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  1. psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
    September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…
  2. psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
    November 16, 2022 - Study Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Citation Text: Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…
  3. psnet.ahrq.gov/issue/relationship-between-electronic-health-records-and-malpractice-claims
    August 05, 2009 - Study The relationship between electronic health records and malpractice claims. Citation Text: Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371. Co…
  4. psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
    September 23, 2020 - Commentary Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. Citation Text: King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
  5. psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
    December 07, 2011 - Study Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. Citation Text: Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and f…
  6. psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome
    March 03, 2011 - Study The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.  Citation Text: McCulloch P, Mishra A, Handa A, et al. The effects of aviation-style non-technical skills training on technical performance and outcome in th…
  7. psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
    June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …
  8. psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
    September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…
  9. psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems-systematic-review
    July 30, 2014 - Review Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Citation Text: Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. …
  10. psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
    July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…
  11. psnet.ahrq.gov/issue/tell-me-how-pleased-you-are-your-workplace-and-i-will-tell-you-how-often-you-wash-your-hands
    July 26, 2023 - Study Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Citation Text: Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. …
  12. psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
    September 10, 2009 - Study Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Citation Text: Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…
  13. psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…
  14. psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
    April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…
  15. psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
    March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…
  16. psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
    March 12, 2025 - Study Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. Citation Text: Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…
  17. psnet.ahrq.gov/issue/twitter-tool-enhance-student-engagement-during-interprofessional-patient-safety-course
    July 08, 2020 - Study Twitter as a tool to enhance student engagement during an interprofessional patient safety course. Citation Text: Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. J Interprof Care. 2014;28(6):56…
  18. psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …
  19. psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
    January 12, 2022 - Review Cognitive aids in the management of clinical emergencies: a systematic review. Citation Text: Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. Copy Cita…
  20. psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
    July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

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