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psnet.ahrq.gov/issue/your-hospital-hospitable-how-physical-environment-influences-patient-safety
July 31, 2024 - Commentary
Is your hospital hospitable?: how physical environment influences patient safety.
Citation Text:
Stichler JF. Is your hospital hospitable? How physical environment influences patient safety. Nurs Womens Health. 2007;11(5):506-11.
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psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
December 24, 2008 - Toolkit
Classic
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
Citation Text:
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/optimizing-medication-safety-home
August 24, 2015 - Study
Optimizing medication safety in the home.
Citation Text:
LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246.
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psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
January 16, 2019 - Book/Report
Emerging Classic
Implementing Optimal Team-Based Care to Reduce Clinician Burnout.
Citation Text:
Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…
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psnet.ahrq.gov/issue/perinatal-high-reliability
September 29, 2010 - Review
Perinatal high reliability.
Citation Text:
Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900.
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Commentary
Apologies and medical error.
Citation Text:
Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1.
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psnet.ahrq.gov/issue/patient-safety-part-i-patient-safety-and-dermatologist
June 07, 2008 - Review
Patient safety: Part I. Patient safety and the dermatologist.
Citation Text:
Elston DM, Taylor JS, Coldiron BM, et al. Patient safety. J Am Acad Dermatol. 2009;61(2):179-190. doi:10.1016/j.jaad.2009.04.056.
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psnet.ahrq.gov/issue/negotiating-medical-virtues-toward-development-physician-mistake-disclosure-model
June 14, 2017 - Commentary
Negotiating medical virtues: toward the development of a physician mistake disclosure model.
Citation Text:
Hannawa AF. Negotiating medical virtues: toward the development of a physician mistake disclosure model. Health Comm. 2009;24(5):391-399. doi:10.1080/10410230903023279…
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psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
March 27, 2024 - Newspaper/Magazine Article
Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests?
Citation Text:
Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? Clar…
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psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
June 01, 2012 - Review
Safety skills for clinicians: an essential component of patient safety.
Citation Text:
Taylor-Adams S, Brodie A, Vincent CA. Safety Skills for Clinicians. J Patient Saf. 2008;4(3):141-147. doi:10.1097/pts.0b013e3181809631.
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psnet.ahrq.gov/issue/miros-dots-and-lines
September 21, 2016 - Commentary
Miro's dots and lines.
Citation Text:
Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922.
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Newspaper/Magazine Article
No bad apples.
Citation Text:
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Newspaper/Magazine Article
Survey shows room for improvement with three new best practices for hospitals.
Citation Text:
Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
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psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
May 05, 2021 - Newspaper/Magazine Article
Laura Levis' death outside ER has changed hospital signage, lighting in Mass.
Citation Text:
Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Mullins L, Menard F. WBUR. April 27, 2023.
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psnet.ahrq.gov/issue/ashp-statement-pharmacists-role-medication-reconciliation
June 30, 2021 - Commentary
ASHP statement on the pharmacist's role in medication reconciliation.
Citation Text:
ASHP Statement on the Pharmacist’s Role in Medication Reconciliation. Am J Health Syst Pharm. 2013;70(5):453-456. doi:10.2146/sp120009.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
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psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
June 07, 2017 - Commentary
Retained lumbar catheter tip.
Citation Text:
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713.
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