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psnet.ahrq.gov/issue/culture-safety-ems-systems-0
February 18, 2011 - Organizational Policy/Guidelines
A culture of safety in EMS systems.
Citation Text:
A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57.
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - Study
System weaknesses as contributing causes of accidents in health care.
Citation Text:
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13.
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psnet.ahrq.gov/issue/it-left-eye-right
September 06, 2023 - Study
"It is the left eye, right?"
Citation Text:
Pikkel D, Sharabi-Nov A, Pikkel J. "It is the left eye, right?". Risk Manag Healthc Policy. 2014;7:77-80. doi:10.2147/RMHP.S60728.
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psnet.ahrq.gov/issue/duplication-surgical-site-marking
November 18, 2016 - Commentary
Duplication of surgical site marking.
Citation Text:
Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01.
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - Commentary
Patient safety and leadership: do you walk the walk?
Citation Text:
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005.
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psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
April 22, 2011 - Commentary
Promoting patient safety with perioperative hand-off communication.
Citation Text:
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
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psnet.ahrq.gov/issue/assessment-healthcare-professionals-knowledge-managing-emergency-complications-patients
March 14, 2018 - Slideset
Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.
Citation Text:
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a …
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psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction
October 13, 2021 - Newspaper/Magazine Article
What's changed 1 year after RaDonda Vaught's conviction?
Citation Text:
What's changed 1 year after RaDonda Vaught's conviction? Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023.
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psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder
May 13, 2020 - Study
Diagnostic experiences of children with attention-deficit/hyperactivity disorder.
Citation Text:
Diagnostic experiences of children with attention-deficit/hyperactivity disorder. Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8.
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
January 14, 2015 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
September 23, 2020 - Commentary
The WakeWings journey: creating a patient safety program.
Citation Text:
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004.
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psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
August 22, 2012 - Commentary
Bullying: a hidden threat to patient safety.
Citation Text:
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Review
Critical incident reporting system in emergency medicine.
Citation Text:
Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82.
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psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
February 04, 2015 - Commentary
Using morbidity and mortality conferences to drive quality improvement and reduce errors.
Citation Text:
Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
January 08, 2016 - Study
Patient safety in anatomic pathology: measuring discrepancy frequencies and causes.
Citation Text:
Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Rather, the organization must view reporting as a process, starting with
establishing a nonpunitive … Advances in Patient Safety: Vol. 3
420
Facilities that succeeded in establishing a clear and precise
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - report is intended to help
guide public policy and provide guidance to other states interested in establishing … RCA teams identified a lack of
evidence-based information as a barrier to establishing protocols for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - five-ranked topics were designing jobs for safety,
methods for making safety a systemwide objective, establishing … The bottom five topics were methods of disclosure to patients, family, and/or
media; establishing and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - The
results provided information useful for establishing a corporate baseline and
identifying specific … This initiative
supported the AMEDD’s comprehensive strategy for establishing an environment
that encourages