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  1. psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…
  2. psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making
    September 17, 2010 - Commentary A framework for encouraging patient engagement in medical decision making. Citation Text: Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. Copy C…
  3. psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error-reporting-and
    July 14, 2010 - Study Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Citation Text: Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and P…
  4. psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
    November 02, 2016 - Newspaper/Magazine Article Doctors saved her life. She didn’t want them to. Citation Text: Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  5. psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
    August 18, 2021 - Book/Report Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Citation Text: Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
  6. psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
    February 15, 2011 - Commentary Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Citation Text: Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…
  7. psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
    April 24, 2018 - Commentary Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. Citation Text: Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…
  8. psnet.ahrq.gov/issue/addressing-health-worker-burnout
    May 25, 2022 - Book/Report Addressing Health Worker Burnout. Citation Text: Addressing Health Worker Burnout. The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022. Copy Citation Save Save to yo…
  9. psnet.ahrq.gov/issue/implementing-safety-hotlines-stamford-healths-experience-and-future-opportunities
    March 23, 2011 - Commentary Implementing safety hotlines: Stamford Health's experience and future opportunities. Citation Text: Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.2…
  10. psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
    September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…
  11. psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars
    June 05, 2013 - Study Responding to patient safety incidents: the "seven pillars." Citation Text: McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the "seven pillars". Qual Saf Health Care. 2010;19(6):e11. doi:10.1136/qshc.2008.031633. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs
    January 29, 2015 - Commentary Fostering transparency in outcomes, quality, safety, and costs. Citation Text: Austin M, McGlynn EA, Pronovost P. Fostering Transparency in Outcomes, Quality, Safety, and Costs. JAMA. 2016;316(16):1661-1662. doi:10.1001/jama.2016.14039. Copy Citation Format: DOI …
  13. psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
    May 13, 2020 - Book/Report Classic Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Citation Text: Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…
  14. psnet.ahrq.gov/issue/automated-dispensing-cabinets-and-their-impact-rate-omitted-and-delayed-doses-systematic
    October 12, 2022 - Review Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Citation Text: Jeffrey E, Dalby M, Walsh Á, et al. Automated dispensing cabinets and their impact on the rate of omitted and delayed doses: a systematic review. Explor Res…
  15. psnet.ahrq.gov/issue/education-and-reporting-diagnostic-errors-among-physicians-internal-medicine-training
    July 17, 2019 - Study Education and reporting of diagnostic errors among physicians in internal medicine training programs. Citation Text: Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178…
  16. psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…
  17. psnet.ahrq.gov/issue/name-and-shame
    March 06, 2013 - Commentary Name and shame. Citation Text: Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sav…
  18. psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
    February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…
  19. psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
    August 04, 2021 - Commentary Does a unit shift report "blackout" period improve patient safety? Citation Text: Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8-10. doi:10.1097/01.NUMA.0000553500.85897.51. Copy Citation Format: DOI Googl…
  20. psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know
    May 29, 2014 - Commentary Learning from accidents—what more do we need to know? Citation Text: Lindberg A-K, Hansson SO, Rollenhagen C. Learning from accidents – What more do we need to know? Saf Sci. 2010;48(6). doi:10.1016/j.ssci.2010.02.004. Copy Citation Format: DOI Google Scholar B…

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