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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/abandon-term-second-victim
October 09, 2024 - Commentary
Emerging Classic
Abandon the term "second victim."
Citation Text:
Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233.
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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/i-thought-daniel-was-safe-nhs-he-wasnt
March 24, 2021 - Newspaper/Magazine Article
I thought Daniel was safe with the NHS. He wasn't.
Citation Text:
I thought Daniel was safe with the NHS. He wasn't. Calvert J, Arbuthnott G. The Sunday Times (UK). March 1, 2020.
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psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
November 16, 2022 - Newspaper/Magazine Article
Reporting adverse events to patients: a step-by-step approach.
Citation Text:
Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9.
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psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - Meeting/Conference Proceedings
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
Citation Text:
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed. Proceedings of the 4th International Workshop…
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psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
March 01, 2023 - Review
Cognitive biases associated with medical decisions: a systematic review.
Citation Text:
Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138.
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Book/Report
Classic
The Checklist Manifesto: How to Get Things Right.
Citation Text:
The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach.
Citation Text:
Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32.
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psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
March 23, 2011 - Study
Incidents during out-of-hospital patient transportation.
Citation Text:
Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236.
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates
September 04, 2016 - Newspaper/Magazine Article
In treating sepsis, questions about timing and mandates.
Citation Text:
Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997.
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psnet.ahrq.gov/issue/adverse-events-associated-sedatives-analgesics-and-other-drugs-provide-patient-comfort
March 11, 2011 - Review
Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.
Citation Text:
Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensiv…
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psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
November 16, 2022 - Study
Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping.
Citation Text:
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
October 06, 2021 - Commentary
Level IV evidence—adverse anecdote and clinical practice.
Citation Text:
Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632.
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psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die-waiting
August 05, 2020 - Newspaper/Magazine Article
L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting.
Citation Text:
L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. Dolan J, Mejia B. Los Angeles Times. September 30, 2020.
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - Audiovisual
More hospitals move to confront medical errors head on.
Citation Text:
More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023.
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psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
December 19, 2012 - Commentary
Perioperative pharmacology: a framework for perioperative medication safety.
Citation Text:
Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020.
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Newspaper/Magazine Article
Start the year off right by preventing these top 10 medication errors and hazards from 2020.
Citation Text:
Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…