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psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
April 12, 2019 - Commentary
The top 10 list for a safe and effective sign-out.
Citation Text:
Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008.
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psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
June 15, 2022 - Study
All consumer medication information is not created equal: implications for medication safety.
Citation Text:
Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for Medication Safety. Stud Health Technol Inform. 2017;234:233-237.
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psnet.ahrq.gov/issue/hospital-nurses-perceptions-human-factors-contributing-nursing-errors
October 04, 2017 - Study
Hospital nurses' perceptions of human factors contributing to nursing errors.
Citation Text:
Roth C, Wieck L, Fountain R, et al. Hospital nurses' perceptions of human factors contributing to nursing errors. J Nurs Adm. 2015;45(5):263-9. doi:10.1097/NNA.0000000000000196.
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psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
February 14, 2017 - Review
Cognitive diagnostic error in internal medicine.
Citation Text:
Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med. 2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006.
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psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement
June 23, 2010 - Commentary
A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.
Citation Text:
Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …
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psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
November 01, 2003 - Study
Analgesic prescribing errors and associated medication characteristics.
Citation Text:
Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…
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psnet.ahrq.gov/issue/nature-adverse-events-dentistry
November 01, 2023 - Study
The nature of adverse events in dentistry.
Citation Text:
Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255.
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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/failures-communication-through-documents-and-documentation-across-perioperative-pathway
August 07, 2013 - Study
Failures in communication through documents and documentation across the perioperative pathway.
Citation Text:
Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1…
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psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
September 23, 2017 - Commentary
When medical care leads to harm—difficulty finding words: a teachable moment.
Citation Text:
Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.…
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psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
June 13, 2012 - Government Resource
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.
Citation Text:
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…
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psnet.ahrq.gov/issue/reducing-warfarin-medication-interactions-interrupted-time-series-evaluation
May 27, 2011 - Study
Reducing warfarin medication interactions: an interrupted time series evaluation.
Citation Text:
Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time series evaluation. Arch Intern Med. 2006;166(9):1009-15.
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psnet.ahrq.gov/issue/triangle-model-evaluating-effect-health-information-technology-healthcare-quality-and-safety
May 25, 2010 - Commentary
The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety.
Citation Text:
Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety…
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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/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
February 20, 2012 - Study
What prevents incident disclosure, and what can be done to promote it?
Citation Text:
Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417.
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psnet.ahrq.gov/issue/interventions-improve-oral-chemotherapy-safety-and-quality-systematic-review
December 13, 2023 - Review
Interventions to improve oral chemotherapy safety and quality: a systematic review.
Citation Text:
Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625.
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psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
August 03, 2010 - Commentary
How to use an article about quality improvement.
Citation Text:
Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA. 2010;304(20):2279-87. doi:10.1001/jama.2010.1692.
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psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
June 01, 2011 - Review
Impact of patient safety mandates on medical education in the United States.
Citation Text:
Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5.
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psnet.ahrq.gov/issue/shedding-light-dark-side-doctor-patient-interactions-verbal-and-nonverbal-messages-physicians
June 14, 2017 - Study
Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures.
Citation Text:
Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians commu…
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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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