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psnet.ahrq.gov/issue/patient-safety-and-adverse-events
July 20, 2022 - Special or Theme Issue
Patient Safety and Adverse Events.
Citation Text:
Patient Safety and Adverse Events. Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In: Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISB…
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psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
May 04, 2014 - Commentary
The Israel Center for Medical Simulation: a paradigm for cultural change in medical education.
Citation Text:
Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7.
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - Commentary
Digital health and patient safety.
Citation Text:
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402.
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psnet.ahrq.gov/issue/toward-definition-teamwork-emergency-medicine
May 31, 2017 - Commentary
Toward a definition of teamwork in emergency medicine.
Citation Text:
Fernandez R, Kozlowski SWJ, Shapiro MJ, et al. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008;15(11):1104-12. doi:10.1111/j.1553-2712.2008.00250.x.
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psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
December 18, 2014 - Commentary
Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations.
Citation Text:
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1…
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psnet.ahrq.gov/issue/can-teaching-medical-students-investigate-medication-errors-change-their-attitudes-towards
August 14, 2014 - Image/Poster
Can teaching medical students to investigate medication errors change their attitudes towards patient safety?
Citation Text:
Dudas RA, Bundy DG, Miller MR, et al. Can teaching medical students to investigate medication errors change their attitudes towards patient safety? …
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psnet.ahrq.gov/issue/name-and-shame
March 06, 2013 - Commentary
Name and shame.
Citation Text:
Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693.
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psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
February 21, 2018 - Study
Medication Administration Time Study (MATS): nursing staff performance of medication administration.
Citation Text:
Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5)…
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psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
January 15, 2009 - Study
The application of Aronson's taxonomy to medication errors in nursing.
Citation Text:
Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14.
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psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
November 25, 2009 - Study
Pediatric medication safety and the media: what does the public see?
Citation Text:
Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017.
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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - Review
The hard talk: dealing with the disruptive physician.
Citation Text:
Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315.
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psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination
March 14, 2018 - Book/Report
Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies.
Citation Text:
Effective Board Governance of Safe Care: A …
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psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
March 10, 2011 - Commentary
Eight recommendations for policies for communicating abnormal test results.
Citation Text:
Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232.
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psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
July 24, 2024 - Commentary
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
Citation Text:
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…
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psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
June 25, 2010 - Study
Accountability sought by patients following adverse events from medical care: the New Zealand experience.
Citation Text:
Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…
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psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
November 16, 2022 - Commentary
Peer review of medical practices: missed opportunities to learn.
Citation Text:
Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018.
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration.
Citation Text:
Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…
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psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
February 27, 2019 - Government Resource
CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system.
Citation Text:
Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5.
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psnet.ahrq.gov/issue/first-kids-medication-errors
February 03, 2021 - Audiovisual
First with Kids: Medication Errors.
Citation Text:
First L. NBC5. First with Kids: Medication Errors. August 1, 2024.
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psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
February 09, 2022 - Book/Report
Patient Safety: Emerging Applications of Safety Science.
Citation Text:
Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834.
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