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psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
September 26, 2016 - Commentary
Is it time to move beyond errors in clinical reasoning and discuss accuracy?
Citation Text:
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
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psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
October 19, 2022 - Commentary
Quality and patient safety teams in the perioperative setting.
Citation Text:
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006.
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psnet.ahrq.gov/issue/perchance-think
December 08, 2016 - Commentary
Perchance to think.
Citation Text:
Ofri D. Perchance to Think. New Engl J Med. 2019;380(13):1197-1199. doi:10.1056/NEJMp1814019.
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psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
March 29, 2012 - Review
Life after death: the aftermath of perioperative catastrophes.
Citation Text:
Gazoni FM, Durieux ME, Wells L. Life after death: the aftermath of perioperative catastrophes. Anesth Analg. 2008;107(2):591-600. doi:10.1213/ane.0b013e31817a9c77.
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psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
November 25, 2009 - Tools/Toolkit
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care.
Citation Text:
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: Univers…
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
October 06, 2021 - Book/Report
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.
Citation Text:
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Amin D, Cosby K. Rockville, MD: Agency for Healthcare Res…
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
September 24, 2017 - Commentary
The pursuit of better diagnostic performance: a human factors perspective.
Citation Text:
Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827.
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psnet.ahrq.gov/issue/using-twitter-assess-patient-takes-patient-experience
February 24, 2021 - Newspaper/Magazine Article
Using Twitter to assess patient takes on patient experience.
Citation Text:
Using Twitter to assess patient takes on patient experience. Heath S. Patient Engagement HIT. October 29, 2020.
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psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries
January 17, 2018 - Newspaper/Magazine Article
Preeminent hospitals penalized over rates of patients’ injuries.
Citation Text:
Preeminent hospitals penalized over rates of patients’ injuries. Rau J. Kaiser Health News. January 30, 2020.
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psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
March 10, 2021 - Toolkit
Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste.
Citation Text:
Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
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psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
November 29, 2017 - Commentary
The concept of shared mental models in healthcare collaboration.
Citation Text:
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307.
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety.
Citation Text:
WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Book/Report
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports.
Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…
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psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
March 04, 2011 - Commentary
Communication failure: basic components, contributing factors, and the call for structure.
Citation Text:
Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
August 04, 2021 - Commentary
Improving patient care. My right knee.
Citation Text:
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
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psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
April 21, 2021 - Newspaper/Magazine Article
Fatal mistakes: why do ten-fold medication errors in children keep happening?
Citation Text:
Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal. April 22 2021.
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psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
May 29, 2014 - Commentary
Human and organizational biases affecting the management of safety.
Citation Text:
Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010.
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