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psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
July 29, 2020 - Commentary
Medical error, incident investigation and the second victim: doing better but feeling worse?
Citation Text:
Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - Study
Perioperative patient safety: a multisite qualitative analysis.
Citation Text:
Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7.
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psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
August 04, 2021 - Review
Patient safety in obstetrics and obstetric anesthesia.
Citation Text:
Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017.
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psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
June 14, 2017 - Newspaper/Magazine Article
Children's Hospital investigated five patient deaths from deadly fungal disease in 2009.
Citation Text:
Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…
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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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psnet.ahrq.gov/issue/interruption-handling-strategies-during-paediatric-medication-administration
July 27, 2018 - Study
Interruption handling strategies during paediatric medication administration.
Citation Text:
Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292.
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psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
November 30, 2016 - Commentary
Rapid response teams improve outcomes—Part 1, Part 2, and Part 3.
Citation Text:
Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601.
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psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
October 28, 2020 - Commentary
Why patients need leaders: introducing a ward safety checklist.
Citation Text:
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
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psnet.ahrq.gov/issue/triggers-emergency-team-activation-multicenter-assessment
March 05, 2010 - Study
Triggers for emergency team activation: a multicenter assessment.
Citation Text:
Chen J, Bellomo R, Hillman K, et al. Triggers for emergency team activation: a multicenter assessment. J Crit Care. 2010;25(2):359.e1-7. doi:10.1016/j.jcrc.2009.12.011.
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psnet.ahrq.gov/issue/it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure
September 29, 2017 - Study
"It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model.
Citation Text:
Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J…
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psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
March 23, 2011 - Study
Surgical adverse outcome reporting as part of routine clinical care.
Citation Text:
Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458.
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psnet.ahrq.gov/issue/barriers-reporting-medication-errors-measurement-equivalence-perspective
March 28, 2012 - Study
Barriers to reporting medication errors: a measurement equivalence perspective.
Citation Text:
Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534.
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psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
December 02, 2020 - Review
Advancing patient safety through the clinical application of a framework focused on communication.
Citation Text:
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…
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psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
June 16, 2011 - Study
Comparing safety climate between two populations of hospitals in the United States.
Citation Text:
Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…
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psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
November 06, 2013 - Commentary
The CARE approach to reducing diagnostic errors.
Citation Text:
Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532.
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psnet.ahrq.gov/issue/preventing-medication-errors-neonatology-it-dream
April 21, 2021 - Review
Preventing medication errors in neonatology: is it a dream?
Citation Text:
Antonucci R, Porcella A. Preventing medication errors in neonatology: Is it a dream? World J Clin Pediatr. 2014;3(3):37-44. doi:10.5409/wjcp.v3.i3.37.
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers.
Citation Text:
O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795.
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psnet.ahrq.gov/issue/matts-story-learning-heartbreak
August 07, 2024 - Commentary
Matt's story: learning from heartbreak.
Citation Text:
Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076.
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psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-beneficiaries
December 04, 2016 - Study
Hospital prescribing of opioids to Medicare beneficiaries.
Citation Text:
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
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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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