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psnet.ahrq.gov/issue/some-cancer-experts-see-overdiagnosis-question-emphasis-early-detection
June 19, 2019 - Newspaper/Magazine Article
Some cancer experts see 'overdiagnosis,' question emphasis on early detection.
Citation Text:
Linos E, Schroeder SA, Chren M-M. Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients With Limited Life Expectancy. JAMA. 2014;312(10). doi:10.1001/jama.…
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psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors
July 19, 2023 - Study
On-site pharmacists in the ED improve medical errors.
Citation Text:
Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002.
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psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
July 28, 2014 - Commentary
Health care serial murder: a patient safety orphan.
Citation Text:
Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191.
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psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed
February 17, 2016 - Study
Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study.
Citation Text:
Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care organizations deal with major failures.
Citation Text:
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11.
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psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
August 11, 2021 - Review
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Citation Text:
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - Commentary
Medication administration process assessment: applying lessons learned from commercial aviation.
Citation Text:
Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…
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psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
August 22, 2012 - Commentary
Bullying: a hidden threat to patient safety.
Citation Text:
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
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psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
December 21, 2016 - Commentary
The normalization of deviance: a threat to patient safety.
Citation Text:
Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002.
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psnet.ahrq.gov/issue/preventing-medication-errors
May 30, 2018 - Commentary
Preventing medication errors.
Citation Text:
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005.
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psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe
March 02, 2011 - Commentary
COVID-19 and patient safety- lessons from 2 efforts to keep people safe.
Citation Text:
Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527.
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psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
July 19, 2023 - Commentary
Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics.
Citation Text:
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…
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psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
November 04, 2015 - Study
Patient safety in genomic medicine: an exploratory study.
Citation Text:
Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16.
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - Commentary
Placing patient safety at the heart of value-based healthcare.
Citation Text:
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
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psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
July 19, 2023 - Commentary
Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
Citation Text:
Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…
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psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
October 19, 2022 - Commentary
The effect of collaboration on obstetric patient safety in three academic facilities.
Citation Text:
Raab CA, Will SEB, Richards SL, et al. The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. Journal of Obstetric, Gynecologic & Neonatal Nursi…
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psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
November 16, 2022 - Study
Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough?
Citation Text:
Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
September 03, 2011 - Commentary
Patient safety: learning from the aviation industry.
Citation Text:
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-continuing-leadership-needed-hhs-prioritize
September 06, 2016 - Congressional Testimony
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections.
Citation Text:
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to…