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  1. psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Commentary Bias and racism teaching rounds at an academic medical center. Citation Text: Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. Copy Citation Format: DOI Goog…
  2. psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
    March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…
  3. psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
    December 01, 2021 - Study Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. Citation Text: doi:http://doi.org/10.1136/bmjopen-2020-048316. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…
  4. psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
    July 20, 2022 - Study Implementation of an antibiotic stewardship program in long-term care facilities across the US. Citation Text: doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  5. psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
    August 12, 2020 - Study A professional development course improves unprofessional physician behavior. Citation Text: Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.…
  6. psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
    March 02, 2011 - Commentary Classic The end of the beginning: patient safety five years after 'To Err Is Human.' Citation Text: Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. C…
  7. psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
    September 28, 2016 - Study Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. Citation Text: Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…
  8. psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review
    January 26, 2022 - Review Preventing medication errors in pediatric anesthesia: a systematic scoping review. Citation Text: Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…
  9. psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
    January 04, 2017 - Study Classic Risk management: extreme honesty may be the best policy. Citation Text: Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med. 1999;131(12):963-967. Copy Citation Format: Google Scholar PubMed Bi…
  10. psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other
    June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…
  11. hcup-us.ahrq.gov/reports/topicalrpts.jsp
    October 01, 2024 - Topical Reports An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  12. psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
    May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…
  13. psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
    April 18, 2019 - Commentary Addressing racial and ethnic bias in pulse oximeters—a wicked problem. Citation Text: Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443. Copy Citation For…
  14. psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
    March 31, 2021 - Study Improving maternal safety at scale with the mentor model of collaborative improvement. Citation Text: Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.10…
  15. psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
    December 13, 2023 - Commentary Targeting the fear of safety reporting on a unit level. Citation Text: Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…
  16. psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
    October 01, 2014 - Commentary mHealth and mobile medical apps: a framework to assess risk and promote safer use. Citation Text: Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and promote safer use. J Med Internet Res. 2014;16(9):e210. doi:10.2196/jmir.3133. Copy Citation …
  17. psnet.ahrq.gov/issue/critical-care-nurses-role-rapid-response-teams-qualitative-systematic-review
    May 18, 2022 - Review Critical care nurses' role in rapid response teams: a qualitative systematic review. Citation Text: Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn…
  18. psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…
  19. psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
    March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
    March 25, 2020 - Commentary Misdiagnosis in the emergency department: time for a system solution. Citation Text: Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. Copy Citation Format: DOI Goo…