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  1. 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 …
  2. psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
    October 25, 2023 - Newspaper/Magazine Article Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. Citation Text: Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,…
  3. psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
    December 13, 2023 - Commentary Balancing just culture with regulatory standards. Citation Text: Gorzeman J. Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. doi:10.1097/01.NAQ.0000336728.72501.c6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
  4. psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized
    July 22, 2020 - Newspaper/Magazine Article Flu shot mix-up at Oklahoma facility leaves 10 hospitalized Citation Text: Flu shot mix-up at Oklahoma facility leaves 10 hospitalized The Associated Press. NBC News. November 8, 2019. Copy Citation Save Save to your library Print …
  5. psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
    August 04, 2021 - Tools/Toolkit Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Citation Text: Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Houston TX;  Baylor College of Medicine: 2022. Copy Citation Save Save to your l…
  6. psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
    November 04, 2020 - Newspaper/Magazine Article Using telehealth to revolutionize the speed of making rare disease diagnoses. Citation Text: Using telehealth to revolutionize the speed of making rare disease diagnoses. Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020. Copy Citation Sav…
  7. 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. psnet.ahrq.gov/issue/patient-safety-23
    October 31, 2018 - Special or Theme Issue Patient Safety. Citation Text: Patient Safety. Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
  9. psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
    November 13, 2018 - Newspaper/Magazine Article Our long journey towards a safety-minded just culture. Part I: Where we've been. Citation Text: Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11. Copy Citat…
  10. psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
    June 02, 2021 - Commentary Using patient safety science to explore strategies for improving safety in intravenous medication administration. Citation Text: Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…
  11. psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
    December 14, 2022 - Newspaper/Magazine Article Hidden medication loss when using a primary administration set for small-volume intermittent infusions. Citation Text: Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…
  12. psnet.ahrq.gov/issue/patient-safety-dialysis-facility
    May 27, 2015 - Commentary Patient safety in the dialysis facility. Citation Text: Kliger AS. Patient safety in the dialysis facility. Blood Purif. 2006;24(1):19-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…
  13. psnet.ahrq.gov/issue/case-investing-patient-safety-canada
    October 05, 2021 - Book/Report The Case for Investing in Patient Safety in Canada. Citation Text: The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. Copy Citation Save Save to your library Print Download …
  14. psnet.ahrq.gov/issue/becoming-high-reliability-organization
    May 04, 2015 - Special or Theme Issue Becoming a High Reliability Organization. Citation Text: Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  15. psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
    November 10, 2010 - Commentary Clinician mindfulness and patient safety. Citation Text: Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - the Medical Care Availability and Reduction of Error Act (MCARE), which was passed to reform medical professional
  17. Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
    January 01, 2012 - clinician didn’t have earlier test results; having to come back for another appointment because the health professional
  18. psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
    March 24, 2025 - people are going to be fine with peer support, some need more expert support, and some need intensive professional
  19. psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
    November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions Pascale Carayon, PhD; Nicole Werner, PhD; Anita Makkenchery, MPH; Sarah E. Mossburg, RN, PhD | November 16, 2022  Also Read the Conversation View more articles from the same aut…
  20. effectivehealthcare.ahrq.gov/products/kidney-stones/protocol