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  1. psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
    May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…
  2. psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
    August 04, 2021 - Commentary Excessive work hours of physicians in training in El Salvador: putting patients at risk. Citation Text: Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. Copy Citation Format: Google S…
  3. psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …
  4. psnet.ahrq.gov/issue/health-literacy-and-quality-physician-patient-communication-during-hospitalization
    April 05, 2013 - Study Health literacy and the quality of physician–patient communication during hospitalization. Citation Text: Kripalani S, Jacobson TA, Mugalla IC, et al. Health literacy and the quality of physician-patient communication during hospitalization. J Hosp Med. 2010;5(5). doi:10.1002/jhm…
  5. psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
    October 19, 2011 - Study Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. Citation Text: Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. J Hosp Med. 2009;4(2):97-101. d…
  6. psnet.ahrq.gov/issue/human-factors-engineering-conceptual-framework-nursing-workload-and-patient-safety-intensive
    March 11, 2020 - Review A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Citation Text: Carayon P, Gurses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit C…
  7. psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors-0
    October 27, 2010 - Study Paramedic self-reported medication errors. Citation Text: Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2007;11(1):80-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
  8. psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-crisis
    July 19, 2023 - Commentary The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Citation Text: Leary E, Diers D. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Yale J Biol Med. 2013;86(1):79-87. Copy Citation Format: Google Sch…
  9. psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
    October 05, 2022 - Study Medication errors in a neonatal intensive care unit. Citation Text: Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757. Copy Citation Format: DOI Google S…
  10. psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
    October 05, 2022 - Commentary Nearing zero...reducing grade C medication errors. Citation Text: Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3. Copy Citation Format: DOI …
  11. psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…
  12. psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
    December 21, 2022 - Study Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. Citation Text: Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…
  13. psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
    August 02, 2015 - Study Characteristics of medical professional liability claims in patients with cardiovascular diseases. Citation Text: Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):…
  14. psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
    July 03, 2014 - Study Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. Citation Text: Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…
  15. psnet.ahrq.gov/issue/hand-communications
    January 04, 2017 - Multi-use Website Hand-off Communications. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Copy Citation Format: Google Scholar P…
  16. psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
    October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…
  17. psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
    June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. Citation Text: Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. Copy Citation Format: DOI Goo…
  18. psnet.ahrq.gov/issue/increases-mortality-length-stay-and-cost-associated-hospital-acquired-infections-trauma
    December 21, 2014 - Study Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients. Citation Text: Glance LG, Stone PW, Mukamel DB, et al. Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients.…
  19. psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
    April 24, 2018 - Study Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. Citation Text: McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit C…
  20. psnet.ahrq.gov/issue/examining-diagnostic-justification-abilities-fourth-year-medical-students
    December 21, 2014 - Study Examining the diagnostic justification abilities of fourth-year medical students. Citation Text: Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff. Copy Citation…