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  1. psnet.ahrq.gov/issue/complementary-telephone-strategies-improve-postdischarge-communication
    July 02, 2014 - Commentary Complementary telephone strategies to improve postdischarge communication. Citation Text: Rennke S, Kesh S, Neeman N, et al. Complementary telephone strategies to improve postdischarge communication. Am J Med. 2012;125(1):28-30. doi:10.1016/j.amjmed.2011.05.011. Copy Citat…
  2. psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
    June 22, 2022 - Commentary Implementing a safe and reliable process for medication administration. Citation Text: Richardson B, Bromirski B, Hayden A. Implementing a safe and reliable process for medication administration. Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe. Copy Ci…
  3. psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
    February 10, 2012 - Study No simple fix for fixation errors: cognitive processes and their clinical applications. Citation Text: Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia. 2009;65(1). doi:10.1111/j.1365-2044.2009.05994…
  4. psnet.ahrq.gov/issue/designing-decision-support-insulin-ordering-computerized-provider-order-entry-system
    March 09, 2011 - Study Designing decision support for insulin ordering in a computerized provider order entry system. Citation Text: Wright L, Feldott CC, Hargrove FR. Designing Decision Support for Insulin Ordering in a Computerized Provider Order Entry System. Hosp Pharm. 2010;42(2). doi:10.1310/hpj4…
  5. psnet.ahrq.gov/issue/critical-diagnoses-critical-values-anatomic-pathology
    September 29, 2010 - Commentary Critical diagnoses (critical values) in anatomic pathology. Citation Text: Pathology A of D of A and S, Silverman JF, Fletcher CDM, et al. Critical diagnoses (critical values) in anatomic pathology. Hum Pathol. 2006;37(8):982-4. Copy Citation Format: Google Sch…
  6. psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
    September 20, 2023 - Commentary Through and beyond anaesthesia awareness. Citation Text: Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  7. psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
    February 08, 2010 - Newspaper/Magazine Article Still hard to share. PSOs making progress but still face tech hurdles. Citation Text: DerGurahian J. Still hard to share. PSOs making progress but still face tech hurdles. Modern healthcare. 2009;39(41):30, 32. Copy Citation Format: Google Schol…
  8. psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
    July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
  9. psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…
  10. psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
    March 10, 2021 - Newspaper/Magazine Article 5 pandemic mistakes we keep repeating. We can learn from our failures. Citation Text: 5 pandemic mistakes we keep repeating. We can learn from our failures. Zeynep Tufekci. The Atlantic. February 26, 2021 Copy Citation Save Save to you…
  11. psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
    July 28, 2021 - Newspaper/Magazine Article How medical jargon can make COVID health disparities even worse. Citation Text: How medical jargon can make COVID health disparities even worse. Kritz F. Health Shots. National Public Radio; May 24, 2021. Copy Citation Save Save t…
  12. psnet.ahrq.gov/issue/health-care-workers-midst-crisis
    February 15, 2023 - Sentinel Event Alerts Health care workers in the midst of crisis. Citation Text: Health care workers in the midst of crisis. Sentinel Event Alert. Feb 2, 2021;(62):1-7.  Copy Citation Save Save to your library Print Download PDF Sha…
  13. psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
    December 23, 2020 - Newspaper/Magazine Article Ferrari's Formula One handovers and handovers from surgery to intensive care. Citation Text: Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality. Copy Citation …
  14. psnet.ahrq.gov/issue/recommendations-quality-assurance-and-improvement-surgical-and-autopsy-pathology
    September 29, 2010 - Commentary Recommendations for quality assurance and improvement in surgical and autopsy pathology. Citation Text: Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):9…
  15. psnet.ahrq.gov/issue/2009-national-patient-safety-goals
    August 03, 2016 - Commentary 2009 National Patient Safety Goals. Citation Text: Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
  16. psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
    April 04, 2018 - Book/Report Health Information Technology in the United States: The Information Base for Progress. Citation Text: Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…
  17. psnet.ahrq.gov/issue/creating-safety-culture-nursing-units-human-performance-and-organizational-system-factors
    May 29, 2013 - Study Creating safety culture on nursing units: human performance and organizational system factors that make a difference. Citation Text: Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000242978.40424.24. Co…
  18. psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
    October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…
  19. psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
    July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
  20. psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
    October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…