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  1. psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
    September 21, 2009 - Commentary Neuroscience critical care: the role of the advanced practice nurse in patient safety. Citation Text: Phillips J. Neuroscience critical care: the role of the advanced practice nurse in patient safety. AACN Clin Issues. 2005;16(4):581-592. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
    June 10, 2020 - Study Debriefing after critical incidents for anaesthetic trainees. Citation Text: Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  3. psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety
    September 27, 2017 - Commentary Addressing the nursing work environment to promote patient safety. Citation Text: Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum. 2007;42(1):20-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
  4. psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …
  5. psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
    August 03, 2022 - Newspaper/Magazine Article Misdiagnosis is dangerous. Help your doctor get it right. Citation Text: Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  6. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
    December 01, 2017 - Perioperative Staff Safety Assessment AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
  7. psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
    March 13, 2019 - Newspaper/Magazine Article Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Citation Text: Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017. Copy Citation S…
  8. psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
    October 26, 2022 - Commentary Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Citation Text: Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
  9. psnet.ahrq.gov/issue/prevention-medical-accidents-caused-defective-surgical-instruments
    July 31, 2019 - Study Prevention of medical accidents caused by defective surgical instruments. Citation Text: Yasuhara H, Fukatsu K, Komatsu T, et al. Prevention of medical accidents caused by defective surgical instruments. Surgery. 2012;151(2):153-61. doi:10.1016/j.surg.2011.06.029. Copy Citation…
  10. psnet.ahrq.gov/issue/systems-approach-patient-centered-care
    November 21, 2021 - Commentary A systems approach to patient-centered care. Citation Text: Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  11. psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
    October 19, 2022 - Commentary Identification errors in pathology and laboratory medicine. Citation Text: Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …
  12. psnet.ahrq.gov/issue/physician-autonomy-and-informed-decision-making-finding-balance-patient-safety-and-quality
    July 01, 2017 - Commentary Physician autonomy and informed decision making: finding the balance for patient safety and quality. Citation Text: Mathews SC, Pronovost P. Physician autonomy and informed decision making: finding the balance for patient safety and quality. JAMA. 2008;300(24):2913-5. doi:10…
  13. psnet.ahrq.gov/issue/need-systems-integration-health-care
    July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
  14. psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes
    August 04, 2021 - Commentary Using information to optimize medical outcomes. Citation Text: Duncan JR. Using Information to Optimize Medical Outcomes. JAMA. 2009;301(22). doi:10.1001/jama.2009.827. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  15. psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
    November 26, 2014 - Commentary Medical emergency team calls: the need to communicate a resuscitation plan. Citation Text: MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1. Copy Citation Format: …
  16. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
    June 01, 2012 - ADHD Chart Review Elements ADHD Chart Abstraction Tool Template (with example data) Patient ID Race Ethnicity Gender Payer Preferred Language Age ADHD Diagnosis Date (range 12/11 - 6/12) **Please remove this column before submitting Patient diagnosed between Dec 2…
  17. psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
    November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
  18. psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
    July 25, 2012 - Study Deconstructing intraoperative communication failures. Citation Text: Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029. Copy Citation Format: DOI Google Scholar PubM…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
    September 01, 2015 - Underwood Surgery Center: Slide Presentation 50 50 Underwood Surgery Center Orlando, Florida Terry Tinsley R.N., B.A. Clinical Nurse Manager 51 51 Underwood Surgery Center (USC) • Physician owned multi-specialty surgery center • Performs endoscopic procedures, surgeries involving colon and rectal, …
  20. psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
    September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …