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psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
March 05, 2010 - Study
What constitutes a prescribing error in paediatrics?
Citation Text:
Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7.
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psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
July 08, 2020 - Study
Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors.
Citation Text:
Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi
November 08, 2023 - Commentary
Patient safety and quality improvement: an overview of QI.
Citation Text:
Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev. 2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353.
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psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors
July 19, 2023 - Study
On-site pharmacists in the ED improve medical errors.
Citation Text:
Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002.
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psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
January 13, 2010 - Study
Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
Citation Text:
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …
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psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
May 18, 2022 - Commentary
Reducing pediatric medication errors: children are especially at risk for medication errors.
Citation Text:
Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim.
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psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
May 13, 2020 - Commentary
Emerging Classic
The risks to patient safety from health system expansions.
Citation Text:
Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074.
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
January 11, 2023 - Commentary
Development and evaluation of a required patient safety course.
Citation Text:
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course. Am J Pharm Educ. 2008;72(3):65.
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psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
August 30, 2023 - Review
Wireless technologies and patient safety in hospitals.
Citation Text:
Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82.
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psnet.ahrq.gov/issue/you-cant-blame-wreck-train
March 03, 2011 - Commentary
You can't blame the wreck on the train.
Citation Text:
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046.
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psnet.ahrq.gov/issue/cost-disruptive-and-unprofessional-behaviors-health-care
August 04, 2021 - Commentary
The cost of disruptive and unprofessional behaviors in health care.
Citation Text:
Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009.
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psnet.ahrq.gov/issue/standardized-admission-order-set-improves-perceived-quality-pediatric-inpatient-care
December 04, 2024 - Study
Standardized admission order set improves perceived quality of pediatric inpatient care.
Citation Text:
Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403.
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psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Study
Orienting frames and private routines: the role of cultural process in critical care safety.
Citation Text:
Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35.
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - Study
A chemotherapy incident reporting and improvement system.
Citation Text:
France DJ, Miles P, Cartwright J, et al. A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80.
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psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
July 13, 2010 - Study
The incidence and cost of adverse events in Victorian hospitals 2003-04.
Citation Text:
Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5.
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psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
February 04, 2009 - Commentary
Voluntary review of quality of care peer review for patient safety.
Citation Text:
Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64.
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psnet.ahrq.gov/issue/missed-it-0
October 13, 2018 - Image/Poster
Missed it.
Citation Text:
Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5-201303050-00013.
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