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psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
December 24, 2008 - Commentary
Patient safety: it's not just carefulness, it's a culture.
Citation Text:
Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211-212. doi:10.1097/00129234-200409000-00001.
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psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
September 09, 2015 - Commentary
The role of technology in clinician-to-clinician communication.
Citation Text:
McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191.
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
December 19, 2017 - Study
Medication reconciliation and hypertension control.
Citation Text:
Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027.
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psnet.ahrq.gov/issue/facing-our-mistakes
September 23, 2020 - Commentary
Classic
Facing our mistakes.
Citation Text:
Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22.
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psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
August 22, 2018 - Review
Trends in anesthesia-related liability and lessons learned.
Citation Text:
Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009.
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psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
September 04, 2016 - Commentary
Structural iatrogenesis—a 43-year-old man with "opioid misuse."
Citation Text:
Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473.
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - Commentary
Clinical nurse specialists as leaders in rapid response.
Citation Text:
Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9.
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psnet.ahrq.gov/issue/teaching-patient-safety-simulated-learning-experiences
October 21, 2020 - Commentary
Teaching patient safety in simulated learning experiences.
Citation Text:
Jenkins S, Blake J, Brandy-Webb P, et al. Teaching patient safety in simulated learning experiences. Nurse Educ. 2011;36(3):112-7. doi:10.1097/NNE.0b013e31821611dc.
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psnet.ahrq.gov/issue/new-graduate-registered-nurses-knowledge-patient-safety-and-practice-literature-review
June 13, 2018 - Review
New graduate registered nurses' knowledge of patient safety and practice: a literature review.
Citation Text:
Murray M, Sundin D, Cope V. New graduate registered nurses' knowledge of patient safety and practice: A literature review. J Clin Nurs. 2018;27(1-2):31-47. doi:10.1111/joc…
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psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention
April 24, 2018 - Study
Improving the quality of discharge communication with an educational intervention.
Citation Text:
Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884.
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psnet.ahrq.gov/issue/saying-goodbye
September 11, 2019 - Commentary
Saying goodbye.
Citation Text:
DeFilippis EM. Saying Goodbye. JAMA Intern Med. 2017;177(11):1565. doi:10.1001/jamainternmed.2017.4017.
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psnet.ahrq.gov/issue/essay-political-logic-regulatory-error
July 10, 2017 - Commentary
Essay: the political logic of regulatory error.
Citation Text:
Carpenter D, Ting MM. Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23.
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psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
February 10, 2012 - Study
Outcome of 6 years of protocol use for preventing wrong site office surgery.
Citation Text:
Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011.
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psnet.ahrq.gov/issue/zero-suicide-initiative
July 03, 2013 - Grant Announcement
Zero Suicide Initiative.
Citation Text:
Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893.
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psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
December 08, 2021 - Review
Interruptions and medication administration in critical care.
Citation Text:
Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185.
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psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
August 12, 2020 - Commentary
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.
Citation Text:
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…
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psnet.ahrq.gov/issue/demonstration-project-impact-safety-culture-infection-control-practices-hemodialysis
May 01, 2024 - Journal Article
A demonstration project on the impact of safety culture on infection control practices in hemodialysis
Citation Text:
Millson T, Hackbarth D, Bernard HL. A demonstration project on the impact of safety culture on infection control practices in hemodialysis. Am J Infect Co…
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psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
March 20, 2019 - Review
New solutions to reduce wrong route medication errors.
Citation Text:
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
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psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
April 27, 2019 - Study
Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.
Citation Text:
Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…