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  1. psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
    April 19, 2017 - Commentary Disclosing medical errors to patients: a challenge for health care professionals and institutions. Citation Text: Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…
  2. psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care
    April 23, 2014 - Study Prioritizing threats to patient safety in rural primary care. Citation Text: Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
  3. psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
    September 19, 2012 - Study Impact of the unit-based patient safety officer. Citation Text: Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm. 2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e. Copy Citation Format: DOI Google Scholar PubM…
  4. psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
    September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…
  5. psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…
  6. psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
    August 04, 2021 - Review Medical error and human factors engineering: where are we now? Citation Text: Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67. Copy Citation Format: Google Scholar PubMed BibTe…
  7. www.ahrq.gov/sitemap.html
    August 31, 2025 - AHRQ Main Site Topics Priority Populations About Priority Populations Children/Adolescents Elderly Low-Income Racial/Ethnic Minorities Rural/Inner-City Residents Special Healthcare Needs Women Information in Spanish Programs Rese…
  8. psnet.ahrq.gov/issue/patient-safety-consumers-perspective
    January 12, 2022 - Study Patient safety: a consumer's perspective. Citation Text: Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
  9. psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
    February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…
  10. 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: …
  11. psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
    April 28, 2021 - Commentary Thinking in three's: changing surgical patient safety practices in the complex modern operating room. Citation Text: Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…
  12. psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
    September 23, 2020 - Review "Tech-check-tech": a review of the evidence on its safety and benefits. Citation Text: Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. Copy Citation …
  13. psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
    November 06, 2015 - Commentary Classic Clinical decision support in the era of artificial intelligence. Citation Text: Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. Copy Cit…
  14. psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
    January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…
  15. psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
    September 16, 2015 - Study Applying Lean methods to improve quality and safety in surgical sterile instrument processing. Citation Text: Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…
  16. psnet.ahrq.gov/issue/society-interventional-radiology-ir-pre-procedure-patient-safety-checklist-safety-and-health
    July 13, 2010 - Commentary Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. Citation Text: Rafiei P, Walser EM, Duncan JR, et al. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Commit…
  17. digital.ahrq.gov/2020-year-review/research-summary/mammoscreen-using-interoperable-standards-within-clinical-decision-support-tool-increase
    January 01, 2020 - MammoScreen: Using Interoperable Standards Within a Clinical Decision Support Tool to Increase Appropriate Breast Cancer Screening and Prevention Integrating patient-generated breast cancer risk information with patients’ electronic health records will enhance decision support for clinicians and patients and improv…
  18. psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
    November 18, 2016 - Commentary ACR guidance document on MR safe practices: 2013. Citation Text: Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011. Copy Citation Format: DOI Google Scho…
  19. psnet.ahrq.gov/issue/teaching-teamwork-during-neonatal-resuscitation-program-randomized-trial
    April 08, 2011 - Study Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Citation Text: Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771…
  20. psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
    March 10, 2021 - Book/Report Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Citation Text: Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…