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psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
December 18, 2013 - Review
The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.
Citation Text:
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…
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psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
July 14, 2010 - Study
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications.
Citation Text:
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - Book/Report
Systems Analysis of Critical Incidents: the London Protocol.
Citation Text:
Systems Analysis of Critical Incidents: the London Protocol. Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024.
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psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
April 30, 2014 - Commentary
Obstetric practice guidelines: labor's love lost?
Citation Text:
Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474.
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psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine
June 28, 2017 - Commentary
Predicting the future—big data, machine learning, and clinical medicine.
Citation Text:
Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181.
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psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
September 14, 2022 - Commentary
The development of the National Reporting and Learning System in England and Wales, 2001-2005.
Citation Text:
Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…
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psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
October 05, 2022 - Study
From blaming to learning: re-framing organisational learning from adverse incidents.
Citation Text:
Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295.
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psnet.ahrq.gov/issue/mask-shortage-straps-pharmacists-who-need-them-keep-medicines-pure
August 02, 2023 - Newspaper/Magazine Article
Mask shortage straps pharmacists who need them to keep medicines pure.
Citation Text:
Mask shortage straps pharmacists who need them to keep medicines pure. Jewett C, Lupkin S. Health Shots. National Public Radio. March 20, 2020.
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psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
February 23, 2015 - Review
Intrathecal chemotherapy: potential for medication error.
Citation Text:
Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108.
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'.
Citation Text:
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
December 16, 2015 - Commentary
Safety-I, Safety-II and resilience engineering.
Citation Text:
Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001.
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psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
July 24, 2013 - Book/Report
Classic
Patient Safety and the "Just Culture": A Primer for Health Care Executives.
Citation Text:
Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY: Trustees of Columbia University; 2001.
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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psnet.ahrq.gov/issue/achieving-meaningful-use-health-information-technology-guide-physicians-ehr-incentive
June 09, 2021 - Commentary
Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs.
Citation Text:
Seidman J. Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs. Arch Intern Med. 2012;172…
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psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
October 04, 2011 - Commentary
A statewide voluntary patient safety initiative: the Georgia experience.
Citation Text:
Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72.
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psnet.ahrq.gov/issue/why-nation-needs-policy-push-patient-centered-health-care
November 11, 2020 - Commentary
Why the nation needs a policy push on patient-centered health care.
Citation Text:
Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888.
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psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
February 15, 2017 - Commentary
Using an automated risk assessment report to identify patients at risk for clinical deterioration.
Citation Text:
Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
October 12, 2011 - Study
Beyond communication: the role of standardized protocols in a changing health care environment.
Citation Text:
Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment. Health Care Manage Rev. 2012;37…
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psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
May 30, 2019 - Book/Report
Classic
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition.
Citation Text:
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…
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psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
May 09, 2018 - Book/Report
Classic
The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals.
Citation Text:
The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. Robins NS…