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2361. Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. | PSNet
      psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
      June 22, 2022 - Press Release/Announcement Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Citation Text: Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…

2362. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet
      psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
      April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

2363. Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. | PSNet
      psnet.ahrq.gov/issue/trends-potentially-preventable-inpatient-hospital-admissions-and-emergency-department-visits
      January 11, 2017 - Book/Report Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Citation Text: Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief …

2364. Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. | PSNet
      psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review
      December 15, 2008 - Study Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. Citation Text: Talsma AN, Bahl V, Campbell D. Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. J Nurs Care Qual. 2008;23(3):202-210. …

2365. Leveraging consistent communication tools and organizational values to promote accountability among health care providers. | PSNet
      psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
      January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…

2366. Near-miss medication errors provide a wake-up call. | PSNet
      psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
      January 24, 2024 - Commentary Near-miss medication errors provide a wake-up call. Citation Text: Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

2367. Moving beyond implicit bias in antiracist academic medicine initiatives. | PSNet
      psnet.ahrq.gov/issue/moving-beyond-implicit-bias-antiracist-academic-medicine-initiatives
      May 18, 2022 - Commentary Moving beyond implicit bias in antiracist academic medicine initiatives. Citation Text: Calhoun A, Genao I, Martin A, et al. Moving beyond implicit bias in antiracist academic medicine initiatives. Acad Med. 2022;97(6):790-792. doi:10.1097/acm.0000000000004562. Copy Citation…

2368. Diagnosis: Reducing Errors and Improving Quality. | PSNet
      psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
      October 12, 2022 - Book/Report Diagnosis: Reducing Errors and Improving Quality. Citation Text: Diagnosis: Reducing Errors and Improving Quality. Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 Copy Citati…

2369. Patient safety and collaboration of the intensive care unit team. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
      February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…

2370. Review of the Australian Incident Monitoring System. | PSNet
      psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
      July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

2371. Improving medication safety in the ICU: the pharmacist's role. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
      April 20, 2022 - Commentary Improving medication safety in the ICU: the pharmacist's role. Citation Text: Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337. Copy Citation Format: DOI Google…

2372. Making the business case for quality and safety. | PSNet
      psnet.ahrq.gov/issue/making-business-case-quality-and-safety
      January 19, 2022 - Commentary Making the business case for quality and safety. Citation Text: Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008. Copy Citation Format: DOI Google Scholar …

2373. Directed peer review in surgical pathology. | PSNet
      psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
      December 03, 2014 - Commentary Directed peer review in surgical pathology. Citation Text: Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

2374. Latent bias and the implementation of artificial intelligence in medicine. | PSNet
      psnet.ahrq.gov/issue/latent-bias-and-implementation-artificial-intelligence-medicine
      August 18, 2021 - Commentary Emerging Classic Latent bias and the implementation of artificial intelligence in medicine. Citation Text: Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. d…

2375. Failure to report poor care as a breach of moral and professional expectation. | PSNet
      psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
      March 05, 2025 - Commentary Failure to report poor care as a breach of moral and professional expectation. Citation Text: Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299. Copy Citation …

2376. Ferranti, Jeffrey | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/ferranti-jeffrey
      January 01, 2023 - Ferranti, Jeffrey Sharing adverse drug event data using business intelligence technology. Citation Horvath MM, Cozart H, Ahmad A, et al. Sharing adverse drug event data using business intelligence technology. J Patient Saf 2009 Mar;5(1):35-41. Principal Investigator …

2377. Leadership and patient safety: a review of the literature. | PSNet
      psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
      March 29, 2023 - Review Leadership and patient safety: a review of the literature. Citation Text: Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-56. doi:10.1016/s2155-8256(15)30164-2. Copy Citation Format: DOI Google Scholar BibTe…

2378. Computerized physician order entry: promise, perils, and experience. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-perils-and-experience
      June 25, 2018 - Review Computerized physician order entry: promise, perils, and experience. Citation Text: Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. Copy Citation Format: DOI Googl…

2379. Adverse events following an emergency department visit. | PSNet
      psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
      April 22, 2011 - Study Adverse events following an emergency department visit. Citation Text: Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. Copy Citation Format: Google Scholar PubMed BibTeX End…

2380. Teaching nurses to make clinical judgments that ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
      August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …