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psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
June 23, 2009 - Commentary
Building social capital in healthcare organizations: thinking ecologically for safer care.
Citation Text:
Hofmeyer A, Marck PB. Building social capital in healthcare organizations: thinking ecologically for safer care. Nurs Outlook. 2008;56(4):145-151.e2. doi:10.1016/j.outlo…
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psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
January 19, 2022 - Organizational Policy/Guidelines
Standardising wristbands improves patient safety.
Citation Text:
Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2.
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety
September 04, 2024 - Commentary
Clinical cognition and biomedical informatics: issues of patient safety.
Citation Text:
Patel VL, Currie L. Clinical cognition and biomedical informatics: Issues of patient safety. Int J Med Inform. 2005;74(11-12). doi:10.1016/j.ijmedinf.2005.07.009.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
April 18, 2011 - Study
Identifying violation-provoking conditions in a healthcare setting.
Citation Text:
Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617.
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
March 14, 2023 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
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psnet.ahrq.gov/issue/taking-bullying-out-health-care-patient-safety-imperative
June 19, 2024 - Commentary
Taking bullying out of health care: a patient safety imperative.
Citation Text:
Ross J. Taking Bullying Out of Health Care: A Patient Safety Imperative. J Perianesth Nurs. 2017;32(6):653-655. doi:10.1016/j.jopan.2017.08.006.
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psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology
July 30, 2014 - Study
Wrong-site sinus surgery in otolaryngology.
Citation Text:
Shah RK, Nussenbaum B, Kienstra M, et al. Wrong-site sinus surgery in otolaryngology. Otolaryngol Head Neck Surg. 2010;143(1):37-41. doi:10.1016/j.otohns.2010.04.003.
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psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
April 01, 2024 - Multi-use Website
The National Healthcare System Action Alliance for Patient and Workforce Safety.
Citation Text:
The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services.
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psnet.ahrq.gov/issue/role-automation-complex-system-failures
June 28, 2013 - Commentary
The role of automation in complex system failures.
Citation Text:
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Compl…
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psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
March 10, 2021 - Commentary
Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective.
Citation Text:
Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333.
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psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - Book/Report
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?
Citation Text:
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington Un…
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Book/Report
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints.
Citation Text:
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…
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psnet.ahrq.gov/issue/optimizing-medication-safety-home
August 24, 2015 - Study
Optimizing medication safety in the home.
Citation Text:
LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246.
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psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
November 10, 2011 - Book/Report
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.
Citation Text:
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Dublin, Ireland: Department of Health & Childre…
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psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
November 02, 2022 - Newspaper/Magazine Article
Survey results from pharmacists provide support to enhance the organizational response to codes.
Citation Text:
Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
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psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
December 13, 2017 - Commentary
An evolving hospital quality star rating system from CMS: aligning the stars.
Citation Text:
Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946.
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psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
December 19, 2014 - Commentary
There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.
Citation Text:
Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - Book/Report
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.
Citation Text:
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012.
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