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psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
October 19, 2016 - Book/Report
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…
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psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
March 18, 2020 - Commentary
Apology laws and malpractice liability: what have we learned?
Citation Text:
Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955.
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psnet.ahrq.gov/issue/burnout-among-health-care-professionals-call-explore-and-address-underrecognized-threat-safe
November 11, 2020 - Book/Report
Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.
Citation Text:
Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Dyrbye …
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psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
September 27, 2022 - Commentary
The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine.
Citation Text:
Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024.
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psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
September 05, 2018 - Review
Building cultures of high reliability: lessons from the high reliability organization paradigm.
Citation Text:
Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…
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psnet.ahrq.gov/issue/health-literacy-past-present-and-future-workshop-summary
December 17, 2014 - Meeting/Conference Proceedings
Health Literacy: Past, Present, and Future: Workshop Summary.
Citation Text:
Health Literacy: Past, Present, and Future: Workshop Summary. Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. …
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
September 27, 2017 - Study
Nurse staffing levels and patient-reported missed nursing care.
Citation Text:
Dabney BW, Kalisch BJ. Nurse Staffing Levels and Patient-Reported Missed Nursing Care. J Nurs Care Qual. 2015;30(4):306-12. doi:10.1097/NCQ.0000000000000123.
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'.
Citation Text:
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981.
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psnet.ahrq.gov/issue/it-left-eye-right
September 06, 2023 - Study
"It is the left eye, right?"
Citation Text:
Pikkel D, Sharabi-Nov A, Pikkel J. "It is the left eye, right?". Risk Manag Healthc Policy. 2014;7:77-80. doi:10.2147/RMHP.S60728.
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psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
May 11, 2019 - Commentary
Making polypharmacy safer for children with medical complexity.
Citation Text:
Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012.
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psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
October 26, 2022 - Study
Clinician factors associated with delayed diagnosis of appendicitis.
Citation Text:
Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119.
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psnet.ahrq.gov/issue/modern-palliative-radiation-treatment-do-complexity-and-workload-contribute-medical-errors
April 07, 2021 - Study
Modern palliative radiation treatment: do complexity and workload contribute to medical errors?
Citation Text:
D'Souza N, Holden L, Robson S, et al. Modern palliative radiation treatment: do complexity and workload contribute to medical errors? Int J Radiat Oncol Biol Phys. 2012;84…
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psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
November 12, 2014 - Study
Costs and consequences associated with misdiagnosed lower extremity cellulitis.
Citation Text:
Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816.
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psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
July 12, 2023 - Commentary
Improving diagnosis: adding context to cognition.
Citation Text:
Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058.
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psnet.ahrq.gov/issue/pause-pediatrics-implementation-pediatric-diagnostic-time-out
April 20, 2022 - Study
A pause in pediatrics: implementation of a pediatric diagnostic time-out.
Citation Text:
Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010.
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psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
August 14, 2017 - Commentary
Doing right by our patients when things go wrong in the ambulatory setting.
Citation Text:
Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96.
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psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
February 24, 2011 - Study
Classic
Communication failures: an insidious contributor to medical mishaps.
Citation Text:
Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194.
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psnet.ahrq.gov/issue/telehealth
January 27, 2019 - Commentary
Telehealth.
Citation Text:
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323.
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psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
November 30, 2012 - Study
Wrong site surgery near misses and actual occurrences.
Citation Text:
Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010.
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psnet.ahrq.gov/issue/risks-related-patient-bed-safety
July 19, 2023 - Commentary
Risks related to patient bed safety.
Citation Text:
Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b.
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