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psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
July 22, 2020 - Study
Diagnostic errors: impact of an educational intervention on pediatric primary care.
Citation Text:
Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…
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psnet.ahrq.gov/issue/navigating-complex-terrain-patient-safety-challenges-strategies-and-importance-ongoing
July 01, 2017 - Commentary
Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing.
Citation Text:
Macleod H, Greenfield D. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ong…
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psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
July 13, 2010 - Commentary
Residual anaesthesia drugs in intravenous lines—a silent threat?
Citation Text:
Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287.
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
January 11, 2017 - Study
Emergency medical and health providers' perceptions of key issues in prehospital patient safety.
Citation Text:
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…
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psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
May 12, 2021 - Review
Classic
The organizational and intraorganizational development of disasters.
Citation Text:
Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850.
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psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
February 23, 2022 - Commentary
Reducing administrative harm in medicine - clinicians and administrators together.
Citation Text:
O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174.
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psnet.ahrq.gov/issue/simulated-ward-ideal-training-clinical-clerks-era-patient-safety
July 27, 2022 - Study
The simulated ward: ideal for training clinical clerks in an era of patient safety.
Citation Text:
Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050…
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psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
April 27, 2019 - Study
Unintentionally retained guidewires: a descriptive study of 73 sentinel events.
Citation Text:
Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…
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psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
December 31, 2014 - Study
Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors.
Citation Text:
Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…
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psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
October 19, 2022 - Commentary
The World Health Organization '5 moments of hand hygiene': the scientific foundation.
Citation Text:
Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…
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psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare
July 02, 2008 - Study
Some unintended effects of teamwork in healthcare.
Citation Text:
Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med. 2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025.
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psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
August 20, 2018 - Commentary
Unintended harm associated with the Hospital Readmissions Reduction Program.
Citation Text:
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
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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/same-hospital-readmission-rates-measure-pediatric-quality-care
September 18, 2024 - Study
Same-hospital readmission rates as a measure of pediatric quality of care.
Citation Text:
Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129.
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psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
September 02, 2009 - Commentary
Patient experience must move beyond bad apples.
Citation Text:
Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725.
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psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
September 03, 2015 - Study
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.
Citation Text:
Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…
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psnet.ahrq.gov/issue/partial-do-not-resuscitate-orders-hazard-patient-safety-and-clinical-outcomes
April 24, 2018 - Review
Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes?
Citation Text:
Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…
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psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction
October 13, 2021 - Newspaper/Magazine Article
What's changed 1 year after RaDonda Vaught's conviction?
Citation Text:
What's changed 1 year after RaDonda Vaught's conviction? Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023.
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psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
February 26, 2009 - Study
A series of anesthesia-related maternal deaths in Michigan, 1985-2003.
Citation Text:
Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Anesthesiology. 2007;106(6):1096-1104.
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