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psnet.ahrq.gov/issue/patient-safety-events-reported-general-practice-taxonomy
April 03, 2012 - Study
Patient safety events reported in general practice: a taxonomy.
Citation Text:
Makeham MAB, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a taxonomy. Qual Saf Health Care. 2008;17(1):53-7. doi:10.1136/qshc.2007.022491.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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psnet.ahrq.gov/issue/role-human-factors-neonatal-patient-safety
August 04, 2021 - Journal Article
The role of human factors in neonatal patient safety
Citation Text:
Yamada NK, Catchpole K, Salas E. The role of human factors in neonatal patient safety. Semin Perinatol. 2019;43(8):151174. doi:10.1053/j.semperi.2019.08.003.
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psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
July 03, 2014 - Commentary
Introducing the patient safety professional: why, what, who, how, and where?
Citation Text:
Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
September 03, 2015 - Commentary
John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety.
Citation Text:
Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…
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psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
November 21, 2018 - Commentary
The human factors of home health care: a conceptual model for examining safety and quality concerns.
Citation Text:
Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a.
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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - Review
The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.
Citation Text:
Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
November 16, 2022 - Commentary
Morbidity and mortality conference, grand rounds, and the ACGME's core competencies.
Citation Text:
Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4.
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psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
June 14, 2017 - Commentary
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Citation Text:
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…
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psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
November 02, 2010 - Study
Rapid response teams: qualitative analysis of their effectiveness.
Citation Text:
Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990.
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psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
February 07, 2024 - Study
Medication errors and response bias: the tip of the iceberg.
Citation Text:
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4.
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psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
June 12, 2018 - Commentary
Addressing disease-related malnutrition in hospitalized patients: a call for a national goal.
Citation Text:
Guenter P, Jensen G, Patel V, et al. Addressing Disease-Related Malnutrition in Hospitalized Patients: A Call for a National Goal. Jt Comm J Qual Patient Saf. 2015;41(1…
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psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
October 17, 2012 - Study
Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items.
Citation Text:
Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437.
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psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
September 24, 2010 - Commentary
Rapid response systems: from implementation to evidence base.
Citation Text:
Sarani B, Scott SD. Rapid response systems: from implementation to evidence base. Jt Comm J Qual Patient Saf. 2010;36(11):514-7, 481.
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psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
July 14, 2009 - Commentary
The role of nursing surveillance in keeping patients safe.
Citation Text:
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377.
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psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
May 27, 2011 - Commentary
Case study: preventing surgical complications at Baystate Medical Center.
Citation Text:
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…
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psnet.ahrq.gov/issue/hand-communications
January 04, 2017 - Multi-use Website
Hand-off Communications.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
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psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
December 12, 2012 - Commentary
Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program.
Citation Text:
Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…
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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - Study
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Citation Text:
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
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psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
October 07, 2020 - Study
How safety is compromised when hospital equipment is a poor fit for patients who are obese.
Citation Text:
Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4.
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