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  1. psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
    December 12, 2014 - Commentary Perinatal clinical decision support system: a documentation tool for patient safety. Citation Text: Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
    October 16, 2024 - Study Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? Citation Text: Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…
  3. psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals
    December 07, 2011 - Study Radiologists' responses to inadequate referrals. Citation Text: Lysdahl KB, Hofmann BM, Espeland A. Radiologists' responses to inadequate referrals. Eur Radiol. 2010;20(5):1227-33. doi:10.1007/s00330-009-1640-y. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  4. psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
    October 26, 2011 - Newspaper/Magazine Article ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Citation Text: ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019. Copy Citation Save …
  5. psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency
    February 26, 2009 - Commentary Drug shortages and clinicians: no time for complacency. Citation Text: Rochon P, Gurwitz JH. Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
  6. psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
    November 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
  7. psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
    December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
  8. psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
    October 06, 2021 - Commentary Level IV evidence—adverse anecdote and clinical practice. Citation Text: Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  9. psnet.ahrq.gov/issue/when-my-father-died
    July 01, 2011 - Commentary When my father died. Citation Text: Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  10. psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
    March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…
  11. psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
    June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…
  12. psnet.ahrq.gov/issue/performing-inadvertent-procedure
    October 16, 2019 - Commentary Performing an inadvertent procedure. Citation Text: Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  13. psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
    May 17, 2017 - Newspaper/Magazine Article FDA to end program that hid millions of reports on faulty medical devices. Citation Text: FDA to end program that hid millions of reports on faulty medical devices. Jewett C. Kaiser Health News. May 3, 2019. Copy Citation Save Save to yo…
  14. psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
    June 13, 2011 - Newspaper/Magazine Article Answers to improved medication reconciliation lie with pharmacists. Citation Text: Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007. Copy Citation Save Save to your library …
  15. psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
    September 09, 2009 - Commentary Can you prevent adverse drug events after hospital discharge? Citation Text: Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
  16. psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
    September 24, 2010 - Commentary On the scene at Children's Hospitals and Clinics of Minnesota. Citation Text: Malone G, Akre M, Hauck M. On the scene at Children's Hospitals and Clinics of Minnesota. Nurs Adm Q. 2009;33(1):54-61. doi:10.1097/01.NAQ.0000343349.93537.08. Copy Citation Format: D…
  17. psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
    June 01, 2004 - Commentary Physicians with multiple patient complaints: ending our silence. Citation Text: Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880. Copy Citation Format: DOI G…
  18. psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
    January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  19. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
    January 01, 2014 - The final sample included 1,807,488 index hospitalizations and 262,026 readmissions. … the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
    December 01, 2017 - These gaps have the potential to cause patient harm and safety errors, including increased hospital readmissions … The Post-Hospital Follow-Up Visit: A Physician Checklist to Reduce Readmissions. … Reducing hospital readmissions: lessons from top-performing hospitals.