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  1. psnet.ahrq.gov/issue/implementing-pre-operative-checklist-increase-patient-safety-1-year-follow-personnel
    October 19, 2012 - Study Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Citation Text: Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta…
  2. psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety
    July 20, 2022 - Study Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. Citation Text: Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …
  3. psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
    July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…
  4. psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
    October 21, 2020 - Study Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. Citation Text: Okafor NG, Doshi PB, Miller SK, et al. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency de…
  5. psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
    June 29, 2011 - Study Are temporary staff associated with more severe emergency department medication errors? Citation Text: Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…
  6. psnet.ahrq.gov/issue/association-communication-between-hospital-based-physicians-and-primary-care-providers
    September 09, 2013 - Study Association of communication between hospital-based physicians and primary care providers with patient outcomes. Citation Text: Bell CM, Schnipper JL, Auerbach AD, et al. Association of communication between hospital-based physicians and primary care providers with patient out…
  7. psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
    November 04, 2015 - Study Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. Citation Text: Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…
  8. psnet.ahrq.gov/issue/tackling-communication-barriers-between-long-term-care-facility-and-emergency-department
    August 02, 2017 - Commentary Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. Citation Text: Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department tran…
  9. psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm
    November 12, 2008 - Study The relationship between hospital systems load and patient harm. Citation Text: Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. Copy Citation Format…
  10. psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
    February 15, 2017 - Study Do professionalism lapses in medical school predict problems in residency and clinical practice? Citation Text: Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…
  11. psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside
    December 14, 2011 - Study Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. Citation Text: Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisc…
  12. psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
    January 27, 2019 - Study A survey of hospital quality improvement activities. Citation Text: Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. Copy Citation Format: DOI Google Sch…
  13. psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
    September 24, 2018 - Study Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. Citation Text: McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiologic…
  14. psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
    February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…
  15. psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
    February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…
  16. psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
    January 22, 2014 - Study Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. Citation Text: Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …
  17. psnet.ahrq.gov/issue/delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement-anticoagulation
    March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…
  18. psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients
    October 19, 2022 - Study Incidence and severity of medication reconciliation discrepancies in trauma patients. Citation Text: Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/000313482311616…
  19. psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
    April 27, 2015 - Study Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. Citation Text: Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…
  20. psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled
    March 04, 2011 - Study The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. Citation Text: Nguyen H-T, Pham H-T, Vo D-K, et al. The effect of a clinical pharmacist-led training programme on intravenous medication errors: a cont…

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