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psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events
May 11, 2016 - Study
Risk managers' descriptions of programs to support second victims after adverse events.
Citation Text:
White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002…
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psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
September 19, 2016 - Study
The experiences of risk managers in providing emotional support for health care workers after adverse events.
Citation Text:
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for health care workers after adverse events. J Healthc Ri…
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psnet.ahrq.gov/issue/forgive-divine
November 11, 2020 - Commentary
To forgive, divine.
Citation Text:
Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006.
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psnet.ahrq.gov/issue/patient-safety-surgery
June 16, 2011 - Study
Patient safety in surgery.
Citation Text:
Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5.
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psnet.ahrq.gov/issue/considerations-design-safe-and-effective-consumer-health-it-applications-home
September 24, 2016 - Study
Considerations for the design of safe and effective consumer health IT applications in the home.
Citation Text:
Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…
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psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
September 27, 2016 - Commentary
Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory.
Citation Text:
Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…
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psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
February 10, 2012 - Review
Safety in home care: a mapping review of the international literature.
Citation Text:
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
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psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions
March 01, 2023 - Review
Diagnostic error in stroke — reasons and proposed solutions.
Citation Text:
Bakradze E, Liberman AL. Diagnostic Error in Stroke-Reasons and Proposed Solutions. Curr Atheroscler Rep. 2018;20(2):11. doi:10.1007/s11883-018-0712-3.
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psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
January 06, 2016 - Study
Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study.
Citation Text:
Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication E…
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psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review
May 27, 2010 - Review
The aging physician and the medical profession: a review.
Citation Text:
Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342.
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psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
January 22, 2017 - Study
Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system.
Citation Text:
Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…
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psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
May 29, 2019 - Study
Improving radiology report quality by rapidly notifying radiologist of report errors.
Citation Text:
Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Commentary
The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.
Citation Text:
Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…
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psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
October 26, 2011 - Study
What’s past is prologue: organizational learning from a serious patient injury.
Citation Text:
Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005.
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psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
December 04, 2013 - Study
A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.
Citation Text:
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…
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psnet.ahrq.gov/issue/patient-safety-culture-primary-care-developing-theoretical-framework-practical-use
September 06, 2017 - Study
Patient safety culture in primary care: developing a theoretical framework for practical use.
Citation Text:
Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.…
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psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
October 27, 2021 - Study
Integrating systemic accident analysis into patient safety incident investigation practices.
Citation Text:
Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
June 13, 2011 - Study
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.
Citation Text:
van Tilburg CM, Leistikow IP, Rademaker CMA, et al. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology w…
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psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
April 24, 2018 - Study
The power of written word: reflection reduces errors of omission.
Citation Text:
Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630.
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psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
December 18, 2024 - Study
Augmenting health care failure modes and effects analysis with simulation.
Citation Text:
Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd.
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