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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
March 01, 2017 - Study
Handing over patient care: is it just the old broken telephone game?
Citation Text:
Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011.
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www.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire
MAY
31
2022
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
R. Valdez, Ph.D., M.H.S.A.
Health services researchers have AcademyHealth’s Annu…
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psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies
February 20, 2013 - Study
Exploring the causes of adverse events in hospitals and potential prevention strategies.
Citation Text:
Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
February 15, 2011 - Commentary
The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.
Citation Text:
Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …
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psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
March 01, 2023 - Commentary
Teaching medical students to recognise and report errors.
Citation Text:
Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558.
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psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.
Citation Text:
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…
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psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-criminal-law
November 13, 2024 - Commentary
Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law.
Citation Text:
Ost S. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. J Med Ethics. 2019;45(3):151-155. doi:10.1136/medethics-2018-105135.
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psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
October 19, 2022 - Review
Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine.
Citation Text:
Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…
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psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
April 05, 2023 - Study
Rapid response teams and continuous quality improvement.
Citation Text:
Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
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psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
November 13, 2024 - Commentary
Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety.
Citation Text:
Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…
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psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
September 08, 2010 - Study
Injury and death associated with incidents reported to the Patient Safety Net.
Citation Text:
Reid M, Estacio R, Albert R. Injury and death associated with incidents reported to the patient safety net. Am J Med Qual. 2009;24(6):520-4. doi:10.1177/1062860609345788.
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psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
January 12, 2022 - Study
Adverse event protocol for interventional pain medicine: the importance of an organized response.
Citation Text:
Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…
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psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
July 22, 2020 - Study
Diagnostic errors: impact of an educational intervention on pediatric primary care.
Citation Text:
Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…
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psnet.ahrq.gov/issue/navigating-complex-terrain-patient-safety-challenges-strategies-and-importance-ongoing
July 01, 2017 - Commentary
Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing.
Citation Text:
Macleod H, Greenfield D. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ong…
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psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
June 22, 2022 - Commentary
HIPAA and patient care: the role for professional judgment.
Citation Text:
Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71.
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psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays
June 22, 2022 - Study
Medical students' experiences with medical errors: an analysis of medical student essays.
Citation Text:
Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. …
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psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
July 10, 2017 - Commentary
Anesthesia medication handling needs a new vision.
Citation Text:
Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521.
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psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
September 09, 2015 - Commentary
The role of technology in clinician-to-clinician communication.
Citation Text:
McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191.
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psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
October 16, 2012 - Study
Learning in action: developing safety improvement capabilities through action learning.
Citation Text:
Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…