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psnet.ahrq.gov/issue/science-improvement
August 04, 2021 - Commentary
Classic
The science of improvement.
Citation Text:
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/long-road-ensuring-patient-safety-nhs-hospitals
November 04, 2015 - Commentary
The long road to ensuring patient safety in NHS hospitals.
Citation Text:
Dyer C. The long road to ensuring patient safety in NHS hospitals. BMJ. 2013;346:f3029. doi:10.1136/bmj.f3029.
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psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
May 16, 2019 - Book/Report
Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture.
Citation Text:
Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. Davies JM, Steinke C, Flemons WW. New York, NY: Productivit…
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psnet.ahrq.gov/issue/examples-medical-device-misconnections
March 04, 2015 - Multi-use Website
Examples of Medical Device Misconnections.
Citation Text:
Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023.
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psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
July 29, 2015 - Government Resource
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report.
Citation Text:
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …
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psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - Study
The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.
Citation Text:
Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…
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psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
October 17, 2018 - Commentary
Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context.
Citation Text:
Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the cont…
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psnet.ahrq.gov/issue/alternative-clinical-negligence-system
December 08, 2021 - Commentary
An alternative to the clinical negligence system.
Citation Text:
Furniss R, Ormond-Walshe S. An alternative to the clinical negligence system. BMJ. 2007;334(7590):400-2.
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psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - Commentary
To err is human, unless you are a healthcare provider.
Citation Text:
To err is human, unless you are a healthcare provider. Zajicek J. Belmont Health Law J. 2020;4:79-135.
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psnet.ahrq.gov/issue/patient-safety-crossroads
March 18, 2019 - Commentary
Patient safety at the crossroads.
Citation Text:
Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759.
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psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
June 28, 2011 - Newspaper/Magazine Article
When machine learning goes off the rails. A guide to managing the risks.
Citation Text:
When machine learning goes off the rails. A guide to managing the risks. Babic B, Cohen IG, Evgeniou T, et al. Harv Bus Rev. 2021 January/February;99(1):76-…
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psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
July 19, 2017 - Book/Report
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being.
Citation Text:
Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: N…
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Commentary
Ashamed to admit it: owning up to medical error.
Citation Text:
Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946.
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psnet.ahrq.gov/issue/sleep-deprivation-call-institutional-rules
June 27, 2018 - Commentary
Sleep deprivation: a call for institutional rules.
Citation Text:
McKenna L, Kodner IJ, Healy GB, et al. Sleep deprivation: a call for institutional rules. Surgery. 2013;154(1):118-22.
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psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
April 15, 2015 - Book/Report
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations.
Citation Text:
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Miller RG, …
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psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals
July 24, 2024 - Newspaper/Magazine Article
4 actions to reduce medical errors in U.S. hospitals.
Citation Text:
4 actions to reduce medical errors in U.S. hospitals. Toussaint JS, Segel KT. Harvard Business Review. April 20, 2022.
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psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
December 01, 2021 - Commentary
Tackling implicit bias in health care.
Citation Text:
Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180.
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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - Study
Classic
Teaching smart people how to learn.
Citation Text:
Teaching smart people how to learn. Argyris C. Harvard Business Review. 1991:69(May-June):99+.
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psnet.ahrq.gov/issue/health-care-workers-midst-crisis
February 15, 2023 - Sentinel Event Alerts
Health care workers in the midst of crisis.
Citation Text:
Health care workers in the midst of crisis. Sentinel Event Alert. Feb 2, 2021;(62):1-7.
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