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2421. Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet
      psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
      April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …

2422. Sidelining safety — the FDA's inadequate response to the IOM. | PSNet
      psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom
      November 13, 2009 - Commentary Sidelining safety — the FDA's inadequate response to the IOM. Citation Text: Smith SW. Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

2423. When there's no one to whom an error can be disclosed, how should an error be handled? | PSNet
      psnet.ahrq.gov/issue/when-theres-no-one-whom-error-can-be-disclosed-how-should-error-be-handled
      March 19, 2018 - Commentary When there's no one to whom an error can be disclosed, how should an error be handled? Citation Text: Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled? AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553. Copy Cita…

2424. 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…

2425. Patient safety: it's not just carefulness, it's a culture. | PSNet
      psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
      December 24, 2008 - Commentary Patient safety: it's not just carefulness, it's a culture. Citation Text: Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211-212. doi:10.1097/00129234-200409000-00001. Copy Citation Format: DOI Google Scho…

2426. 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…

2427. The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. | PSNet
      psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
      October 03, 2011 - Review The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. Citation Text: Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…

2428. 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…

2429. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. | PSNet
      psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-crisis
      July 19, 2023 - Commentary The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Citation Text: Leary E, Diers D. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Yale J Biol Med. 2013;86(1):79-87. Copy Citation Format: Google Sch…

2430. Nurse health, work environment, presenteeism and patient safety. | PSNet
      psnet.ahrq.gov/issue/nurse-health-work-environment-presenteeism-and-patient-safety
      December 14, 2016 - Study Nurse health, work environment, presenteeism and patient safety. Citation Text: Rainbow JG, Drake DA, Steege LM. Nurse health, work environment, presenteeism and patient safety. West J Nurs Res. 2020;42(5):332-339. doi:10.1177/0193945919863409. Copy Citation Format: D…

2431. How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet
      psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
      February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

2432. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. | PSNet
      psnet.ahrq.gov/issue/use-anatomic-marking-form-alternative-universal-protocol-preventing-wrong-site-wrong
      March 02, 2011 - Commentary Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. Citation Text: Knight N, Aucar J. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong…

2433. The problem with medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/problem-medication-reconciliation
      May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

2434. Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. | PSNet
      psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
      July 31, 2019 - Commentary Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. Citation Text: Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…

2435. Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet
      psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
      January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…

2436. 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…

2437. 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…

2438. Nursing strategies to increase medication safety in inpatient settings. | PSNet
      psnet.ahrq.gov/issue/nursing-strategies-increase-medication-safety-inpatient-settings
      September 21, 2016 - Study Nursing strategies to increase medication safety in inpatient settings. Citation Text: Bravo K, Cochran GL, Barrett R. Nursing Strategies to Increase Medication Safety in Inpatient Settings. J Nurs Care Qual. 2016;31(4):335-41. doi:10.1097/NCQ.0000000000000181. Copy Citation …

2439. I'm sorry: laws that support apologies in health care. | PSNet
      psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
      March 11, 2020 - Commentary I'm sorry: laws that support apologies in health care. Citation Text: Atkinson Smith M. Iʼm Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

2440. 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…