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psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
November 16, 2022 - Commentary
Tools and methods for quality improvement and patient safety in perinatal care.
Citation Text:
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
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psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
June 21, 2017 - Study
Nurse prescribing: reflections on safety in practice.
Citation Text:
Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609.
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psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future
June 22, 2009 - Commentary
Auto identification technology and its impact on patient safety in the operating room of the future.
Citation Text:
Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the Operating Room of the Future. Surg Innov. 2007;14(1):41-50; discus…
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psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
August 11, 2021 - Review
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Citation Text:
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
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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/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
February 07, 2024 - Commentary
Sued for misdiagnosis? It could happen to you.
Citation Text:
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
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psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
November 11, 2020 - Commentary
Use of complex adaptive systems metaphor to achieve professional and organizational change.
Citation Text:
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
September 12, 2011 - Study
Effects of weekend admission and hospital teaching status on in-hospital mortality.
Citation Text:
Cram P, Hillis SL, Barnett M, et al. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004;117(3):151-7.
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psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation
February 05, 2020 - Review
Closed medical negligence claims can drive patient safety and reduce litigation.
Citation Text:
Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5.
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psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
June 25, 2008 - Commentary
Reducing adverse events in blood transfusion.
Citation Text:
Stainsby D, Russell J, Cohen H, et al. Reducing adverse events in blood transfusion. Br J Haematol. 2005;131(1). doi:10.1111/j.1365-2141.2005.05702.x.
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psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
October 19, 2022 - Commentary
Quality and safety of artificial intelligence generated health information.
Citation Text:
Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596.
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - Commentary
Placing patient safety at the heart of value-based healthcare.
Citation Text:
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
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psnet.ahrq.gov/issue/assessing-diagnostic-performance
May 13, 2020 - Review
Assessing diagnostic performance.
Citation Text:
Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232.
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - Commentary
Implementation, CPOE, and medication errors.
Citation Text:
Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138.
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - Review
The checklist--a tool for error management and performance improvement.
Citation Text:
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5.
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psnet.ahrq.gov/issue/stakeholder-challenges-purchasing-medical-devices-patient-safety
February 03, 2021 - Study
Stakeholder challenges in purchasing medical devices for patient safety.
Citation Text:
Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306.
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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/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…