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psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
April 04, 2011 - Study
Certain uncertainties: modes of patient safety in healthcare.
Citation Text:
Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52.
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psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
June 18, 2014 - Review
Disclosure of harmful medical errors in out-of-hospital care.
Citation Text:
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
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psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
April 27, 2019 - Review
Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety.
Citation Text:
Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…
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psnet.ahrq.gov/issue/patient-safety-what-really-issue
October 18, 2017 - Commentary
Patient safety: what is really at issue?
Citation Text:
Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16.
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psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
August 04, 2021 - Study
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Citation Text:
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…
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psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
March 07, 2018 - Study
Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study.
Citation Text:
Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…
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psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
April 22, 2015 - Commentary
Chasing the 6-sigma: drawing lessons from the cockpit culture.
Citation Text:
Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097.
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psnet.ahrq.gov/issue/shifting-learning-curve
March 09, 2009 - Commentary
Shifting the learning curve.
Citation Text:
Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260.
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psnet.ahrq.gov/issue/automated-electronic-reminders-prevent-miscommunication-among-primary-medical-surgical-and
August 16, 2017 - Commentary
Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.
Citation Text:
Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary m…
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psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
April 30, 2014 - Review
Use of health information technology to reduce diagnostic errors.
Citation Text:
El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884.
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psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
October 04, 2011 - Organizational Policy/Guidelines
Electronic prescribing in pediatrics: toward safer and more effective medication management.
Citation Text:
Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…
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psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical
February 23, 2011 - Study
Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical?
Citation Text:
Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13.
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psnet.ahrq.gov/issue/organizational-and-cultural-changes-providing-safe-patient-care
June 01, 2022 - Study
Organizational and cultural changes for providing safe patient care.
Citation Text:
Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for providing safe patient care. Qual Manag Health Care. 2005;14(3):132-143.
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psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
February 12, 2020 - Review
Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it.
Citation Text:
Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04.
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psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
June 16, 2011 - Commentary
Patient-assisted incident reporting: including the patient in patient safety.
Citation Text:
Millman A, Pronovost P, Makary MA, et al. Patient-assisted incident reporting: including the patient in patient safety. J Patient Saf. 2011;7(2):106-8. doi:10.1097/PTS.0b013e31821b3c…
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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/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula
November 15, 2018 - Study
The missing link: dedicated patient safety education within top-ranked US nursing school curricula.
Citation Text:
Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. J Patient Saf. 2010;6(3):165-71.
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - Study
Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences.
Citation Text:
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…
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psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
March 11, 2020 - Newspaper/Magazine Article
Zero tolerance for deadly hospital-acquired infections.
Citation Text:
Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40.
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psnet.ahrq.gov/issue/setting-quality-and-safety-priorities-target-rich-environment-academic-medical-centers
September 24, 2018 - Study
Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge.
Citation Text:
Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 20…