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  1. psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
    July 19, 2023 - Commentary Decreasing patient misidentification before chemotherapy administration. Citation Text: Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. Copy Cita…
  2. psnet.ahrq.gov/issue/workplace-violence-and-its-effects-patient-safety
    January 19, 2011 - Commentary Workplace violence and its effects on patient safety. Citation Text: McNamara SA. Workplace violence and its effects on patient safety. AORN J. 2010;92(6):677-82. doi:10.1016/j.aorn.2010.07.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …
  3. psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
    July 01, 2017 - Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. …
  4. psnet.ahrq.gov/issue/antiretroviral-medication-errors-among-hospitalized-patients-hiv-infection
    April 12, 2023 - Study Antiretroviral medication errors among hospitalized patients with HIV infection. Citation Text: Rastegar DA, Knight AM, Monolakis JS. Antiretroviral medication errors among hospitalized patients with HIV infection. Clin Infect Dis. 2006;43(7):933-8. Copy Citation Format: …
  5. psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
    June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …
  6. psnet.ahrq.gov/issue/your-hospital-hospitable-how-physical-environment-influences-patient-safety
    July 31, 2024 - Commentary Is your hospital hospitable?: how physical environment influences patient safety. Citation Text: Stichler JF. Is your hospital hospitable? How physical environment influences patient safety. Nurs Womens Health. 2007;11(5):506-11. Copy Citation Format: Google Sc…
  7. psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
    March 03, 2011 - Commentary Renewal of surgical quality and safety initiatives: a multispecialty challenge. Citation Text: Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52. Copy Citation Format: Google Scholar PubMe…
  8. psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
    November 29, 2009 - Book/Report 2007 Guide to State Adverse Event Reporting Systems. Citation Text: 2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301. Copy Citation …
  9. psnet.ahrq.gov/issue/mcneil-consumer-specialty-pharmaceuticals-announces-nationwide-recall-childrens-tylenol
    August 19, 2020 - Press Release/Announcement McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release]. Citation Text: McNeil Consumer & Specialty Pharmaceuticals…
  10. psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
    June 09, 2021 - Commentary Human factors of complex sociotechnical systems. Citation Text: Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  11. psnet.ahrq.gov/issue/verbal-medication-orders-or
    March 06, 2024 - Commentary Verbal medication orders in the OR. Citation Text: Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…
  12. psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
    January 15, 2009 - Study Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Citation Text: Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Healt…
  13. psnet.ahrq.gov/issue/organising-manuscript-reporting-quality-improvement-or-patient-safety-research
    May 11, 2011 - Commentary Organising a manuscript reporting quality improvement or patient safety research. Citation Text: Holzmueller CG, Pronovost P. Organising a manuscript reporting quality improvement or patient safety research. BMJ Qual Saf. 2013;22(9):777-85. doi:10.1136/bmjqs-2012-001603. Co…
  14. psnet.ahrq.gov/issue/your-companys-secret-change-agents
    June 09, 2021 - Commentary Your company's secret change agents. Citation Text: Pascale RT, Sternin J. Your company's secret change agents. Harv Bus Rev. 2005;83(5):72-81, 153. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  15. psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
    April 21, 2010 - Commentary Using standardised patients in an objective structured clinical examination as a patient safety tool. Citation Text: Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …
  16. psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
    March 15, 2022 - Newspaper/Magazine Article Do not let "Depo-" medications be a depot for mistakes. Citation Text: Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. Copy Citation Save Save to your libra…
  17. psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
    October 06, 2016 - Government Resource Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Citation Text: Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…
  18. psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
    September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…
  19. psnet.ahrq.gov/issue/physicians-information-technology-and-health-care-systems-journey-not-destination
    May 04, 2010 - Commentary Physicians, information technology, and health care systems: a journey, not a destination. Citation Text: McDonald CJ, Overhage M, Mamlin BW, et al. Physicians, information technology, and health care systems: a journey, not a destination. J Am Med Inform Assoc. 2004;11(2):1…
  20. psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
    September 21, 2009 - Commentary The development of a patient safety program across the continuum of care. Citation Text: Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. Copy Citation Format: Google Scholar Pub…