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psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
April 19, 2017 - Study
Barriers to adverse event and error reporting in anesthesia.
Citation Text:
Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8.
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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - Review
Human reliability analysis: a critique and review for managers.
Citation Text:
French S, Bedford T, Pollard SJT, et al. Human reliability analysis: A critique and review for managers. Saf Sci. 2011;49(6). doi:10.1016/j.ssci.2011.02.008.
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psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-specification-and
February 21, 2018 - Book/Report
Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists.
Citation Text:
Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. Buckinghamshire, UK. Clinical Human Facto…
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psnet.ahrq.gov/issue/improving-care-using-patient-feedback
April 19, 2017 - Book/Report
Improving care by using patient feedback.
Citation Text:
Improving care by using patient feedback. National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019.
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/patient-safety-act
November 09, 2011 - Book/Report
Patient Safety Act.
Citation Text:
Patient Safety Act. Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-281.
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psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
August 16, 2016 - Book/Report
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.
Citation Text:
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…
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psnet.ahrq.gov/issue/better-safer-care-victoria
August 09, 2023 - Government Resource
Better Safer Care Victoria.
Citation Text:
Better Safer Care Victoria. Safer Care Victoria and Victorian Agency for Health Information.
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psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
July 08, 2015 - Newspaper/Magazine Article
The absence of a drug–disease interaction alert leads to a child's death.
Citation Text:
The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
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psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
December 29, 2014 - Study
Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.
Citation Text:
Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…
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psnet.ahrq.gov/issue/iatrogenic-events-neonates-beneficial-effects-prevention-strategies-and-continuous-monitoring
February 20, 2008 - Study
Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring.
Citation Text:
Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e146…
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - Review
Doctors' handovers in hospitals: a literature review.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
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psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - Study
The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.
Citation Text:
Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…
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psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
March 18, 2020 - Commentary
Physician liability in the age of data reliance and errors.
Citation Text:
Physician liability in the age of data reliance and errors. Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215.
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psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
September 01, 2021 - Commentary
Measures to improve diagnostic safety in clinical practice.
Citation Text:
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - Study
Infants at risk: when nurse fatigue jeopardizes quality care.
Citation Text:
Infants at risk: when nurse fatigue jeopardizes quality care. Dean GE; Scott LD; Rogers AE.
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psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety
January 12, 2022 - Study
Online consultations in cyberpharmacies: completeness and patient safety.
Citation Text:
Orizio G, Schulz PJ, Domenighini S, et al. Online Consultations in Cyberpharmacies: Completeness and Patient Safety. Telemedicine and e-Health. 2009;15(10). doi:10.1089/tmj.2009.0069.
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psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
December 12, 2012 - Commentary
Unreported errors in the intensive care unit: a case study of the way we work.
Citation Text:
Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35.
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digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri/annual-summary/2012
January 01, 2012 - Functional Assessment Screening Patient Reported Information: FAST-PRI - 2012
Project Name
Functional Assessment Screening Patient Reported Information: FAST-PRI
Principal Investigator
Hess, Rachel
Organization
University of Pittsburgh at Pittsburgh
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - Commentary
The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.
Citation Text:
Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…