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  1. psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
    March 19, 2018 - Study Exploring and evaluating patient safety culture in a community-based primary care setting. Citation Text: Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
  2. psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
    June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…
  3. psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
    September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…
  4. psnet.ahrq.gov/issue/medication-complexity-medication-number-and-their-relationships-medication-discrepancies
    November 16, 2022 - Study Medication complexity, medication number, and their relationships to medication discrepancies. Citation Text: Patel CH, Zimmerman KM, Fonda JR, et al. Medication Complexity, Medication Number, and Their Relationships to Medication Discrepancies. Ann Pharmacother. 2016;50(7):534-40.…
  5. psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
    September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…
  6. psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
    August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…
  7. psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
    October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…
  8. psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
    October 08, 2016 - Study Improving incident reporting among physician trainees. Citation Text: Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. Copy Citation Format: DOI Google Sc…
  9. psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…
  10. psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
    November 21, 2021 - Study Elucidating reasons for resident underutilization of electronic adverse event reporting. Citation Text: Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…
  11. psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
    December 01, 2014 - Study Process changes to increase compliance with the Universal Protocol for bedside procedures. Citation Text: Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…
  12. psnet.ahrq.gov/issue/evaluation-detected-medication-errors-within-operating-room-academic-medical-center
    October 19, 2022 - Study Evaluation of detected medication errors within the operating room at an academic medical center. Citation Text: Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10…
  13. psnet.ahrq.gov/issue/interventions-against-bullying-prelicensure-students-and-nursing-professionals-integrative
    December 18, 2013 - Review Interventions against bullying of prelicensure students and nursing professionals: an integrative review. Citation Text: Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing professionals: An integrative review. Nurs Forum. 201…
  14. psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
    June 28, 2017 - Study Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Citation Text: Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Am J Infect Control. 2013;41(11):965-…
  15. psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
    August 02, 2015 - Study Flow disruptions in trauma care handoffs. Citation Text: Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  16. psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
    October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …
  17. psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
    December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…
  18. psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes
    October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature
    September 23, 2020 - Review The effect of medical emergency teams on patient outcome: a review of the literature. Citation Text: Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…
  20. psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
    November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Citation Text: Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …