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  1. psnet.ahrq.gov/issue/operating-room-fires
    March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  2. psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
    November 17, 2010 - Commentary Strategies for improving communication in the emergency department: mediums and messages in a noisy environment. Citation Text: Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…
  3. psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
    March 14, 2022 - Organizational Policy/Guidelines Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Citation Text: Kinsella SM, Boaden B, El‐Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. …
  4. psnet.ahrq.gov/issue/nurse-interruptions-pre-and-post-implementation-point-care-medication-administration-system
    March 11, 2015 - Study Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. Citation Text: Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…
  5. psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
    November 11, 2020 - Commentary Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Citation Text: Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…
  6. psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
    October 06, 2011 - Commentary Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Citation Text: Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…
  7. psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…
  8. psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
    August 14, 2014 - Commentary Disruptive behaviors among physicians. Citation Text: Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  9. psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
    October 01, 2014 - Study The effectiveness of management-by-walking-around: a randomized field study. Citation Text: Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. Copy Citation Format: DO…
  10. psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
    February 17, 2009 - Commentary Detecting adverse drug events through data mining. Citation Text: Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  11. psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
    December 21, 2014 - Study Patterns of nurse–physician communication and agreement on the plan of care. Citation Text: O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.03022…
  12. psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
    February 26, 2025 - Commentary Safe and equitable pediatric clinical use of AI. Citation Text: Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. Copy Citation Format: DOI Google Scholar …
  13. psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample
    February 24, 2011 - Study Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample. Citation Text: Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…
  14. psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
    January 19, 2016 - Study Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. Citation Text: Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…
  15. psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
    February 07, 2018 - Commentary Is WHO's surgical safety checklist being hyped? Citation Text: Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…
  16. psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
    September 02, 2020 - Commentary Oversedation of a patient with obstructive sleep apnea prior to imaging. Citation Text: Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004. Copy Citation Format:…
  17. psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci
    April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…
  18. psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…
  19. psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
    July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…
  20. psnet.ahrq.gov/issue/there-benefit-multidisciplinary-rounds-open-trauma-intensive-care-unit-regarding-ventilator
    January 06, 2010 - Study Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? Citation Text: Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding v…