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  1. psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
    October 14, 2015 - Study Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. Citation Text: Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. …
  2. psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
    March 11, 2020 - Special or Theme Issue Focus on Computerized Provider Order Entry. Citation Text: Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 Copy Citation Save Save to your library Print Download PDF Share …
  3. psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
  4. psnet.ahrq.gov/issue/getting-root-medication-errors
    March 21, 2009 - Study Getting to the root of medication errors. Citation Text: Cohen H, Shastay AD. Getting to the root of medication errors. Nursing (Brux). 2008;38(12):39-49. doi:10.1097/01.NURSE.0000342031.85246.a1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…
  5. psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
    January 20, 2021 - Book/Report Decision Making in Emergency Medicine: Biases, Errors and Solutions. Citation Text: Decision Making in Emergency Medicine: Biases, Errors and Solutions. Raz M, Pouryahya P, eds. Singapore; Springer Nature Singapore Pte Ltd; 2021. ISBN 9789811601422. Copy Citation …
  6. psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns
    May 26, 2021 - Newspaper/Magazine Article COVID-19 dominates annual list of patient safety concerns. Citation Text: COVID-19 dominates annual list of patient safety concerns. Brooks M. Medscape Medical News. March 15, 2021. Copy Citation Save Save to your library Print …
  7. psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…
  8. psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
    August 07, 2024 - Book/Report Cognitive Load Theory and its Impact on Diagnostic Accuracy. Citation Text: Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF. …
  9. psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
    October 12, 2005 - Study Emerging Classic Disclosure after adverse medical outcomes: a multidimensional challenge. Citation Text: Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. Copy Citation …
  10. psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
    March 17, 2021 - Commentary Back to basics: preventing surgical site infections. Citation Text: Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. doi:10.1016/j.aorn.2014.02.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  11. psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…
  12. psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…
  13. psnet.ahrq.gov/issue/large-scale-coordination-health-care
    August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…
  14. psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
    December 16, 2020 - Special or Theme Issue Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Citation Text: Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
  15. psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
    January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…
  16. psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
    July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…
  17. psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
    May 24, 2017 - Commentary Alarm management: promoting safety and establishing guidelines. Citation Text: Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008. Copy Citation Format: DOI Google Scholar PubM…
  18. psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
    July 19, 2023 - Commentary Perfusion safety: new initiatives and enduring principles. Citation Text: Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  19. psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
    August 16, 2023 - Book/Report Burnout in Primary Care: Assessing and Addressing It in Your Practice. Citation Text: Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AH…
  20. psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
    June 03, 2020 - Review The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Citation Text: Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…