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psnet.ahrq.gov/issue/facing-our-mistakes
September 23, 2020 - Commentary
Classic
Facing our mistakes.
Citation Text:
Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22.
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - Study
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products
Citation Text:
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
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psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
July 27, 2011 - Book/Report
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety.
Citation Text:
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
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psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
February 21, 2018 - Commentary
Achieving zero inequity: lessons learned from patient safety.
Citation Text:
Achieving zero inequity: lessons learned from patient safety. Gandhi TK. NEJM Catalyst. May 27, 2021.
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psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
March 27, 2005 - Book/Report
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Forgive and Remember: Managing Medical Failure. 2nd ed.
Citation Text:
Forgive and Remember: Managing Medical Failure. 2nd ed. Bosk CL.Chicago, IL: University of Chicago Press; 2003. ISBN: 9780226066783.
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care
October 23, 2024 - Study
Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care.
Citation Text:
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2…
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psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
September 12, 2018 - Audiovisual Presentation
Unequal Treatment Revisited: A Workshop Series.
Citation Text:
Unequal Treatment Revisited: A Workshop Series. Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and Medicine; 2023-2024.
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psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic-excellence
January 10, 2024 - Study
Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency and urgent care settings.
Citation Text:
Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported measure of diagnostic excellen…
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psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
November 18, 2020 - Book/Report
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report.
Citation Text:
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…
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psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
November 02, 2022 - Commentary
Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens.
Citation Text:
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures with an equity lens. Int…
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psnet.ahrq.gov/issue/emergency-department-volume-and-delayed-diagnosis-serious-pediatric-conditions
September 13, 2023 - Study
Emergency department volume and delayed diagnosis of serious pediatric conditions.
Citation Text:
Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatric…
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psnet.ahrq.gov/issue/compliance-central-line-maintenance-bundle-and-infection-rates
August 16, 2023 - Study
Compliance with central line maintenance bundle and infection rates.
Citation Text:
Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688.
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psnet.ahrq.gov/issue/outcomes-missed-diagnosis-pediatric-appendicitis-new-onset-diabetic-ketoacidosis-and-sepsis
September 29, 2021 - Study
Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals.
Citation Text:
Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, an…
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - Commentary
Advancing the next generation of handover research and practice with cognitive load theory.
Citation Text:
Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.11…
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psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
August 10, 2022 - Study
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Race, postoperative complications, and death in apparently healthy children.
Citation Text:
Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…
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psnet.ahrq.gov/issue/perception-patient-safety-culture-pediatric-long-term-care-settings
May 10, 2023 - Study
Perception of patient safety culture in pediatric long-term care settings.
Citation Text:
Hessels AJ, Murray MT, Cohen B, et al. Perception of Patient Safety Culture in Pediatric Long-Term Care Settings. J Healthc Qual. 2018;40(6):384-391. doi:10.1097/JHQ.0000000000000134.
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psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
November 16, 2022 - Commentary
Clinical perspective: creating an effective practice peer review process—a primer.
Citation Text:
Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - Commentary
Methods to increase reliability in quality improvement projects.
Citation Text:
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
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psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
February 08, 2023 - Review
Classic
The girl who cried pain: a bias against women in the treatment of pain.
Citation Text:
Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.200…