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psnet.ahrq.gov/issue/opportunities-performance-improvement-relation-medication-administration-during-pediatric
June 28, 2023 - Study
Opportunities for performance improvement in relation to medication administration during pediatric stabilization.
Citation Text:
Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…
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psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
March 13, 2024 - Commentary
Using Plan Do Study Act to transform a simulation center.
Citation Text:
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002.
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psnet.ahrq.gov/issue/doctors-new-dilemma
November 13, 2024 - Commentary
The doctor's new dilemma.
Citation Text:
Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708.
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care organizations deal with major failures.
Citation Text:
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11.
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psnet.ahrq.gov/issue/twenty-four-hour-intensivist-staffing-teaching-hospitals-tensions-between-safety-today-and
June 10, 2013 - Commentary
Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow.
Citation Text:
Kerlin MP, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. Chest. 2012;1…
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/banning-handshake-health-care-setting
January 12, 2022 - Commentary
Banning the handshake from the health care setting.
Citation Text:
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8.
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
February 04, 2009 - Commentary
Voluntary review of quality of care peer review for patient safety.
Citation Text:
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64.
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psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
October 03, 2011 - Study
Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.
Citation Text:
Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/safe-handover
December 21, 2017 - Commentary
Safe handover.
Citation Text:
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
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psnet.ahrq.gov/issue/measurement-adverse-events-using-incidence-flagged-diagnosis-codes
June 18, 2013 - Study
Measurement of adverse events using "incidence flagged" diagnosis codes.
Citation Text:
Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged" diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6.
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psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
September 27, 2017 - Study
What does it take? A case study of radical change toward patient safety.
Citation Text:
Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609.
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psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
September 03, 2011 - Commentary
Patient safety: learning from the aviation industry.
Citation Text:
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.
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psnet.ahrq.gov/issue/nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion-and-value
August 04, 2021 - Commentary
A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication.
Citation Text:
Cunningham SC, Klein R, Kavic SM. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of commu…
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psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
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psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
June 24, 2010 - Commentary
Rules, safety and the narrativisation of identity: a hospital operating theatre case study.
Citation Text:
McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202.
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - Study
Bullying of junior doctors prevails in Irish health system: a bitter reality.
Citation Text:
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275.
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