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psnet.ahrq.gov/issue/breaking-rules-understanding-non-compliance-policies-and-guidelines
September 24, 2018 - Commentary
Breaking the rules: understanding non-compliance with policies and guidelines.
Citation Text:
Carthey J, Walker S, Deelchand V, et al. Breaking the rules: understanding non-compliance with policies and guidelines. BMJ. 2011;343:d5283. doi:10.1136/bmj.d5283.
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psnet.ahrq.gov/issue/blind-spots-science-safety
February 24, 2021 - Commentary
Blind spots in the science of safety.
Citation Text:
Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6.
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psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-information-about-events
August 01, 2012 - Book/Report
Adverse Events in Hospitals: Public Disclosure of Information About Events.
Citation Text:
Adverse Events in Hospitals: Public Disclosure of Information About Events. Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; Ja…
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psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
February 28, 2024 - Commentary
Early warnings, weak signals and learning from healthcare disasters.
Citation Text:
Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685.
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psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
July 19, 2023 - Newspaper/Magazine Article
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care.
Citation Text:
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …
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psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
Citation Text:
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
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psnet.ahrq.gov/issue/skilful-anticipation-maternity-nurses-perspectives-maintaining-safety
February 15, 2023 - Study
Skilful anticipation: maternity nurses' perspectives on maintaining safety.
Citation Text:
Lyndon A. Skillful anticipation: maternity nurses' perspectives on maintaining safety. Qual Saf Health Care. 2010;19(5):e8. doi:10.1136/qshc.2007.024547.
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psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
October 10, 2010 - Study
Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.
Citation Text:
Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…
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psnet.ahrq.gov/issue/attitudes-teamwork-and-safety-operating-theatre
December 22, 2010 - Study
Attitudes to teamwork and safety in the operating theatre.
Citation Text:
Flin R, Yule S, McKenzie L, et al. Attitudes to teamwork and safety in the operating theatre. Surgeon. 2006;4(3):145-51.
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psnet.ahrq.gov/issue/patient-safety-act
November 09, 2011 - Book/Report
Patient Safety Act.
Citation Text:
Patient Safety Act. Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-281.
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psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Just Culture and its critical link to patient safety—part 1 and part 2.
Citation Text:
Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3.
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psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
March 05, 2010 - Review
Systematic review of medication errors in pediatric patients.
Citation Text:
Ghaleb M, Barber N, Franklin BD, et al. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40(10):1766-76.
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
November 15, 2016 - Book/Report
Leadership Survey: Immunization Against Burnout: Insights Report.
Citation Text:
Leadership Survey: Immunization Against Burnout: Insights Report. Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018.
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psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
September 27, 2016 - Commentary
Improving hospital performance: culture change is not the answer.
Citation Text:
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q. 2005;8(2):60-6.
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psnet.ahrq.gov/issue/emergency-medical-services-safety-attitudes-questionnaire
November 10, 2010 - Study
The Emergency Medical Services Safety Attitudes Questionnaire.
Citation Text:
Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106.
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psnet.ahrq.gov/issue/keeping-our-promises-research-practice-and-policy-issues-health-care-reliability
September 24, 2016 - Special or Theme Issue
Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.
Citation Text:
Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Reinertsen JL, Clancy C, Henriksen K, et al. Health Serv Res. 2006;41(…
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psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-requirements
April 24, 2015 - Regulation
Medical gas containers and closures; current good manufacturing practice requirements.
Citation Text:
Medical gas containers and closures; current good manufacturing practice requirements. Fed Regist. 2016 Nov 18;81(223):81685-81697.
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psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
January 15, 2009 - Review
Assessment of transparency of cost estimates in economic evaluations of patient safety programmes.
Citation Text:
Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.111…
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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - Newspaper/Magazine Article
Start the new year off right by preventing these top 10 medication errors and hazards.
Citation Text:
Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…