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psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
October 27, 2010 - Newspaper/Magazine Article
Following the patient journey to improve medicines management and reduce errors.
Citation Text:
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5.
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psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
December 12, 2012 - Commentary
Unreported errors in the intensive care unit: a case study of the way we work.
Citation Text:
Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - Commentary
Crew resource management: applications in healthcare organizations.
Citation Text:
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406.
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psnet.ahrq.gov/issue/operating-room-briefings
January 02, 2017 - Commentary
Operating room briefings.
Citation Text:
Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357.
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psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
January 29, 2019 - Book/Report
Engaging Patients for Patient Safety: Advocacy Brief.
Citation Text:
Engaging Patients for Patient Safety: Advocacy Brief. WHO Patient Safety Flagship. Geneva; World Health Organization; December 2023. ISBN: 9789240081987.
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/long-road-ensuring-patient-safety-nhs-hospitals
November 04, 2015 - Commentary
The long road to ensuring patient safety in NHS hospitals.
Citation Text:
Dyer C. The long road to ensuring patient safety in NHS hospitals. BMJ. 2013;346:f3029. doi:10.1136/bmj.f3029.
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psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
July 19, 2017 - Book/Report
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being.
Citation Text:
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: N…
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - Book/Report
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.
Citation Text:
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…
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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - Newspaper/Magazine Article
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say.
Citation Text:
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety.
Citation Text:
WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
Citation Text:
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
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psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
July 19, 2023 - Newspaper/Magazine Article
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care.
Citation Text:
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …
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psnet.ahrq.gov/issue/skilful-anticipation-maternity-nurses-perspectives-maintaining-safety
February 15, 2023 - Study
Skilful anticipation: maternity nurses' perspectives on maintaining safety.
Citation Text:
Lyndon A. Skillful anticipation: maternity nurses' perspectives on maintaining safety. Qual Saf Health Care. 2010;19(5):e8. doi:10.1136/qshc.2007.024547.
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psnet.ahrq.gov/issue/wise-event
October 09, 2024 - Commentary
Wise before the event.
Citation Text:
Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.
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psnet.ahrq.gov/issue/attitudes-teamwork-and-safety-operating-theatre
December 22, 2010 - Study
Attitudes to teamwork and safety in the operating theatre.
Citation Text:
Flin R, Yule S, McKenzie L, et al. Attitudes to teamwork and safety in the operating theatre. Surgeon. 2006;4(3):145-51.
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psnet.ahrq.gov/issue/prescribing-safely-children
September 03, 2014 - Review
Prescribing safely for children.
Citation Text:
Sinha Y, Cranswick NE. Prescribing safely for children. J Paediatr Child Health. 2007;43(3):112-6.
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-medical-schools
March 23, 2011 - Commentary
The WHO patient safety curriculum guide for medical schools.
Citation Text:
Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care. 2010;19(6):542-6. doi:10.1136/qshc.2009.036970.
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - details around the communication in the case described are unknown, below is a suggested list of
communications … Improving transitions of care: hand-off communications.