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psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
December 23, 2008 - Book/Report
Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement.
Citation Text:
Clinical Uncertainty In Primary Care. Springer New York; 2013. doi:10.1007/978-1-4614-6812-7.
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psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
December 19, 2016 - Newspaper/Magazine Article
Errors originating in hospital and health-system outpatient pharmacies.
Citation Text:
Errors originating in hospital and health-system outpatient pharmacies. Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
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psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - Commentary
Help your patient "get" what you just said: a health literacy guide.
Citation Text:
Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196.
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psnet.ahrq.gov/issue/error-disclosure-pathology-and-laboratory-medicine-review-literature
July 28, 2021 - Review
Error disclosure in pathology and laboratory medicine: a review of the literature.
Citation Text:
Perkins IU. Error Disclosure in Pathology and Laboratory Medicine: A Review of the Literature. AMA J Ethics. 2016;18(8):809-16. doi:10.1001/journalofethics.2016.18.8.nlit1-1608.
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psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - Special or Theme Issue
Cultivate discussions in a psychologically safe workplace: part 1 and part II.
Citation Text:
Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…
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psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
April 19, 2017 - Commentary
Obstacles to research on the effects of interruptions in healthcare.
Citation Text:
Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083.
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psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
April 20, 2022 - Newspaper/Magazine Article
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.
Citation Text:
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…
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psnet.ahrq.gov/issue/economic-analysis-medical-malpractice-liability-and-its-reform
January 31, 2018 - Book/Report
Economic Analysis of Medical Malpractice Liability and Its Reform.
Citation Text:
Economic Analysis of Medical Malpractice Liability and Its Reform. Arlen J. New York, NY: New York University School of Law; May 9, 2013. Public Law Research Paper No. 13-25.
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psnet.ahrq.gov/issue/ethical-issues-patient-safety
November 02, 2014 - Commentary
Ethical issues in patient safety.
Citation Text:
Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501.
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psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
July 09, 2012 - Book/Report
Silence Kills: The Seven Crucial Conversations for Healthcare.
Citation Text:
Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Study
Pediatric safety incidents from an intensive care reporting system.
Citation Text:
Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
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psnet.ahrq.gov/issue/what-patient-really-taking-discrepancies-between-surgery-and-anesthesiology-preoperative
August 04, 2021 - Study
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.
Citation Text:
Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…
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www.ahrq.gov/news/newsroom/case-studies/201510.html
May 01, 2015 - Loyola University Health Sciences Division Employs TeamSTEPPS® in Curricula
Search All Impact Case Studies
May 2015
Loyola University Chicago now requires that all students in its schools of medicine and nursing—about 300 annually—be introduced to AHRQ's TeamSTEPPS® patient safety training program.
At t…
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psnet.ahrq.gov/issue/relenza-zanamivir-inhalation-powder
March 12, 2010 - Press Release/Announcement
Relenza (zanamivir) inhalation powder.
Citation Text:
Relenza (zanamivir) inhalation powder. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.
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psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
April 08, 2020 - Press Release/Announcement
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens.
Citation Text:
Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …
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psnet.ahrq.gov/issue/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors
September 11, 2024 - Study
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Citation Text:
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
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psnet.ahrq.gov/issue/patient-safety-lessons-learned
October 18, 2017 - Commentary
Patient safety: lessons learned.
Citation Text:
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
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psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
May 31, 2017 - Commentary
A mediation skills model to manage disclosure of errors and adverse events to patients.
Citation Text:
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
October 11, 2023 - Review
The effect of nurse staffing patterns on medical errors and nurse burnout.
Citation Text:
Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022.
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psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
December 23, 2020 - Newspaper/Magazine Article
Ferrari's Formula One handovers and handovers from surgery to intensive care.
Citation Text:
Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality.
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