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psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
April 01, 2015 - Newspaper/Magazine Article
Making checklists work: South Carolina's statewide experiment.
Citation Text:
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
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psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
October 07, 2020 - Book/Report
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS.
Citation Text:
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology.
Citation Text:
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
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psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
May 24, 2016 - Book/Report
A Randomized Field Study of a Leadership WalkRounds-Based Intervention.
Citation Text:
A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - Commentary
Confronting a colleague who covers up a medical error.
Citation Text:
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274.
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - Book/Report
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.
Citation Text:
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
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psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
August 03, 2009 - Study
Residents' responses to medical error: coping, learning, and change.
Citation Text:
Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93.
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - Commentary
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.
Citation Text:
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/when-errors-occur
March 12, 2011 - Newspaper/Magazine Article
When errors occur.
Citation Text:
Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2.
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psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
March 28, 2011 - Review
Patient safety: latent risk factors.
Citation Text:
van Beuzekom M, Boer F, Akerboom S, et al. Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135.
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psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
January 21, 2011 - Commentary
Organization and representation of patient safety data: current status and issues around generalizability and scalability.
Citation Text:
Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Study
Audibility of patient clinical alarms to hospital nursing personnel.
Citation Text:
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10.
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psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
May 13, 2020 - Newspaper/Magazine Article
Toward the eradication of medical diagnostic errors.
Citation Text:
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602.
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - Commentary
Verbal medication orders in the OR.
Citation Text:
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
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psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups
January 13, 2021 - Book/Report
Classic
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups.
Citation Text:
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. Public Health England. London, UK: Crown Copyright; 2020.
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psnet.ahrq.gov/issue/sleep-science-and-policy-change
September 21, 2022 - Commentary
Sleep, science, and policy change.
Citation Text:
Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
November 03, 2015 - Review
Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist.
Citation Text:
O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - Meeting/Conference Proceedings
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad.
Citation Text:
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
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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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