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  1. psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
    March 19, 2019 - Study Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Citation Text: Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…
  2. psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
    April 24, 2018 - Study Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years. Citation Text: Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in emergency departme…
  3. psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
    July 02, 2019 - Study Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. Citation Text: Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…
  4. psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion
    September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …
  5. psnet.ahrq.gov/issue/comparison-barcode-scanning-pharmacy-technicians-and-pharmacists-visual-checks-final-product
    August 31, 2016 - Study Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification. Citation Text: Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verifica…
  6. psnet.ahrq.gov/issue/using-learning-communities-support-adoption-health-care-innovations
    March 15, 2017 - Commentary Using learning communities to support adoption of health care innovations. Citation Text: Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.201…
  7. psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy
    December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…
  8. psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
    July 26, 2011 - Study Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Citation Text: Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…
  9. psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
    February 15, 2011 - Study Raising the awareness of inpatient nursing staff about medication errors. Citation Text: Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90. Copy Citation Format: Google Sc…
  10. psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
    July 13, 2010 - Study Resident physicians' advice seeking and error making: a social networks approach. Citation Text: Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. …
  11. psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
    June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …
  12. psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
    April 12, 2019 - Study Association between opioid prescribing patterns and abuse in ophthalmology. Citation Text: Patel S, Sternberg P. Association Between Opioid Prescribing Patterns and Abuse in Ophthalmology. JAMA Ophthalmol. 2017;135(11):1216-1220. doi:10.1001/jamaophthalmol.2017.4055. Copy Citatio…
  13. psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
    June 14, 2023 - Review The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Citation Text: Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…
  14. psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…
  15. psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
    October 19, 2022 - Study Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. Citation Text: Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. American Journal of M…
  16. psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic
    June 29, 2022 - Review How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. Citation Text: Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …
  17. psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
    June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…
  18. psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
    January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…
  19. psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…
  20. psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
    March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…