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psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
May 11, 2019 - Commentary
Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing.
Citation Text:
Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
June 21, 2023 - Book/Report
Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals.
Citation Text:
Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024.
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - Press Release/Announcement
2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality
June 17, 2020 - Commentary
Racial disparities in maternal mortality.
Citation Text:
KM B. Racial disparities in maternal mortality. New York Univ Law Rev. 2020;95(5):1229-1318.
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psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
July 22, 2019 - Book/Report
From Safety-I to Safety-II: A White Paper.
Citation Text:
From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015.
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - many overlaps in the risk factors for low personal and digital health literacy, including age, race/ethnicity
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psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review
February 15, 2023 - Review
Structural racism and adverse maternal health outcomes: a systematic review.
Citation Text:
Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923.
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psnet.ahrq.gov/issue/striving-diagnostic-excellence
January 09, 2018 - Audiovisual Presentation
Striving for diagnostic excellence.
Citation Text:
Striving for diagnostic excellence. Centor RM, Dhaliwal G. Annals On Call. July 2023.
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psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
August 02, 2016 - Book/Report
Sway: Unravelling Unconscious Bias
Citation Text:
Sway: Unravelling Unconscious Bias Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.
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psnet.ahrq.gov/issue/ismp-medication-safety-alert-communityambulatory-care-edition
April 24, 2018 - Newsletter/Journal
ISMP Medication Safety Alert. Community/Ambulatory Care Edition.
Citation Text:
ISMP Medication Safety Alert. Community/Ambulatory Care Edition. Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6290.
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psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
July 18, 2018 - Book/Report
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report.
Citation Text:
Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016.
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psnet.ahrq.gov/issue/leapfrog-group
January 20, 2016 - Multi-use Website
The Leapfrog Group.
Citation Text:
The Leapfrog Group. 1775 K St NW, Suite 400, Washington DC 20006. 202-292-6713, info@leapfrog-group.org.
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psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
March 27, 2005 - Book/Report
Classic
Forgive and Remember: Managing Medical Failure. 2nd ed.
Citation Text:
Forgive and Remember: Managing Medical Failure. 2nd ed. Bosk CL.Chicago, IL: University of Chicago Press; 2003. ISBN: 9780226066783.
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psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting
November 23, 2016 - Book/Report
Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting.
Citation Text:
Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. Johnson CW. Glasgow, Scotland: University of Glasgow Press; 2003. ISBN 0852617844.
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psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
August 21, 2024 - Organizational Policy/Guidelines
Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.
Citation Text:
Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - Commentary
Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety.
Citation Text:
Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
August 09, 2023 - Commentary
An appeal for evidence-based resident duty hours reform.
Citation Text:
Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469.
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psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
September 13, 2023 - Study
Clinical features and preventability of delayed diagnosis of pediatric appendicitis.
Citation Text:
Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…