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  1. psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events
    October 20, 2014 - Study Impact of a comprehensive patient safety strategy on obstetric adverse events. Citation Text: Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…
  2. psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention
    March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…
  3. psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review
    November 16, 2022 - Review Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Citation Text: Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/a…
  4. psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
    December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…
  5. psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
    March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. Copy Citation Forma…
  6. psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
    July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …
  7. psnet.ahrq.gov/issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
    February 03, 2011 - Study Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. Citation Text: Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:…
  8. psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care
    July 10, 2024 - Review Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. Citation Text: Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…
  9. psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…
  10. psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
    September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…
  11. psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
    February 23, 2011 - Study Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. Citation Text: Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 20…
  12. psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
    January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…
  13. psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid
    January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…
  14. psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
    December 14, 2022 - Review Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. Citation Text: Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…
  15. psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
    September 23, 2020 - Commentary Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. Citation Text: Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…
  16. psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
    July 10, 2008 - Study Ambulatory prescribing errors among community-based providers in two states. Citation Text: Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345…
  17. psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
    October 19, 2022 - Study Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system. Citation Text: Lin C-P, Payne TH, Nichol P, et al. Evaluating clinical decision support systems: monitoring CPOE ord…
  18. psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve
    March 20, 2013 - Review Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. Citation Text: Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…
  19. psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
    March 27, 2024 - Study Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. Citation Text: Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…
  20. psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
    September 23, 2020 - Commentary Time to take hearing loss seriously. Citation Text: Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. Copy Citation Format: DOI Google Scholar BibTeX E…

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