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psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
September 14, 2011 - Commentary
Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.
Citation Text:
Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577.
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psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
June 16, 2010 - Study
Influence of unit-level staffing on medication errors and falls in military hospitals.
Citation Text:
Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…
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psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
May 07, 2008 - Study
Understanding safer practices in health care: a prologue for the role of indicators.
Citation Text:
Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70.
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psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
March 08, 2017 - Commentary
The heart of health care: parents' perspectives on patient safety.
Citation Text:
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
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psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
November 20, 2013 - Review
Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors.
Citation Text:
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…
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psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
April 02, 2014 - Study
Impact of a comprehensive safety initiative on patient-controlled analgesia errors.
Citation Text:
Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…
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psnet.ahrq.gov/issue/ensuring-patient-safety-through-effective-leadership-behaviour-literature-review
July 10, 2013 - Review
Ensuring patient safety through effective leadership behaviour: a literature review.
Citation Text:
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
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psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
January 21, 2009 - Commentary
Detecting adverse drug events through data mining.
Citation Text:
Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115.
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psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college
March 08, 2017 - Commentary
Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses.
Citation Text:
Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
May 09, 2007 - Study
Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise.
Citation Text:
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…
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psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
June 20, 2007 - Study
Rural hospital patient safety systems implementation in two states.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
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psnet.ahrq.gov/web-mm/listen-family
April 01, 2003 - Listen to the Family
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Darrell Campbell, Jr., MD | June 1, 2004
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Vascular surgery was consulted for placement of a dialys…
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psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
June 07, 2006 - Study
Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.
Citation Text:
Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…
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psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
March 01, 2017 - Study
Information-gathering patterns associated with higher rates of diagnostic error.
Citation Text:
Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…
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psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
June 11, 2014 - Review
Concept analysis: wrong-site surgery.
Citation Text:
Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012.
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psnet.ahrq.gov/issue/investigation-relationship-between-safety-climate-and-medication-errors-well-other-nurse-and
December 03, 2014 - Study
An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes.
Citation Text:
Hofmann DA, Mark BA. AN INVESTIGATION OF THE RELATIONSHIP BETWEEN SAFETY CLIMATE AND MEDICATION ERRORS AS WELL AS OTHER NURSE AND PATIENT …
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psnet.ahrq.gov/issue/medicolegal-aspect-error-pathology-search-jury-verdicts-and-settlements
August 28, 2013 - Review
The medicolegal aspect of error in pathology: a search of jury verdicts and settlements.
Citation Text:
Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-618.
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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
September 08, 2010 - Commentary
Event reporting: the value of a nonpunitive approach.
Citation Text:
Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05.
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psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet
November 23, 2011 - Review
High reliability of care in orthopedic surgery: are we there yet?
Citation Text:
Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011.
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
June 07, 2017 - Study
Tenfold therapeutic dosing errors in young children reported to US poison control centers.
Citation Text:
Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…