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psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
June 17, 2015 - Commentary
Simulation for ward processes of surgical care.
Citation Text:
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
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psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
March 28, 2011 - Review
Patient safety: latent risk factors.
Citation Text:
van Beuzekom M, Boer F, Akerboom S, et al. Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135.
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - Commentary
Like night and day — shedding light on off-hours care.
Citation Text:
Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144.
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psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
January 05, 2011 - Commentary
Instrument readiness: an important link to patient safety.
Citation Text:
McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027.
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psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
January 21, 2011 - Commentary
Organization and representation of patient safety data: current status and issues around generalizability and scalability.
Citation Text:
Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…
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psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
April 26, 2023 - Newspaper/Magazine Article
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors.
Citation Text:
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022.
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psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
September 23, 2020 - Commentary
Medication handling: towards a practical, human-centred approach.
Citation Text:
Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482.
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psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces
May 01, 2015 - Commentary
Emergent CSCW systems: the resolution and bandwidth of workplaces.
Citation Text:
Xiao Y, Seagull J. Emergent CSCW systems: the resolution and bandwidth of workplaces. Int J Med Inform. 2007;76 Suppl 1:S261-6.
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - Commentary
Rapid response systems: should we still question their implementation?
Citation Text:
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
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psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
September 25, 2013 - Commentary
Error reduction through team leadership: applying aviation's CRM model in the OR.
Citation Text:
Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5.
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psnet.ahrq.gov/issue/delivering-quality-health-services-global-imperative-universal-health-coverage
July 20, 2011 - Book/Report
Classic
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.
Citation Text:
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. Geneva, Switzerland: World Health Organization; July …
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psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
May 13, 2020 - Newspaper/Magazine Article
Toward the eradication of medical diagnostic errors.
Citation Text:
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602.
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psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
July 19, 2023 - Commentary
Decreasing patient misidentification before chemotherapy administration.
Citation Text:
Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717.
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psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
July 22, 2020 - Commentary
Recurrent wrong-route drug error – a professional shame.
Citation Text:
Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5.
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - Book/Report
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety.
Citation Text:
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
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psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
April 21, 2010 - Commentary
Using standardised patients in an objective structured clinical examination as a patient safety tool.
Citation Text:
Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - Commentary
Implementation of the SBAR communication technique in a tertiary center.
Citation Text:
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
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psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
April 22, 2016 - Book/Report
Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health.
Citation Text:
Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310.
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - Book/Report
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level.
Citation Text:
The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…