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  1. psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
    October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …
  2. psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
    February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…
  3. psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm
    July 02, 2014 - Study Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…
  4. psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
    March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…
  5. psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
    February 27, 2019 - Study Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Citation Text: Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…
  6. psnet.ahrq.gov/issue/potential-risk-medication-discrepancies-and-reconciliation-errors-admission-and-discharge
    March 09, 2022 - Study Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service. Citation Text: Climente-Martí M, García-Mañón ER, Artero-Mora A, et al. Potential risk of medication discrepancies and reconciliation errors at admis…
  7. psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come
    December 04, 2024 - Review Decision support and patient safety: the time has come. Citation Text: Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  8. psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
    May 18, 2022 - Study Distraction and interruption in anaesthetic practice. Citation Text: Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. Copy Citation Format: DOI Google Scholar PubMed BibTe…
  9. psnet.ahrq.gov/issue/am-i-right-when-i-am-sure-data-consistency-influences-relationship-between-diagnostic
    March 18, 2013 - Study Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Citation Text: Cavalcanti RB, Sibbald M. Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. Acad Med. …
  10. psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…
  11. psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
    July 26, 2011 - Study Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Citation Text: Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
    June 02, 2025 - Action Planning for the SOPS Surveys-Introducing SOPS 10 Introducing the SOPS Action Planning Tool Laura Gray, MPH Senior Study Director, User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 11 AHRQ Surveys on Patient Safety Culture Surveys of clinicians and staff about the extent to w…
  13. psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
    September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…
  14. psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
    February 13, 2019 - Study Reconcilable differences: correcting medication errors at hospital admission and discharge. Citation Text: Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. Copy C…
  15. psnet.ahrq.gov/issue/board-pharmacy-practices-related-medication-errors-and-their-potential-impact-patient-safety
    December 20, 2017 - Study Board of pharmacy practices related to medication errors and their potential impact on patient safety. Citation Text: Degnan DD, Hertig JB, Peters MJ, et al. Board of Pharmacy Practices Related to Medication Errors and Their Potential Impact on Patient Safety. J Pharm Pract. 2018;3…
  16. psnet.ahrq.gov/issue/development-barriers-error-disclosure-assessment-tool
    August 28, 2019 - Study Development of the barriers to error disclosure assessment tool. Citation Text: Welsh D, Zephyr D, Pfeifle AL, et al. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf. 2021;17(5):363-374. doi:10.1097/PTS.0000000000000331. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
    February 11, 2014 - Study Saving Patient Ryan- can advanced electronic medical records make patient care safer? Citation Text: Saving Patient Ryan- can advanced electronic medical records make patient care safer? Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059. Copy Citation …
  18. psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
    June 26, 2019 - Study Patient safety climate: a study of Southern California healthcare organizations. Citation Text: Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. Copy Citati…
  19. psnet.ahrq.gov/issue/healthcare-utilizing-deliberate-discussion-linking-events-huddle-systematic-review
    November 16, 2022 - Review Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. Citation Text: Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188. Copy Citation …
  20. psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
    November 25, 2009 - Study Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? Citation Text: Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems…