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  1. psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies
    May 11, 2019 - Commentary Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. Citation Text: Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies t…
  2. psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
    December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
  3. psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
    October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …
  4. psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
    December 02, 2009 - Study Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Citation Text: Thomas AN, Taylor RJ. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Anaesthesia. 2012;67(7):7…
  5. psnet.ahrq.gov/issue/advanced-auditory-displays-and-head-mounted-displays-advantages-and-disadvantages-monitoring
    September 26, 2016 - Study Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. Citation Text: Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays: advantages and disadvantages for m…
  6. psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
    November 16, 2022 - Review Duty hours restriction and their effect on resident education and academic departments: the American perspective. Citation Text: Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…
  7. psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
    March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…
  8. psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
    May 11, 2022 - Study Patient safety superheroes in training: using a comic book to teach patient safety to residents. Citation Text: Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…
  9. psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
    October 16, 2019 - Study Errors prevented by and associated with bar-code medication administration systems. Citation Text: Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245. Cop…
  10. psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
    October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…
  11. psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
    November 23, 2016 - Study The effect of automated alerts on provider ordering behavior in an outpatient setting.   Citation Text: Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…
  12. psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
    March 23, 2016 - Study Opioid prescribing and potential overdose errors among children 0 to 36 months old. Citation Text: Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922…
  13. psnet.ahrq.gov/issue/acute-hepatitis-c-virus-infections-attributed-unsafe-injection-practices-endoscopy-clinic
    February 27, 2019 - Government Resource Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. Citation Text: Prevention C for DC and. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic--Nevada, 2007.…
  14. psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
    August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…
  15. psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…
  16. psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…
  17. psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
    December 17, 2010 - Review What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. Citation Text: Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…
  18. www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
    June 01, 2018 - Chartbook on Person- and Family-Centered Care Person- and Family-Centered Care Previous Page Next Page Table of Contents Chartbook on Person- and Family-Centered Care Acknowledgments Person- and Family-Centered Care Summary of Trends Measures of Person- and Family- Centered Care Communicat…
  19. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination.html
    June 01, 2018 - Chartbook on Care Coordination Care Coordination Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avoidable Hospitalizati…
  20. psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns
    December 21, 2022 - Review Prescribing in 2019: what are the safety concerns? Citation Text: Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …