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The 25 most-viewed resources on AHRQ PSNet. This list is updated weekly.


1. Commentary: Medication tracers: a systems approach to medication safety.
 Hendrick EC, Montanya KR, Griffith N. Hosp Pharm. 2007;42:916-920.

2.  Audiovisual: Tools, Methods, and Techniques for Improving Patient Safety: Patient Safety Improvement Corps Training DVD.
 Rockville, MD: Agency for Healthcare Research and Quality; 2007.

3. Study: Effects of an integrated clinical information system on medication safety in a multi-hospital setting.
 Mahoney CD, Berard-Collins CM, Coleman R, Amaral JF, Cotter CM. Am J Health Syst Pharm. 2007;64:1969-1977.

4. Book/Report: Safety and Ethics in Healthcare: A Guide to Getting it Right.
 Runciman B, Merry A, Walton M. London, UK: Ashgate Publishing; 2007. ISBN: 0754644359.

5. Study: Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center.
 Jenkins JJ, Mac Crawford J, Bissell MG. Am J Clin Pathol. 2007;128:604-609.

6. Book/Report: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents.
 Thomson R, Luettel D, Healey F, Scobie S. London, UK: National Patient Safety Agency; 2007. ISBN: 9780955634055.

7. Study: Raising the awareness of inpatient nursing staff about medication errors.
 Elnour AA, Ellahham NH, Al Qassas HI. Pharm World Sci. 2007 Sep 20; [Epub ahead of print].

8. Commentary: Nurses improve medication safety with medication allergy and adverse drug reports.
 Valente S, Murray L, Fisher D. J Nurs Care Qual. 2007;22:322-327.

9. Study: Academic detailing to improve laboratory testing among outpatient medication users.
 Lafata JE, Gunter MJ, Hsu J, et al. Med Care. 2007;45:966-972.

10. Book/Report: Critical Care Safety: Essentials for ICU Patient Care and Technology.
 Plymouth Meeting, PA: ECRI Institute; 2007. ISBN 0977914259.

11. Study: Team management training using crisis resource management results in perceived benefits by healthcare workers.
 Rudy SJ, Polomano R, Murray WB, Henry J, Marine R. J Contin Educ Nurs. 2007;38:219-226.

12. Toolkit: Implementing a Program of Patient Safety in Small Rural Hospitals.
 Omaha, NE: Jones K, Skinner A, Cochran G, Knudson A, Beattie S, Mueller K; for University of Nebraska Medical Center and Nebraska Center for Rural Research; 2007.

13. Study: Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.
 Nebeker JR, Yarnold PR, Soltysik RC, et al. Med Care. 2007;45(suppl 2):S81-S88.

14. Study: The impact of team processes on psychiatric case management.
 Simpson A. J Adv Nurs. 2007;60:409-418.

15. Toolkit: Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13.
 Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN: 9781599400785.

16. Study: A visual medication schedule to improve anticoagulation control: a randomized, controlled trial.
 Machtinger EL, Wang F, Chen LL, Rodriguez M, Wu S, Schillinger D. Jt Comm J Qual Patient Saf. 2007;33:625-635.

17. Special or Theme Issue: Special issue on health literacy.
 Glover ED, ed. Am J Health Behav. 2007;31(suppl):s1-s133.

18. Organizational Policy/Guidelines: ACOG Committee Opinion #380: disclosure and discussion of adverse events.
 ACOG Committee on Quality Improvement and Patient Safety and Committee on Professional Liability. Obstet Gynecol. 2007;110:957-958.

19. Book/Report: Different Roles, Same Goal: Risk and Quality Management Partnering for Patient Safety.
 Bokar V. Chicago, IL: American Society for Healthcare Risk Management; 2007.

20. Study: Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists.
 Schwartzberg JG, Cowett A, VanGeest J, Wolf MS. Am J Health Behav. 2007;31(suppl):S96-S104.

21. Study: A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay.
 Samore MH, Shuying S, Greene T, et al. Med Care. 2007;45(suppl 2):S108-S115.

22. Study: Drug selection errors in relation to medication labels: a simulation study.
 Garnerin P, Perneger T, Chopard P, et al. Anaesthesia. 2007;62:1090-1094.

23. Book/Report: Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
 Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.  

24. Study: Can patient safety be measured by surveys of patient experiences?
 Solberg LI, Asche SE, Averbeck BM, et al. Jt Comm J Qual Patient Saf. 2008;34:266-274.

25. Commentary: Off the record — avoiding the pitfalls of going electronic.
 Hartzband P, Groopman J. N Engl J Med. 2008;358:1656-1658.
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