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  1. psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
    April 24, 2018 - Study Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. Citation Text: Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…
  2. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
    September 21, 2011 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Oakbrook Terrace, IL: The Joint Commission; January 2010. Cop…
  3. psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
    December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…
  4. psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
    January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…
  5. psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
    March 09, 2022 - Study Patient self-medication--a change in hospital practice. Citation Text: Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…
  6. psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
    May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…
  7. psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
    December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…
  8. psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
    December 21, 2016 - Commentary System-related and cognitive errors in laboratory medicine. Citation Text: Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  9. psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
    March 29, 2023 - Newspaper/Magazine Article Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Citation Text: Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…
  10. psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
    February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …
  11. psnet.ahrq.gov/issue/sleep-deprivation-call-institutional-rules
    June 27, 2018 - Commentary Sleep deprivation: a call for institutional rules. Citation Text: McKenna L, Kodner IJ, Healy GB, et al. Sleep deprivation: a call for institutional rules. Surgery. 2013;154(1):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  12. psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
    December 01, 2021 - Commentary Tackling implicit bias in health care. Citation Text: Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  13. psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
    June 15, 2011 - Special or Theme Issue Safety and Quality in Perioperative Anesthesia Care. Citation Text: Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154. Copy Citation Save Save to your library …
  14. psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
    August 12, 2020 - Review Second victim support programs for healthcare organizations. Citation Text: Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  15. psnet.ahrq.gov/issue/watson-beyond-jeopardy
    April 06, 2022 - Commentary Watson: Beyond Jeopardy! Citation Text: Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
  16. psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
    December 27, 2018 - Newspaper/Magazine Article Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. Citation Text: Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…
  17. psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
    January 05, 2017 - Study Standardization as a mechanism to improve safety in health care. Citation Text: Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14. Copy Citation Format: Google Schol…
  18. psnet.ahrq.gov/issue/relion-insulin-syringes-use-u-100-insulin-tyco-healthcare-covidien
    September 30, 2015 - Press Release/Announcement ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). Citation Text: ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 6, 2…
  19. psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
    May 08, 2017 - Commentary Ten ways to improve medication safety in community pharmacies. Citation Text: Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. Copy Citation Format: DOI Google Scho…
  20. psnet.ahrq.gov/issue/perchance-think
    December 08, 2016 - Commentary Perchance to think. Citation Text: Ofri D. Perchance to Think. New Engl J Med. 2019;380(13):1197-1199. doi:10.1056/NEJMp1814019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…