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  1. Does your patient really understand? | PSNet

    psnet.ahrq.gov/issue/does-your-patient-really-understand
    January 25, 2023 - Newspaper/Magazine Article Does your patient really understand? Citation Text: Huff C. Does your patient really understand? Hospitals & health networks. 2011;85(10):34-5, 37-8, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  2. Case: a second victim support program in pediatrics: successes and challenges to implementation. | PSNet

    psnet.ahrq.gov/issue/case-second-victim-support-program-pediatrics-successes-and-challenges-implementation
    October 26, 2016 - Study Case: a second victim support program in pediatrics: successes and challenges to implementation. Citation Text: Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59. …

  3. Patient safety in the pediatric emergency care setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
    March 14, 2018 - Organizational Policy/Guidelines Patient safety in the pediatric emergency care setting. Citation Text: Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375. Copy Citation Format: …

  4. Moving beyond implicit bias in antiracist academic medicine initiatives. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-implicit-bias-antiracist-academic-medicine-initiatives
    May 18, 2022 - Commentary Moving beyond implicit bias in antiracist academic medicine initiatives. Citation Text: Calhoun A, Genao I, Martin A, et al. Moving beyond implicit bias in antiracist academic medicine initiatives. Acad Med. 2022;97(6):790-792. doi:10.1097/acm.0000000000004562. Copy Citation…

  5. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - Commentary Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. Citation Text: Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…

  6. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. | PSNet

    psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
    December 14, 2016 - Study How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Citation Text: Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…

  7. National Reporting and Learning System Research and Development. | PSNet

    psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
    April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. Citation Text: National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citatio…

  8. Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events
    February 18, 2009 - Government Resource Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Citation Text: Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspecto…

  9. Accident prevention in day-to-day clinical radiation therapy practice. | PSNet

    psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
    February 07, 2018 - Commentary Accident prevention in day-to-day clinical radiation therapy practice. Citation Text: Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001. Copy Citation Format: DOI Google…

  10. The problem with the '5 whys.' | PSNet

    psnet.ahrq.gov/issue/problem-5-whys
    July 19, 2023 - Commentary The problem with the '5 whys.' Citation Text: Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. RecruitmentFlyer_FAQs_VA (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
    June 02, 2025 - RecruitmentFlyer_FAQs_VA Frequently Asked Questions 1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative? Your practice will receive personalized coaching on optimizing your practice model and culture; helping you improve cardiovascular care for your patients. Improving func…

  12. Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
    November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…

  13. Implementing a distraction-free practice with the Red Zone Medication Safety initiative. | PSNet

    psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
    November 16, 2022 - Commentary Implementing a distraction-free practice with the Red Zone Medication Safety initiative. Citation Text: Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…

  14. Heart Healthy Ohio Initiative Payer Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/55-ohio-hhoi-payer-survey.pdf
    May 01, 2022 - Heart Healthy Ohio Initiative Payer Survey __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Page 1 Heart Healthy Ohio Initiative Payer Survey Dear potential collaborators,  Thank you to…

  15. Challenges in health care simulation: are we learning anything new? | PSNet

    psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new
    February 27, 2019 - Commentary Challenges in health care simulation: are we learning anything new? Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891. Copy Citation F…

  16. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
    November 16, 2022 - Study Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Citation Text: Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61. Copy Citation …

  17. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. | PSNet

    psnet.ahrq.gov/issue/using-simulation-teach-nursing-students-and-licensed-clinicians-obstetric-emergencies
    November 11, 2020 - Commentary Using simulation to teach nursing students and licensed clinicians obstetric emergencies. Citation Text: Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b0…

  18. Medical overuse as a physician cognitive error: looking under the hood. | PSNet

    psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
    September 25, 2019 - Commentary Medical overuse as a physician cognitive error: looking under the hood. Citation Text: Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. Copy Citation Format: …

  19. The sterile cockpit: an effective approach to reducing medication errors? | PSNet

    psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
    April 24, 2018 - Commentary The sterile cockpit: an effective approach to reducing medication errors? Citation Text: Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. Copy Ci…

  20. A relational leadership perspective on unit-level safety climate. | PSNet

    psnet.ahrq.gov/issue/relational-leadership-perspective-unit-level-safety-climate
    April 24, 2018 - Study A relational leadership perspective on unit-level safety climate. Citation Text: Thompson DN, Hoffman LA, Sereika SM, et al. A relational leadership perspective on unit-level safety climate. J Nurs Adm. 2011;41(11):479-87. doi:10.1097/NNA.0b013e3182346e31. Copy Citation For…
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