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psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - Study
How experiencing preventable medical problems changed patients' interactions with primary health care.
Citation Text:
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms
January 31, 2011 - Commentary
Citing harms, momentum grows to remove race from clinical algorithms.
Citation Text:
Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530.
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psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
July 31, 2013 - Study
Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Citation Text:
Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …
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psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
January 10, 2011 - Commentary
Environmental changes increase hospital safety for dementia patients.
Citation Text:
Goodall D. Environmental changes increase hospital safety for dementia patients. Holist Nurs Pract. 2006;20(2):80-84.
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psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
August 01, 2018 - Commentary
Changing smart pump vendors: lessons learned.
Citation Text:
Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
May 23, 2018 - Review
Reducing diagnostic errors worldwide through diagnostic management teams.
Citation Text:
Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121.
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psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe
November 18, 2013 - Study
Patients' perspectives of surgical safety: do they feel safe?
Citation Text:
Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel Safe? The Ochsner J. 2015;15(2):143-148.
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psnet.ahrq.gov/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - Study
Teamwork and error in the operating room: analysis of skills and roles.
Citation Text:
Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247(4):699-706. doi:10.1097/SLA.0b013e3181642ec8.
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psnet.ahrq.gov/issue/patient-safety-science-cardiothoracic-surgery-overview
October 03, 2017 - Commentary
Patient safety science in cardiothoracic surgery: an overview.
Citation Text:
Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034.
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Review
Pay-for-performance and patient safety in acute care: a systematic review.
Citation Text:
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
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psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
April 10, 2024 - Review
The relationship between nurse education level and patient safety: an integrative review.
Citation Text:
Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56.
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psnet.ahrq.gov/issue/2008-john-m-eisenberg-patient-safety-and-quality-awards
March 28, 2018 - Award Recipient
2008 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2008 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2008;34(12):691-712.
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psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
September 04, 2024 - Commentary
"Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error.
Citation Text:
Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…
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psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
February 23, 2022 - Commentary
Reducing administrative harm in medicine - clinicians and administrators together.
Citation Text:
O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174.
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psnet.ahrq.gov/issue/factors-compromising-safety-surgery-stressful-events-operating-room
April 08, 2009 - Study
Factors compromising safety in surgery: stressful events in the operating room.
Citation Text:
Arora S, Hull L, Sevdalis N, et al. Factors compromising safety in surgery: stressful events in the operating room. Am J Surg. 2010;199(1):60-5. doi:10.1016/j.amjsurg.2009.07.036.
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psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting
December 21, 2022 - Study
Barriers to incident notification in a regional prehospital setting.
Citation Text:
Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738.
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psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
November 20, 2024 - Review
A systematic review of the literature on multidisciplinary rounds to design information technology.
Citation Text:
Gurses AP, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information technology. J Am Med Inform Assoc. 2006;13(3):267-76.
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psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
June 08, 2022 - Newspaper/Magazine Article
Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives.
Citation Text:
Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affair…
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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…