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  1. psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review
    October 16, 2019 - Review Incidence of medication errors and adverse drug events in the ICU: a systematic review. Citation Text: Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…
  2. psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
    April 19, 2023 - Study Reducing retained foreign objects in the operating room: a quality improvement initiative. Citation Text: Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…
  3. psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
    February 13, 2019 - Study Reconcilable differences: correcting medication errors at hospital admission and discharge. Citation Text: Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. Copy C…
  4. psnet.ahrq.gov/issue/foundational-science-learning-health-systems
    June 26, 2019 - Commentary The foundational science of learning health systems. Citation Text: Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. Copy Citation Format: DOI Google …
  5. psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
    March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…
  6. psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
    December 15, 2021 - Study Experimental evidence for structured information-sharing networks reducing medical errors. Citation Text: Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…
  7. psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
    September 02, 2020 - Commentary Making electronic health records both SAFER and SMARTER. Citation Text: Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA. 2022;328(6):523-524. doi:10.1001/jama.2022.12243. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  8. psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
    March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
  9. psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
    April 28, 2021 - Commentary The problem with making Safety-II work in healthcare. Citation Text: Verhagen MJ, de Vos MS, Sujan M, et al. The problem with making Safety-II work in healthcare. BMJ Qual Saf. 2022;31(5):402-408. doi:10.1136/bmjqs-2021-014396. Copy Citation Format: DOI Google Sc…
  10. psnet.ahrq.gov/issue/half-life-printed-handoff-document
    April 24, 2018 - Study Half-life of a printed handoff document. Citation Text: Rosenbluth G, Jacolbia R, Milev D, et al. Half-life of a printed handoff document. BMJ Qual Saf. 2016;25(5):324-8. doi:10.1136/bmjqs-2015-004585. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …
  11. psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
    April 19, 2023 - Study Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. Citation Text: Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…
  12. psnet.ahrq.gov/issue/implementation-adoption-and-scaling-workgroup-landscape-assessment-use-artificial
    December 01, 2017 - Book/Report Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. Citation Text: Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup: Landscape Assessment On The Use Of Artifi…
  13. psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
  14. psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
    September 23, 2020 - Study An improvement approach to integrate teaching teams in the reporting of safety events. Citation Text: Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. Co…
  15. psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
    August 23, 2023 - Study A step toward high reliability: implementation of a daily safety brief in a children's hospital. Citation Text: Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…
  16. psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
    August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
  17. psnet.ahrq.gov/issue/sbar-mm-feasible-reliable-and-valid-tool-assess-quality-surgical-morbidity-and-mortality
    July 02, 2014 - Study SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. Citation Text: Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and …
  18. psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management
    October 19, 2022 - Review The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. Citation Text: McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies a…
  19. psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
    February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…
  20. psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
    September 14, 2022 - Study Crisis preparedness: a systems-based framework for avoiding harm in surgery. Citation Text: Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…