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psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
April 07, 2021 - Commentary
Accountability in nursing practice: why it is important for patient safety.
Citation Text:
Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008.
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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - Commentary
The wisdom of patients and families: ignore it at our peril.
Citation Text:
Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573.
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psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistreatment-while-giving-birth-say-cdc-report-validates
April 27, 2022 - Newspaper/Magazine Article
'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people.
Citation Text:
'Nobody cared': Women who have reported mistreatment while giving b…
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
October 28, 2020 - Commentary
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Citation Text:
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…
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psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
November 01, 2017 - Review
Emerging Classic
Overdiagnosis in primary care: framing the problem and finding solutions.
Citation Text:
Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820.
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psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
July 12, 2010 - Study
Evaluating sample medications in primary care: a practice-based research network study.
Citation Text:
Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692…
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psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
February 17, 2021 - Review
Formalizing the hidden curriculum of performance enhancing errors.
Citation Text:
Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009.
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psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
June 26, 2024 - Review
Medical error and decision making: learning from the past and present in intensive care.
Citation Text:
Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001.
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psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
July 03, 2014 - Study
The role of surgeon error in withdrawal of postoperative life support.
Citation Text:
Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5.
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www.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - Comprehensive Unit-based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated Infections
Project Summary
The Comprehensive Unit-based Safety Program (CUSP) is a proven method for preventing healthcare-associated infections (HAIs) and other patient harms. CUSP…
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psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making
September 17, 2010 - Commentary
A framework for encouraging patient engagement in medical decision making.
Citation Text:
Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e.
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psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
December 02, 2020 - Commentary
More than a tick box: medical checklist development, design, and use.
Citation Text:
Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286.
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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psnet.ahrq.gov/issue/winning-battle-standardization
March 02, 2022 - Newspaper/Magazine Article
Winning the battle for standardization.
Citation Text:
Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag…
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psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
December 16, 2020 - Government Resource
Important change to heparin container labels to clearly state the total drug strength.
Citation Text:
Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - Study
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Citation Text:
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
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psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - Review
Improving patient safety in developing countries—moving towards an integrated approach.
Citation Text:
Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2…
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psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
January 19, 2016 - Review
Systems approaches to surgical quality and safety: from concept to measurement.
Citation Text:
Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82.
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/health-literacy-and-quality-focus-chronic-illness-care-and-patient-safety
September 26, 2012 - Commentary
Health literacy and quality: focus on chronic illness care and patient safety.
Citation Text:
Rothman RL, Yin S, Mulvaney S, et al. Health literacy and quality: focus on chronic illness care and patient safety. Pediatrics. 2009;124 Suppl 3:S315-S326. doi:10.1542/peds.2009-11…