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  1. psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
    April 07, 2019 - Study A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Citation Text: Kalina M, Tinkoff G, Gleason W, et al. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Ped Emerg …
  2. psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot-icu
    September 23, 2020 - Review Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Citation Text: Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52.…
  3. psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - Study The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. Citation Text: Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…
  4. psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
    November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies and practices. Citation Text: Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…
  5. psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
    June 12, 2013 - Commentary The tangible handoff: a team approach for advancing structured communication in labor and delivery. Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
  6. psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
    December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …
  7. psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals
    May 08, 2017 - Study Results of a survey on medical error reporting systems in Korean hospitals. Citation Text: KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
    July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …
  9. psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department
    October 19, 2022 - Commentary Pediatric medication safety in the emergency department. Citation Text: Cadwell SM. Pediatric medication safety in the emergency department. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2008;34(4):375-7. doi:10.1016…
  10. psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
    August 28, 2024 - Study Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Citation Text: Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. G…
  11. psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…
  12. psnet.ahrq.gov/issue/why-nation-needs-policy-push-patient-centered-health-care
    November 11, 2020 - Commentary Why the nation needs a policy push on patient-centered health care. Citation Text: Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888. Copy C…
  13. psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
    June 20, 2018 - Study Parenteral nutrition errors and potential errors reported over the past 10 years. Citation Text: Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…
  14. psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
    September 23, 2020 - Commentary The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Citation Text: DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…
  15. psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
    August 20, 2018 - Review Emerging Classic Diagnostic errors and the bedside clinical examination. Citation Text: Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. Copy…
  16. psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
    April 25, 2012 - Commentary The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Citation Text: Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):4…
  17. psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
    January 21, 2019 - Study The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. Citation Text: Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141. doi:10.1097/0b013e31814258db. Copy Citation Format: DOI Google S…
  18. psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
    September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…
  19. psnet.ahrq.gov/issue/improving-measurement-clinical-handover
    August 12, 2009 - Commentary Improving measurement in clinical handover. Citation Text: Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570. Copy Citation Format: DOI Google Scholar PubMed…
  20. psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
    August 19, 2009 - Commentary Resilience in healthcare and clinical handover. Citation Text: Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163. Copy Citation Format: DOI Google Scholar Pu…

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