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psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
July 19, 2023 - Newspaper/Magazine Article
Wide heart monitor use tied to missed alarms.
Citation Text:
Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…
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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - Newspaper/Magazine Article
Speaking up about patient safety requires an observant questioner and a high index of suspicion.
Citation Text:
Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
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psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
March 29, 2023 - Newspaper/Magazine Article
Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them.
Citation Text:
Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - Book/Report
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.
Citation Text:
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…
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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - Newspaper/Magazine Article
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say.
Citation Text:
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…
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psnet.ahrq.gov/issue/patient-safety-nursing-practice
November 24, 2021 - Commentary
Patient safety in nursing practice.
Citation Text:
Clancy CM, Farquhar MB, Sharp BAC. Patient safety in nursing practice. J Nurs Care Qual. 2005;20(3):193-197.
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psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
September 12, 2016 - Commentary
Promoting civility in the OR: an ethical imperative.
Citation Text:
Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019.
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psnet.ahrq.gov/issue/perinatal-patient-safety-and-quality
January 19, 2022 - Commentary
Perinatal patient safety and quality.
Citation Text:
Simpson KR. Perinatal patient safety and quality. J Perinat Neonatal Nurs. 2011;25(2):103-107. doi:10.1097/JPN.0b013e318215b9e5.
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psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
March 14, 2023 - Newspaper/Magazine Article
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes.
Citation Text:
Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …
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psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
December 12, 2012 - Commentary
Improving care transitions: current practice and future opportunities for pharmacists.
Citation Text:
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…
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psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
July 13, 2010 - Study
Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.
Citation Text:
Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…
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psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
April 27, 2022 - Newspaper/Magazine Article
Nurses: Guilty verdict for dosing mistake could cost lives.
Citation Text:
Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022.
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psnet.ahrq.gov/issue/assessing-residents-communication-skills-disclosure-adverse-event-standardized-patient
December 21, 2016 - Study
Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.
Citation Text:
Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-26…
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psnet.ahrq.gov/issue/ignored-threatened-berated-after-difficult-childbirth-experiences-new-parents-seek-healing
December 04, 2019 - Newspaper/Magazine Article
Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up.
Citation Text:
Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up. Preseton E. STAT. Novemb…
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psnet.ahrq.gov/issue/endometriosis-affects-1-out-10-women-me-yet-it-often-takes-decade-get-diagnosed
May 05, 2021 - Newspaper/Magazine Article
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed.
Citation Text:
Endometriosis affects 1 out of 10 women like me. Yet it often takes a decade to get diagnosed. Peikoff L. NBC News. March 31, 2021.
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psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
January 24, 2024 - Review
Effective discharge communication in the emergency department.
Citation Text:
Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023.
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psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
June 15, 2022 - Newspaper/Magazine Article
Education is “predictably disappointing” and should never be relied upon alone to improve safety.
Citation Text:
Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/medical-errors-where-are-we-now
September 30, 2020 - Commentary
Medical errors: where are we now?
Citation Text:
Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50-54.
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psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine
March 13, 2024 - Commentary
Classic
Framing the challenges of artificial intelligence in medicine.
Citation Text:
Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551.
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psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas
September 02, 2015 - Book/Report
Maternal Health of Women and Girls of African Descent in the Americas.
Citation Text:
Maternal Health of Women and Girls of African Descent in the Americas. New York, NY: United Nations Population Fund; July 2023.
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