent Administration of an Oral Liquid Medicine into a Vein. Citation Text: Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. Copy Citation Save Save to your …
  3. psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
    November 12, 2014 - Commentary How communication among members of the health care team affects maternal morbidity and mortality. Citation Text: Brennan RA, Keohane CA. How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. J Obstet Gynecol Neonatal Nurs. 2016;45(6)…
  4. psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools
    March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…
  5. psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
    October 19, 2022 - Study Drug-induced hypoglycaemia--new insight into an old problem. Citation Text: Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  6. psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
    May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…
  7. psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronic
    December 21, 2014 - Study Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. Citation Text: O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge …
  8. psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
    October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…
  9. psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
    July 01, 2012 - Commentary Classic A piece of my mind. Copy-and-paste. Citation Text: Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
  10. psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
    January 06, 2017 - Study Injection practices among clinicians in United States health care settings. Citation Text: Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…
  11. psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
    March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…
  12. psnet.ahrq.gov/issue/complexity-and-safety
    February 01, 2012 - Commentary Complexity and safety. Citation Text: Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  13. psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
    November 18, 2009 - Study Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Citation Text: Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. Copy Citation Form…
  14. psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
    October 29, 2012 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…
  15. psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
    October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…
  16. psnet.ahrq.gov/issue/testing-technology-acceptance-model-evaluating-healthcare-professionals-intention-use-adverse
    March 24, 2019 - Study Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system. Citation Text: Wu J-H, Shen W-S, Lin L-M, et al. Testing the technology acceptance model for evaluating healthcare professionals' intention to use …
  17. psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions-healthcare
    September 29, 2017 - Commentary Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. Citation Text: McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102…
  18. psnet.ahrq.gov/issue/do-trainees-feel-they-belong-team
    August 16, 2017 - Study Do trainees feel that they belong to a team? Citation Text: Price S, Lusznat R. Do trainees feel that they belong to a team? The Clin Teach. 2018;15(3):240-244. doi:10.1111/tct.12664. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
  19. psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
    May 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…
  20. psnet.ahrq.gov/issue/missed-it-0
    October 13, 2018 - Image/Poster Missed it. Citation Text: Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5-201303050-00013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …