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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/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
August 04, 2021 - Commentary
Use of the common gas outlet for supplementary oxygen during Caesarean section.
Citation Text:
Edsell MEG, Erasmus PD. Use of the common gas outlet for supplementary oxygen during Caesarean section. Anaesthesia. 2005;60(11):1152-3.
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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Citation Text:
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
January 28, 2015 - Commentary
Enhancing pediatric perioperative patient safety.
Citation Text:
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007.
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Commentary
Will human factors restore faith in the GMC?
Citation Text:
Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037.
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psnet.ahrq.gov/issue/new-view-human-error-origins-ambiguities-successes-and-critiques
August 12, 2020 - Commentary
The ‘new view’ of human error. Origins, ambiguities, successes and critiques.
Citation Text:
Le Coze JC. The ‘new view’ of human error. Origins, ambiguities, successes and critiques. Safety Sci. 2022;154:105853. doi:10.1016/j.ssci.2022.105853.
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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - Study
Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators.
Citation Text:
Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and admi…
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Study
Effect of surgical safety checklists on pediatric surgical complications in Ontario.
Citation Text:
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
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psnet.ahrq.gov/issue/implementing-surgical-checklist-more-checking-box
July 16, 2014 - Study
Implementing a surgical checklist: more than checking a box.
Citation Text:
Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012;152(3):331-6. doi:10.1016/j.surg.2012.05.034.
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psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
January 30, 2019 - Commentary
Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety.
Citation Text:
Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. Yeager KR, Saveanu R, Roberts AR…
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psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
September 23, 2020 - Commentary
Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.
Citation Text:
Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…
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psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse
June 28, 2010 - Review
Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.
Citation Text:
Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.…
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - Commentary
Reforming the Veterans Health Administration—beyond palliation of symptoms.
Citation Text:
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
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psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
June 22, 2011 - Press Release/Announcement
FDA advises health care professionals and patients about insulin pen packaging and dispensing.
Citation Text:
FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/issue/automation-failures-and-patient-safety
November 21, 2012 - Review
Automation failures and patient safety.
Citation Text:
Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935.
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psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
January 21, 2015 - Study
A novel tool for organisational learning and its impact on safety culture in a hospital dispensary.
Citation Text:
Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…
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psnet.ahrq.gov/issue/perspectives-quality-designing-who-surgical-safety-checklist
September 20, 2011 - Commentary
Perspectives in quality: designing the WHO Surgical Safety Checklist.
Citation Text:
Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039.
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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/patients-and-health-care-professionals-attitudes-towards-pink-patient-safety-video
December 16, 2013 - Study
Patients' and health care professionals' attitudes towards the PINK patient safety video.
Citation Text:
Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.111…
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psnet.ahrq.gov/issue/clinical-care-checklists-salvations-or-frustrations
September 01, 2018 - Commentary
Clinical care checklists: salvations or frustrations?
Citation Text:
Jones JW, McCullough LB. Clinical care checklists: salvations or frustrations? J Vasc Surg. 2011;53(5):1429-30. doi:10.1016/j.jvs.2011.02.024.
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