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  1. psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
    November 23, 2016 - Book/Report Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. Citation Text: Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…
  2. psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
    July 22, 2010 - Commentary Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Citation Text: Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. Hohenhaus S, Powell S, Hohenhaus JT. Am J …
  3. psnet.ahrq.gov/issue/mirror-mirror-comparing-health-systems-across-countries
    October 07, 2008 - Book/Report Mirror, Mirror: Comparing Health Systems Across Countries. Citation Text: Mirror, Mirror: Comparing Health Systems Across Countries. New York, NY: The Commonwealth Fund; 2004-2024. Copy Citation Save Save to your library Print Download PDF …
  4. psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration
    November 02, 2014 - Book/Report Order from Chaos: Accelerating Care Integration. Citation Text: Order from Chaos: Accelerating Care Integration. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012. Copy Citation Save Save to your library …
  5. psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
    November 27, 2018 - Book/Report What Every Health Care Organization Should Know about Sentinel Events. Citation Text: What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. Copy C…
  6. psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
    June 29, 2016 - Book/Report Diagnosis: Interpreting the Shadows. Citation Text: Diagnosis: Interpreting the Shadows. Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333. Copy Citation Save Save to your library Print Download P…
  7. psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop
    September 12, 2018 - Meeting/Conference Proceedings Building the Case for Health Literacy: Proceedings of a Workshop. Citation Text: Building the Case for Health Literacy: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2018. ISB…
  8. psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters
    October 05, 2011 - Book/Report Foundations of Safety Science: a century of understanding accidents and disasters. Citation Text: Foundations of Safety Science: a century of understanding accidents and disasters. Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN:  978113848178…
  9. psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
    June 02, 2010 - Book/Report Classic Judgment under Uncertainty: Heuristics and Biases. Citation Text: Judgment under Uncertainty: Heuristics and Biases. Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147. …
  10. psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
    February 28, 2015 - Book/Report Adverse Health Events in Minnesota: Annual Reports. Citation Text: Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health. Copy Citation Save Save to your library Print Download PDF Share F…
  11. psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
    August 07, 2019 - Special or Theme Issue The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Citation Text: The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Fahlbruch B, Carroll JS, eds. Safety Sci. 2011;49(1):1-106  …
  12. psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
    October 16, 2008 - Special or Theme Issue Validity of Patient Safety Indicators in the Veterans Health Administration. Citation Text: Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.   Copy Citation Save Save t…
  13. psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
    March 28, 2018 - Special or Theme Issue Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Citation Text: Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…
  14. psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell-us-about-teamwork
    January 23, 2012 - Study Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? Citation Text: Kalisch BJ. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? J Nurs Adm. 2009;39(11):485-93. doi:10.1097/NNA.0b013e318…
  15. psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
    June 10, 2018 - Newspaper/Magazine Article Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. Citation Text: Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. ISMP Medication Safety Alert! Acute care edition. August 26, 2010;15:1…
  16. psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…
  17. psnet.ahrq.gov/issue/improving-hand-communication
    April 24, 2007 - Book/Report Classic Improving Hand-Off Communication. Citation Text: Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. Copy Citation Save Save to your library Print …
  18. psnet.ahrq.gov/issue/national-center-patient-safety-ncps
    March 27, 2005 - Multi-use Website National Center for Patient Safety (NCPS). Citation Text: National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890. Copy Citation …
  19. psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
    November 18, 2011 - Book/Report Addressing the Opioid Crisis in the United States. Citation Text: Addressing the Opioid Crisis in the United States. Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016. Copy Citation Save Save to y…
  20. psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
    September 01, 2018 - Special or Theme Issue Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Citation Text: Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…