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psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - Review
Critical incident monitoring in anaesthesia.
Citation Text:
Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6. doi:10.1097/ACO.0b013e3282f33592.
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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - Review
Patient safety in surgery: non-technical aspects of safe surgical performance.
Citation Text:
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - Newspaper/Magazine Article
Preventing medical errors: how to proceed with caution.
Citation Text:
Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64.
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - Commentary
Patient safety answers require outreach, in-reach, and partnerships.
Citation Text:
Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - Newspaper/Magazine Article
South Carolina medication error bill is dangerously off target.
Citation Text:
South Carolina medication error bill is dangerously off target. ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
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psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition
May 06, 2016 - Book/Report
Classic
Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition.
Citation Text:
Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Spath PL, ed. San Francisco, CA: Jo…
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psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
November 04, 2015 - Book/Report
Classic
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition.
Citation Text:
Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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psnet.ahrq.gov/issue/human-factors-healthcare
May 01, 2013 - Special or Theme Issue
Human Factors In Healthcare.
Citation Text:
Human Factors In Healthcare. Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258.
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psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-ed
March 09, 2018 - Book/Report
Classic
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed.
Citation Text:
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 97814…
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
October 03, 2018 - Book/Report
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.
Citation Text:
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care
August 07, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
October 27, 2015 - Book/Report
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews.
Citation Text:
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
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psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
April 24, 2018 - Study
Evaluation of an electronic dosing calculator to reduce pediatric medication errors.
Citation Text:
Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/00…
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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/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - Book/Report
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?
Citation Text:
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington Un…
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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/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
August 16, 2016 - Book/Report
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.
Citation Text:
How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…