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psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
March 14, 2022 - Commentary
Building a culture of safety in ophthalmology.
Citation Text:
Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019.
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psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future
June 22, 2009 - Commentary
Auto identification technology and its impact on patient safety in the operating room of the future.
Citation Text:
Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the Operating Room of the Future. Surg Innov. 2007;14(1):41-50; discus…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
September 25, 2019 - Study
Incidence of adverse drug events and medication errors in Japan: the JADE Study.
Citation Text:
Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pd…
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psnet.ahrq.gov/issue/hret-patient-safety-leadership-fellowship-role-community-patient-safety
July 14, 2010 - Commentary
HRET Patient Safety Leadership Fellowship: The role of "community" in patient safety.
Citation Text:
Leonhardt KK. HRET Patient Safety Leadership Fellowship. Am J Med Qual. 2010;25(3):192-196. doi:10.1177/1062860609357469.
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psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - Commentary
A call for a systems-thinking approach to medication adherence: stop blaming the patient.
Citation Text:
Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/j…
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psnet.ahrq.gov/issue/medication-errors-routines-and-differences-between-perioperative-and-non-perioperative-nurses
June 27, 2018 - Study
Medication errors, routines, and differences between perioperative and non-perioperative nurses.
Citation Text:
Treiber LA, Jones JH. Medication errors, routines, and differences between perioperative and non-perioperative nurses. AORN J. 2012;96(3):285-94. doi:10.1016/j.aorn.201…
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psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
November 11, 2020 - Book/Report
Evidence Brief: Implementation of High Reliability Organization Principles.
Citation Text:
Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019.
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psnet.ahrq.gov/issue/diseases-medical-progress
June 27, 2018 - Review
Classic
Diseases of medical progress.
Citation Text:
MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14.
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psnet.ahrq.gov/issue/teaching-teamwork-during-neonatal-resuscitation-program-randomized-trial
April 08, 2011 - Study
Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.
Citation Text:
Thomas EJ, Taggart B, Crandell S, et al. Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. Journal of Perinatology. 2007;27(7). doi:10.1038/sj.jp.7211771…
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psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
April 30, 2014 - Commentary
Obstetric practice guidelines: labor's love lost?
Citation Text:
Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474.
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psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
September 11, 2019 - Commentary
Ethical duty of health care systems to address interfacility medical error discovery.
Citation Text:
Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-hope-hype-promise-peril
October 12, 2022 - Book/Report
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril.
Citation Text:
Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. Matheny M, Israni ST, Ahmed M, et al, eds. Washington, DC: National Academy of Medicine. 2022…
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psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
July 14, 2010 - Study
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications.
Citation Text:
Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …
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psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
April 27, 2022 - Review
Support methods for healthcare professionals who are second victims: an integrative review.
Citation Text:
Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Commentary
Emerging Classic
Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience.
Citation Text:
Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…
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psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
July 05, 2016 - Book/Report
Classic
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Citation Text:
Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Healt…
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psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
November 24, 2021 - Book/Report
Vital Signs: Core Metrics for Health and Health Care Progress.
Citation Text:
Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…
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psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
April 05, 2013 - Study
A coaching program to improve employee engagement, culture of safety, and patient experience.
Citation Text:
Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…
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psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
March 27, 2024 - Commentary
Psychology insights on apologizing to patients.
Citation Text:
Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585.
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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