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  1. 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:…
  2. psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
    March 03, 2019 - Organizational Policy/Guidelines Preventing home medication administration errors. Citation Text: Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
    September 11, 2019 - Commentary Ethical duty of health care systems to address interfacility medical error discovery. Citation Text: Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…
  4. psnet.ahrq.gov/issue/checklists-prevent-diagnostic-errors-pilot-randomized-controlled-trial
    October 12, 2016 - Study Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Citation Text: Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008. Copy Citation Format: …
  5. psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
    June 01, 2021 - Commentary Reducing the incidence of retained surgical instrument fragments. Citation Text: Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014. Copy Citation Format: …
  6. psnet.ahrq.gov/issue/machine-learning-medicine
    March 13, 2024 - Commentary Classic Machine learning in medicine. Citation Text: Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347-1358. doi:10.1056/NEJMra1814259. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…
  7. psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
    June 07, 2016 - Study Potential for drug interactions in hospitalized cancer patients. Citation Text: Riechelmann RP, Moreira F, Smaletz Ò, et al. Potential for drug interactions in hospitalized cancer patients. Cancer Chemother Pharmacol. 2005;56(3). doi:10.1007/s00280-004-0998-4. Copy Citation …
  8. psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
    August 28, 2024 - Newspaper/Magazine Article "Second victim" casualties and how physician leaders can help. Citation Text: MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  9. psnet.ahrq.gov/issue/burnout-engagement-and-dental-errors-among-us-dentists
    October 28, 2020 - Study Burnout, engagement, and dental errors among U.S. dentists. Citation Text: Yansane A, Tokede O, Walji MF, et al. Burnout, engagement, and dental errors among U.S. dentists. J Patient Saf. 2021;17(8):e1050-e1056. doi:10.1097/pts.0000000000000673. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/effect-comprehensive-obstetric-patient-safety-program-compensation-payments-and-sentinel
    July 26, 2010 - Study Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Citation Text: Grunebaum A, Chervenak F, Skupski D. Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events. Am J Obstet Gyneco…
  11. psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
    October 26, 2022 - Study Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Citation Text: Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(…
  12. psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
    March 29, 2017 - Commentary Quality & safety in the time of coronavirus--design better, learn faster. Citation Text: Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051. Copy Citation Format…
  13. psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
    September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
  14. psnet.ahrq.gov/issue/teaching-quality-improvement
    July 19, 2023 - Commentary Teaching quality improvement. Citation Text: Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
  15. psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
    August 07, 2013 - Study Failures in communication through documents and documentation across the perioperative pathway. Citation Text: Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1…
  16. psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice
    March 05, 2008 - Study The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Citation Text: Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…
  17. psnet.ahrq.gov/issue/role-human-factors-neonatal-patient-safety
    August 04, 2021 - Journal Article The role of human factors in neonatal patient safety Citation Text: Yamada NK, Catchpole K, Salas E. The role of human factors in neonatal patient safety. Semin Perinatol. 2019;43(8):151174. doi:10.1053/j.semperi.2019.08.003. Copy Citation Format: DOI Google…
  18. psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
    August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
    September 16, 2020 - Study Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. Citation Text: Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…
  20. psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
    November 21, 2018 - Commentary The human factors of home health care: a conceptual model for examining safety and quality concerns. Citation Text: Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a. Copy Citatio…

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