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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/how-perioperative-nurses-define-attribute-causes-and-react-intraoperative-nursing-errors
September 11, 2024 - Study
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Citation Text:
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - Book/Report
Checking In on the Checklist.
Citation Text:
Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020.
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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/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
March 19, 2019 - Study
Parents as partners in obtaining the medication history.
Citation Text:
Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305.
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Newspaper/Magazine Article
Patient handoffs.
Citation Text:
Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2.
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psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - Meeting/Conference Proceedings
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
Citation Text:
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed. Proceedings of the 4th International Workshop…
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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/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/how-should-clinicians-minimize-bias-when-responding-suspicions-about-child-abuse
February 09, 2022 - Commentary
How should clinicians minimize bias when responding to suspicions about child abuse?
Citation Text:
Letson M, Crichton KG. How should clinicians minimize bias when responding to suspicions about child abuse? AMA J Ethics. 2023;25(2):E93-99. doi:10.1001/amajethics.2023.93.
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - Book/Report
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.
Citation Text:
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
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psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
September 12, 2018 - Book/Report
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop.
Citation Text:
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - Book/Report
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.
Citation Text:
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…
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psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
September 13, 2016 - Book/Report
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process.
Citation Text:
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …
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psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medical-emergencies
February 18, 2009 - Book/Report
Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies.
Citation Text:
Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. …
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psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events
February 18, 2009 - Book/Report
Adverse Events in Hospitals: Methods for Identifying Events.
Citation Text:
Adverse Events in Hospitals: Methods for Identifying Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; March 2010. Report No. OEI-06…
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psnet.ahrq.gov/issue/corporate-responsibility-and-health-care-quality-resource-health-care-boards-directors
October 29, 2008 - Book/Report
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.
Citation Text:
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: …
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psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed
September 05, 2012 - Book/Report
Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed.
Citation Text:
Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Kohn LT. Washington, DC: United States Government Acc…
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psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
May 21, 2014 - Book/Report
Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1.
Citation Text:
Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870.
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