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  1. psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
    June 18, 2014 - Study Addressing patient safety in rapid response activations for nonhospitalized persons. Citation Text: Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.000000…
  2. psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
    August 08, 2018 - Newspaper/Magazine Article Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. Citation Text: Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…
  3. psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
    September 27, 2017 - Study What does it take? A case study of radical change toward patient safety. Citation Text: Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609. Copy Citation Format: Google Scholar PubMed …
  4. psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication
    January 09, 2013 - Study Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. Citation Text: Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…
  5. psnet.ahrq.gov/issue/preventing-medication-errors-information-age
    February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…
  6. psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
    September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…
  7. psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
    July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …
  8. psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
    September 27, 2017 - Study Individual and team-based medical error disclosure: dialectical tensions among health care providers. Citation Text: Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
  9. psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
    May 18, 2022 - Study Momentary interruptions can derail the train of thought. Citation Text: Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986. Copy Citation Format: DOI Google Scholar P…
  10. psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
    July 15, 2020 - Study Bullying of junior doctors prevails in Irish health system: a bitter reality.   Citation Text: Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275. Copy Citation Format: Google…
  11. psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
    September 23, 2020 - Commentary Tips to reduce dangerous interruptions by healthcare staff. Citation Text: Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
    September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
    April 22, 2016 - Newspaper/Magazine Article Hospitals often ignore policies on using qualified medical interpreters. Citation Text: Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. Co…
  14. psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety
    April 24, 2018 - Study Good Catch Campaign: improving the perioperative culture of safety. Citation Text: Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/medical-errors-neurosurgery
    February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…
  16. psnet.ahrq.gov/issue/faultno-fault-bearing-brunt-medical-mishaps
    January 27, 2021 - Commentary Fault/no fault: bearing the brunt of medical mishaps. Citation Text: Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
  17. psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
    November 02, 2016 - Newspaper/Magazine Article Doctors saved her life. She didn’t want them to. Citation Text: Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  18. psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error-reporting-and
    July 14, 2010 - Study Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Citation Text: Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and P…
  19. psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
    September 23, 2020 - Study Effect of pharmacists on medication errors in an emergency department. Citation Text: Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391. Copy Citation …
  20. psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
    January 19, 2022 - Commentary Support and recovery strategies for second victims. Citation Text: Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …