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  1. psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
    June 07, 2017 - Commentary The medication kit conundrum: considerations to enhance safety and efficiency. Citation Text: Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…
  2. psnet.ahrq.gov/issue/deciphering-harm-measurement
    December 01, 2010 - Commentary Deciphering harm measurement. Citation Text: Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012;307(20):2155-6. doi:10.1001/jama.2012.3649. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
  3. psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology
    November 16, 2015 - Study Impact of duty hour limits on resident training in otolaryngology. Citation Text: Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope. 2005;115(5):773-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  4. psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
    January 10, 2011 - Commentary Environmental changes increase hospital safety for dementia patients. Citation Text: Goodall D. Environmental changes increase hospital safety for dementia patients. Holist Nurs Pract. 2006;20(2):80-84. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…
  5. psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
    August 01, 2018 - Commentary Changing smart pump vendors: lessons learned. Citation Text: Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  6. psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
    May 23, 2018 - Review Reducing diagnostic errors worldwide through diagnostic management teams. Citation Text: Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. Copy Citation …
  7. psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
    April 24, 2018 - Study Hospital admission medication reconciliation in medically complex children: an observational study. Citation Text: Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
  8. psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
    May 04, 2012 - Study Methodology and bias in assessing compliance with a surgical safety checklist. Citation Text: Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82. Copy Citation …
  9. psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
    December 09, 2020 - Commentary The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. Citation Text: Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. Copy Citation Format: Google Sc…
  10. psnet.ahrq.gov/issue/medication-errors-mental-healthcare-systematic-review
    September 22, 2021 - Review Medication errors in mental healthcare: a systematic review. Citation Text: Maidment ID, Lelliott P, Paton C. Medication errors in mental healthcare: a systematic review. Qual Saf Health Care. 2006;15(6):409-13. Copy Citation Format: Google Scholar PubMed BibTeX En…
  11. psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
    December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…
  12. psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
    December 15, 2011 - Study Nurses' practice environments, error interception practices, and inpatient medication errors. Citation Text: Flynn L, Liang Y, Dickson GL, et al. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh. 2012;44(2):180-6. doi:…
  13. psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
    October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…
  14. psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …
  15. psnet.ahrq.gov/issue/associations-between-negative-patient-safety-climate-and-infection-prevention-practices
    May 10, 2023 - Study Associations between negative patient safety climate and infection prevention practices. Citation Text: Johnson CT, Hessels AJ. Associations between negative patient safety climate and infection prevention practices. Am J Infect Control. 2024;52(9):1102-1104. doi:10.1016/j.ajic.202…
  16. psnet.ahrq.gov/issue/2008-john-m-eisenberg-patient-safety-and-quality-awards
    March 28, 2018 - Award Recipient 2008 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2008 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2008;34(12):691-712. Copy Citation Save Save to your library Print Download P…
  17. psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
    August 31, 2016 - Study A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center. Citation Text: Tran M, Ciarkowski S, Wagner D, et al. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at…
  18. psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
    September 04, 2024 - Commentary "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. Citation Text: Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…
  19. psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey
    April 25, 2018 - Study Using care bundles to reduce in-hospital mortality: quantitative survey. Citation Text: Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
    December 19, 2012 - Study Creating effective quality-improvement collaboratives: a multiple case study. Citation Text: Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …

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