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psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
August 15, 2018 - Study
Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis.
Citation Text:
Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…
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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/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Study
Framing of clinical information affects physicians' diagnostic accuracy.
Citation Text:
Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/does-your-patient-really-understand
January 25, 2023 - Newspaper/Magazine Article
Does your patient really understand?
Citation Text:
Huff C. Does your patient really understand? Hospitals & health networks. 2011;85(10):34-5, 37-8, 2.
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psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care
February 03, 2011 - Study
Team structure and adverse events in home health care.
Citation Text:
Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61.
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - Review
Always having to say you're sorry: an ethical response to making mistakes in professional practice.
Citation Text:
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76.
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psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
June 29, 2011 - Review
The checklist--a tool for error management and performance improvement.
Citation Text:
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5.
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psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
June 08, 2022 - Newspaper/Magazine Article
Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives.
Citation Text:
Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affair…
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
February 07, 2018 - Commentary
Accident prevention in day-to-day clinical radiation therapy practice.
Citation Text:
Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001.
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psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
March 04, 2015 - Commentary
Patient safety event reporting in a large radiology department.
Citation Text:
Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718.
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psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
February 02, 2022 - Newspaper/Magazine Article
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame.
Citation Text:
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…
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psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
July 10, 2024 - Commentary
Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home.
Citation Text:
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - Commentary
Medication administration process assessment: applying lessons learned from commercial aviation.
Citation Text:
Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…
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psnet.ahrq.gov/issue/adolescent-use-insulin-and-patient-controlled-analgesia-pump-technology-10-year-food-and-drug
February 13, 2008 - Study
Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events.
Citation Text:
Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technolog…
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psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
July 29, 2020 - Study
Characteristics of medical liability claims against dermatologists from 1991 through 2015.
Citation Text:
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…
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psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care
December 08, 2021 - Review
Interruptions and medication administration in critical care.
Citation Text:
Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185.
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
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