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  1. psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …
  2. psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
    October 19, 2022 - Review Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. Citation Text: Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…
  3. psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
    May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
  4. psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …
  5. psnet.ahrq.gov/issue/infection-prevention-emergency-department
    July 13, 2016 - Review Infection prevention in the emergency department. Citation Text: Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024. Copy Citation Format: DOI Google Scho…
  6. psnet.ahrq.gov/issue/time-out-patient-safety
    October 26, 2022 - Commentary Time out for patient safety. Citation Text: Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  7. psnet.ahrq.gov/issue/swapping-horses-midstream-factors-related-physicians-changing-their-minds-about-diagnosis
    January 29, 2020 - Study Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Citation Text: Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.…
  8. psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
    September 27, 2017 - Commentary An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. Citation Text: Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…
  9. psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
    September 24, 2010 - Commentary Identified safety risks with splitting and crushing oral medications. Citation Text: Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
  10. psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
    May 30, 2018 - Grant Announcement Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Citation Text: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…
  11. psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
    January 26, 2022 - Study Diagnostic performance by medical students working individually or in teams. Citation Text: Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770. Copy Citation …
  12. psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
    March 14, 2018 - Slideset Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy. Citation Text: Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
  13. psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
    June 16, 2012 - Book/Report The Future of Emergency Care in the United States Health System. Citation Text: The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007. Copy Citation Save Save to your l…
  14. psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
    August 30, 2006 - Review Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Citation Text: Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med…
  15. psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
    April 16, 2014 - Study Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Citation Text: Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…
  16. psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …
  17. psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
    January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…
  18. psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
    July 21, 2009 - Commentary Building and sustaining a systemwide culture of safety. Citation Text: Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689. Copy Citation Format: Google Scholar PubMed Bib…
  19. psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
    May 24, 2017 - Commentary Human factors engineering: its place and potential in OR safety. Citation Text: Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. Copy Citation Format: DOI Google Scholar Pub…
  20. psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
    September 02, 2020 - Commentary Patient safety of perioperative medication through the lens of digital health and artificial intelligence. Citation Text: Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…