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  1. psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
    January 23, 2017 - Study Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Citation Text: Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…
  2. psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
    September 20, 2023 - Study Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Citation Text: Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …
  3. psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
    May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…
  4. psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
    June 12, 2018 - Commentary ASPEN parenteral nutrition safety consensus recommendations. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. Copy Citation …
  5. psnet.ahrq.gov/issue/influence-context-diagnostic-reasoning-narrative-synthesis-experimental-findings
    June 01, 2016 - Review The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. Citation Text: Schmidt HG, Norman GR, Mamede S, et al. The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. J Eval Clin Pract. 2024;30(6):…
  6. psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
    February 03, 2011 - Study Frequency, types, and potential clinical significance of medication-dispensing errors. Citation Text: Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6. Copy Citation …
  7. psnet.ahrq.gov/issue/improving-patient-safety-lessons-rock-climbing
    July 10, 2024 - Commentary Improving patient safety: lessons from rock climbing. Citation Text: Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4. doi:10.1111/j.1743-498X.2011.00485.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…
  8. psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
    March 28, 2012 - Study Simulated laparoscopic operating room crisis: an approach to enhance the surgical team performance. Citation Text: Powers KA, Rehrig ST, Irias N, et al. Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. Surg Endosc. 2008;22(4):885…
  9. psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
    April 10, 2024 - Review The relationship between nurse education level and patient safety: an integrative review. Citation Text: Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. Copy Citation Format: Goo…
  10. psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
    February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…
  11. psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
    November 13, 2024 - Review Addressing postdischarge adverse events: a neglected area. Citation Text: Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
  12. psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist
    November 09, 2022 - Commentary "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Citation Text: Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…
  13. psnet.ahrq.gov/issue/communication-errors-dispatch-air-medical-transport
    July 03, 2014 - Study Communication errors in dispatch of air medical transport. Citation Text: Vilensky D, MacDonald RD. Communication errors in dispatch of air medical transport. Prehosp Emerg Care. 2011;15(1):39-43. doi:10.3109/10903127.2011.519817. Copy Citation Format: DOI Google Sc…
  14. psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
    March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…
  15. psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
    March 18, 2020 - Study Nurse practitioner–led medication reconciliation in critical access hospitals. Citation Text: Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.201…
  16. psnet.ahrq.gov/issue/reducing-specimen-identification-errors
    October 12, 2016 - Commentary Reducing specimen identification errors. Citation Text: Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  17. psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
    June 07, 2017 - Commentary The medication kit conundrum: considerations to enhance safety and efficiency. Citation Text: Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…
  18. psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
    December 09, 2020 - Study Doctors' thinking about 'the system' as a threat to patient safety. Citation Text: Waring J. Doctors' thinking about 'the system' as a threat to patient safety. Health (London). 2007;11(1):29-46. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  19. psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
    November 13, 2024 - Commentary University of Michigan: quality and safety in an academic medical center. Citation Text: Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7. Copy Citation Forma…
  20. psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
    March 20, 2024 - Commentary Munson Medical Center: embedding a culture of safety and QI into the organization. Citation Text: Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70. Copy Citation Format: …

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