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  1. psnet.ahrq.gov/issue/hospital-nurses-work-environment-characteristics-and-patient-safety-outcomes-literature
    October 24, 2018 - Review Hospital nurses' work environment characteristics and patient safety outcomes: a literature review. Citation Text: Lee SE, Scott LD. Hospital Nurses' Work Environment Characteristics and Patient Safety Outcomes: A Literature Review. West J Nurs Res. 2018;40(1):121-145. doi:10.1177…
  2. psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
  3. psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
    April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…
  4. psnet.ahrq.gov/issue/causes-preventable-drug-related-hospital-admissions-qualitative-study
    October 16, 2012 - Study Causes of preventable drug-related hospital admissions: a qualitative study. Citation Text: Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681. Copy Ci…
  5. psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
    June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…
  6. psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-strategies
    January 04, 2011 - Review Navigating towards improved surgical safety using aviation-based strategies. Citation Text: Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg Res. 2008;145(2):327-35. Copy Citation Format: Google Scholar PubMed B…
  7. psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
    March 22, 2011 - Study The use of human factors methods to identify and mitigate safety issues in radiation therapy. Citation Text: Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…
  8. psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions-education
    September 01, 2015 - Review Patient safety instruction in US health professions education. Citation Text: Kiersma ME, Plake KS, Darbishire PL. Patient safety instruction in US health professions education. Am J Pharm Educ. 2011;75(8):162. doi:10.5688/ajpe758162. Copy Citation Format: DOI Goog…
  9. psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
    December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…
  10. psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…
  11. psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
    April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…
  12. psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
    August 03, 2022 - Review A systematic review of patient tracking systems for use in the pediatric emergency department. Citation Text: Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…
  13. psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …
  14. psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
    October 16, 2013 - Study Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. Citation Text: Dormann H, Criegee-Rieck M, Neubert A, et al. Lack of awareness of community-acquired adverse drug reactions upon hospital admission : …
  15. psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Commentary Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. Citation Text: Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7…
  16. psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
    January 08, 2025 - Commentary Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. Citation Text: Harris DM, Wu C-C. Medical malpractice in the People's Republic of China: the 2002 Regulation on the Handling of Medical Accidents. J Law Med Ethics…
  17. psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
    November 10, 2015 - Study Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. Citation Text: Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. Copy Citation Format: DOI Googl…
  18. psnet.ahrq.gov/issue/implementation-computerized-physician-order-entry-seven-countries
    April 05, 2017 - Study Implementation of computerized physician order entry in seven countries. Citation Text: Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…
  20. psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-liverpool-womens-nhs-foundation-trust
    September 09, 2008 - Commentary Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Citation Text: Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. Co…

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