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psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
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psnet.ahrq.gov/node/38301/psn-pdf
February 15, 2011 - Defining the incidence of cardiorespiratory instability in
patients in step-down units using an electronic integrated
monitoring system.
February 15, 2011
Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in
step-down units using an electronic integrated mon…
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psnet.ahrq.gov/node/45520/psn-pdf
October 05, 2016 - Defining excellence: next steps for practicing clinicians
seeking to prevent diagnostic error.
October 5, 2016
Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic
error. J Community Hosp Intern Med Perspect. 2016;6(4):31994. doi:10.3402/jchimp.v6.31994.
http…
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psnet.ahrq.gov/node/74157/psn-pdf
December 08, 2021 - An international perspective on definitions and
terminology used to describe serious reportable patient
safety incidents: a systematic review.
December 8, 2021
Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to
describe serious reportable patient safety inci…
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psnet.ahrq.gov/node/39621/psn-pdf
June 23, 2010 - Defining near misses: towards a sharpened definition
based on empirical data about error handling processes.
June 23, 2010
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened
definition based on empirical data about error handling processes. Soc Sci Med. 2010;70(9):130…
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Case Objectives Define what it means to be a professional. … In the present case, Reason's algorithm may define the error as blameless if the involved clinician acted
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psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
September 30, 2012 - Review
Defining a high-quality and effective morbidity and mortality conference: a systematic review.
Citation Text:
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
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psnet.ahrq.gov/node/47403/psn-pdf
November 07, 2018 - Defining minimum necessary anticoagulation-related
communication at discharge: Consensus of the Care
Transitions Task Force of the New York State
Anticoagulation Coalition.
November 7, 2018
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Communication
at Discharge: Consens…
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psnet.ahrq.gov/node/36185/psn-pdf
March 28, 2011 - Defining the technical skills of teamwork in surgery.
March 28, 2011
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care.
2006;15(4):231-4.
https://psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
The authors discuss a strategy for incorporating t…
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psnet.ahrq.gov/node/35799/psn-pdf
March 29, 2006 - The ethics and practical importance of defining,
distinguishing and disclosing nursing errors: a
discussion paper.
March 29, 2006
Johnstone MJ; Kanitsaki O.
https://psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing-
errors
The authors provide a definition of "nur…
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psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - Potentially inappropriate medications defined by STOPP
criteria and the risk of adverse drug events in older
hospitalized patients.
March 23, 2012
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria
and the risk of adverse drug events in older hospitalized patien…
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psnet.ahrq.gov/node/42561/psn-pdf
October 09, 2013 - Defining technical errors in laparoscopic surgery: a
systematic review.
October 9, 2013
Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic
review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5.
https://psnet.ahrq.gov/issue/defining-technical-errors…
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psnet.ahrq.gov/node/41226/psn-pdf
April 22, 2012 - Defining impact of a rapid response team: qualitative
study with nurses, physicians and hospital
administrators.
April 22, 2012
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with
nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…
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psnet.ahrq.gov/node/44711/psn-pdf
September 21, 2016 - The well-defined pediatric ICU: active surveillance using
nonmedical personnel to capture less serious safety
events.
September 21, 2016
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using
Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Two other terms define hazards to patients that do not result in harm: Near miss : an unsafe situation
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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - Commentary
Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening.
Citation Text:
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…
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psnet.ahrq.gov/node/40656/psn-pdf
October 16, 2012 - Defining health information technology–related errors:
new developments since To Err Is Human.
October 16, 2012
Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is
human. Arch Intern Med. 2011;171(14):1281-4. doi:10.1001/archinternmed.2011.327.
https://psnet.…
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psnet.ahrq.gov/node/44340/psn-pdf
October 12, 2015 - Defining attributes of patient safety through a concept
analysis.
October 12, 2015
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis.
J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
https://psnet.ahrq.gov/issue/defining-attributes-patient-safety-thro…
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psnet.ahrq.gov/node/41398/psn-pdf
May 30, 2012 - How should medication errors be defined? Development
and test of a definition.
May 30, 2012
Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a
definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.
https://psnet.ahrq.gov/issue/how-sh…