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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
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psnet.ahrq.gov/issue/under-mined
October 27, 2010 - Newspaper/Magazine Article
Under-mined.
Citation Text:
Greene J. Under-mined. Hospitals & health networks. 2006;80(12):38-40, 42, 44, 1.
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psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
June 22, 2016 - Commentary
Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'
Citation Text:
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…
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psnet.ahrq.gov/issue/aging-surgeon
February 22, 2019 - Review
The aging surgeon.
Citation Text:
Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008.
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psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - Newspaper/Magazine Article
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good.
Citation Text:
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020.
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
August 04, 2021 - Study
Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.
Citation Text:
Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…
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psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
December 07, 2009 - Study
Patient handoffs: is cross cover or night shift better?
Citation Text:
Higgins A, Brannen ML, Heiman HL, et al. Patient Handoffs: Is Cross Cover or Night Shift Better? J Patient Saf. 2017;13(2):88-92. doi:10.1097/PTS.0000000000000126.
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psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study
December 16, 2009 - Study
Why do interns make prescribing errors? A qualitative study.
Citation Text:
Coombes ID, Stowasser DA, Coombes JA, et al. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008;188(2):89-94.
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psnet.ahrq.gov/issue/implementing-patient-safety-initiatives-rural-hospitals
September 27, 2010 - Commentary
Implementing patient safety initiatives in rural hospitals.
Citation Text:
Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x.
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psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
May 22, 2015 - Commentary
Creating an oversight infrastructure for electronic health record–related patient safety hazards.
Citation Text:
Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …
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psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination
March 14, 2018 - Book/Report
Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies.
Citation Text:
Effective Board Governance of Safe Care: A …
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psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
September 21, 2009 - Commentary
Bringing the equity lens to patient safety event reporting.
Citation Text:
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
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psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
March 30, 2016 - Commentary
Classic
No shortcuts to safer opioid prescribing.
Citation Text:
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-perils-and-experience
June 25, 2018 - Review
Computerized physician order entry: promise, perils, and experience.
Citation Text:
Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701.
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psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
May 18, 2022 - Book/Report
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres.
Citation Text:
Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World H…
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psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
November 13, 2024 - Commentary
Should patients get direct access to their laboratory test results?: An answer with many questions.
Citation Text:
Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.10…
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psnet.ahrq.gov/issue/medical-errors-disclosure-styles-interpersonal-forgiveness-and-outcomes
June 14, 2017 - Study
Medical errors: disclosure styles, interpersonal forgiveness, and outcomes.
Citation Text:
Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026.
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psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications
April 03, 2024 - Review
Impact of electronic health record systems on information integrity: quality and safety implications.
Citation Text:
Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c.
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psnet.ahrq.gov/issue/use-briefings-and-debriefings-tool-improving-team-work-efficiency-and-communication-operating
September 07, 2011 - Study
Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.
Citation Text:
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…
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psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
May 04, 2014 - Commentary
The Israel Center for Medical Simulation: a paradigm for cultural change in medical education.
Citation Text:
Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7.
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