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  1. Medication tracers: a systems approach to medication safety. | PSNet

    psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
    December 21, 2018 - Commentary Medication tracers: a systems approach to medication safety. Citation Text: Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety. Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916. Copy Citation Format: DOI Goo…

  2. Lessons from health care leaders: rethinking and reinvesting in patient safety. | PSNet

    psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
    May 01, 2019 - Commentary Lessons from health care leaders: rethinking and reinvesting in patient safety. Citation Text: doi:10.1056/CAT.23.0090. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …

  3. QI Gateway: Quality Improvement for Residents. | PSNet

    psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
    May 26, 2021 - Multi-use Website QI Gateway: Quality Improvement for Residents. Citation Text: QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare. Copy Citation Save Save to your library Print Download PDF …

  4. Peripheral vision: expertise in real world contexts. | PSNet

    psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
    April 24, 2018 - Commentary Peripheral vision: expertise in real world contexts. Citation Text: Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5). doi:10.1177/0170840605053102. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  5. ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. | PSNet

    psnet.ahrq.gov/issue/arv-medication-errors-experience-community-based-hiv-specialty-clinic-and-review-literature
    March 29, 2010 - Study ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Citation Text: ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Cocohoba J; Dong BJ. Copy Citation S…

  6. Team communication in the operating room. | PSNet

    psnet.ahrq.gov/issue/team-communication-operating-room
    January 28, 2009 - Commentary Team communication in the operating room. Citation Text: Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. The texting debate: beneficial means of communication or safety and security risk? | PSNet

    psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
    July 12, 2023 - Newspaper/Magazine Article The texting debate: beneficial means of communication or safety and security risk? Citation Text: The texting debate: beneficial means of communication or safety and security risk? ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5. Copy C…

  8. Minimize medication errors in urgent care clinics. | PSNet

    psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
    March 29, 2023 - Newspaper/Magazine Article Minimize medication errors in urgent care clinics. Citation Text: Minimize medication errors in urgent care clinics. Coffey SB. American Nurse Journal. Epub March 2, 2023. Copy Citation Save Save to your library Print Downloa…

  9. Errors in clinical reasoning: causes and remedial strategies. | PSNet

    psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
    August 25, 2021 - Commentary Errors in clinical reasoning: causes and remedial strategies. Citation Text: Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  10. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. | PSNet

    psnet.ahrq.gov/issue/2010-annual-national-patient-safety-foundation-congress-conference-proceedings
    July 31, 2012 - Commentary 2010 Annual National Patient Safety Foundation Congress: conference proceedings. Citation Text: Pinakiewicz DC, Bonacum D, Youngberg BJ, et al. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. J Patient Saf. 2010;6(3):128-36. Copy Citation …

  11. A team training program using human factors to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
    January 24, 2024 - Commentary A team training program using human factors to enhance patient safety. Citation Text: Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026. Copy Citation Format: DOI Goo…

  12. Use systems redesign and the law to prevent medical errors and accidents. | PSNet

    psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
    August 26, 2020 - Newspaper/Magazine Article Use systems redesign and the law to prevent medical errors and accidents. Citation Text: Use systems redesign and the law to prevent medical errors and accidents. Saks MJ, Landsman S. STAT. August 4, 2021. Copy Citation Save Save to yo…

  13. Supporting nurses as essential partners in diagnosis. | PSNet

    psnet.ahrq.gov/issue/supporting-nurses-essential-partners-diagnosis
    August 05, 2020 - Newspaper/Magazine Article Supporting nurses as essential partners in diagnosis. Citation Text: Supporting nurses as essential partners in diagnosis. Carr S. ImproveDx. March 2021:8(2)  Copy Citation Save Save to your library Print Download PDF …

  14. The glaring loophole in U.S. virus response: human error. | PSNet

    psnet.ahrq.gov/issue/glaring-loophole-us-virus-response-human-error
    March 18, 2020 - Newspaper/Magazine Article The glaring loophole in U.S. virus response: human error. Citation Text: The glaring loophole in U.S. virus response: human error. Ehley B. Politico. March 2, 2020. Copy Citation Save Save to your library Print Download PDF …

  15. Focusing on Health Care Safety. | PSNet

    psnet.ahrq.gov/issue/focusing-health-care-safety
    January 16, 2008 - Special or Theme Issue Focusing on Health Care Safety. Citation Text: Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778. Copy Citation Save Save to your library Print Down…

  16. Computer technology and clinical work: still waiting for Godot. | PSNet

    psnet.ahrq.gov/issue/computer-technology-and-clinical-work-still-waiting-godot
    October 19, 2022 - Commentary Computer technology and clinical work: still waiting for Godot. Citation Text: Wears RL, Berg M. Computer Technology and Clinical Work. JAMA. 2005;293(10). doi:10.1001/jama.293.10.1261. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  17. Improving Patient Safety with Human Factors Methods. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
    June 12, 2019 - United States Meeting/Conference Improving Patient Safety with Human Factors Methods. Citation Text: Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. Copy Citation Save Save …

  18. Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-clinical-practice-nurturing-healthy-skepticism-among-medical-students
    August 07, 2024 - Commentary Cognitive bias in clinical practice—nurturing healthy skepticism among medical students. Citation Text: Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558. Copy Cit…

  19. Medication reconciliation in the hospital: what, why, where, when, who and how? | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
    March 05, 2013 - Commentary Medication reconciliation in the hospital: what, why, where, when, who and how? Citation Text: Medication reconciliation in the hospital: what, why, where, when, who and how? Fernandes O; Shojania KG. Copy Citation Save Save to your library Pr…

  20. The impact of professionalism on safe surgical care. | PSNet

    psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
    January 23, 2017 - Commentary The impact of professionalism on safe surgical care. Citation Text: Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
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