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  1. psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
    June 09, 2021 - Commentary Implementing No Interruption Zones in the perioperative environment. Citation Text: Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018. Copy Citation Format: DOI Google Schola…
  2. psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
    October 19, 2022 - Commentary A spotlight on strategies for increasing safety reporting in nursing education. Citation Text: Cooper EE. A spotlight on strategies for increasing safety reporting in nursing education. J Contin Educ Nurs. 2012;43(4):162-8. doi:10.3928/00220124-20111201-02. Copy Citation …
  3. psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
    December 18, 2017 - Study The effect of hospital organizational characteristics on postoperative complications. Citation Text: Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf. 2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b. Copy Citation …
  4. psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
    February 27, 2009 - Study Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety. Citation Text: Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
  5. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
    September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Using Federal grants to build intellectual capital at the State level Previous Page Next Page Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Intr…
  6. psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
    October 19, 2022 - Commentary Identification errors in pathology and laboratory medicine. Citation Text: Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …
  7. psnet.ahrq.gov/issue/prevalence-and-nature-errors-and-near-errors-reported-hospital-staff-nurses
    April 24, 2018 - Study Prevalence and nature of errors and near errors reported by hospital staff nurses. Citation Text: Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Applied Nursing Research. 2005;17(4). doi:10.1016/j.apnr.2004.09…
  8. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-4.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.4. Chronology of Quality Improvement (QI) and Lean at Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. …
  9. psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
    August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…
  10. psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
    January 06, 2017 - Commentary Rapid response systems: should we still question their implementation? Citation Text: Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. Copy Citation Format: DOI G…
  11. psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
    September 25, 2013 - Commentary Error reduction through team leadership: applying aviation's CRM model in the OR. Citation Text: Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
    December 12, 2012 - Commentary Rapid response teams: what's the latest? Citation Text: Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
  13. psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  14. psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
    May 13, 2020 - Newspaper/Magazine Article Toward the eradication of medical diagnostic errors. Citation Text: Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
  15. psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
    September 12, 2018 - Commentary Long-term solution to malpractice crises: reduce harm to patients. Citation Text: Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31. Copy Citation Format: Google Scholar PubMed BibTeX E…
  16. psnet.ahrq.gov/issue/designing-safer-radiology-department
    March 04, 2015 - Commentary Designing a safer radiology department. Citation Text: Johnson D, Miranda R, Osborn HH, et al. Designing a safer radiology department. AJR Am J Roentgenol. 2012;198(2):398-404. doi:10.2214/AJR.11.7234. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  17. psnet.ahrq.gov/issue/antiretroviral-medication-errors-among-hospitalized-patients-hiv-infection
    April 12, 2023 - Study Antiretroviral medication errors among hospitalized patients with HIV infection. Citation Text: Rastegar DA, Knight AM, Monolakis JS. Antiretroviral medication errors among hospitalized patients with HIV infection. Clin Infect Dis. 2006;43(7):933-8. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
    June 09, 2021 - Commentary Human factors of complex sociotechnical systems. Citation Text: Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  19. psnet.ahrq.gov/issue/procedural-safety-emergency-care-conceptual-model-and-recommendations
    July 02, 2011 - Commentary Procedural safety in emergency care: a conceptual model and recommendations. Citation Text: Pines JM, Kelly JJ, Meisl H, et al. Procedural safety in emergency care: a conceptual model and recommendations. Jt Comm J Qual Patient Saf. 2012;38(11):516-526. Copy Citation F…
  20. psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
    September 21, 2009 - Commentary The development of a patient safety program across the continuum of care. Citation Text: Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. Copy Citation Format: Google Scholar Pub…