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psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
May 01, 2006 - Study
Competence and certification of registered nurses and safety of patients in intensive care units.
Citation Text:
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…
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psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
July 15, 2020 - Commentary
Morbidity and mortality: delays in my patient’s cancer care.
Citation Text:
Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513.
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psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
March 03, 2011 - Study
Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital.
Citation Text:
Sari AB-A, Sheldon T, Cracknell A, et al. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large…
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psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
August 04, 2021 - Study
A national physician survey of diagnostic error in paediatrics.
Citation Text:
Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0.
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psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
March 09, 2022 - Study
Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study.
Citation Text:
Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…
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psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
July 06, 2012 - Study
Hospital patients' reports of medical errors and undesirable events in their health care.
Citation Text:
Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…
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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
December 29, 2014 - Study
Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit.
Citation Text:
Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …
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psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse
November 16, 2022 - Review
Emerging Classic
The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse.
Citation Text:
Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…
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psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
October 12, 2011 - Study
Health care work environments, employee satisfaction, and patient safety: care provider perspectives.
Citation Text:
Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11.
…
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psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery
August 10, 2016 - Study
Risk factors in patient safety: minimally invasive surgery versus conventional surgery.
Citation Text:
Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s0…
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psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family
January 17, 2024 - Commentary
Insensible losses: when the medical community forgets the family.
Citation Text:
Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536.
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psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
May 27, 2011 - Commentary
Creating a distraction simulation for safe medication administration.
Citation Text:
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
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psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
January 30, 2019 - Book/Report
The Public's Views on Medical Error in Massachusetts.
Citation Text:
The Public's Views on Medical Error in Massachusetts. Boston, MA: Harvard School of Public Health; December 2014.
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psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
September 09, 2011 - Commentary
Current pulse: can a production system reduce medical errors in health care?
Citation Text:
Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238.
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psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
December 21, 2022 - Study
Medicaid, hospital financial stress, and the incidence of adverse medical events for children.
Citation Text:
Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…
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psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
February 17, 2017 - Study
A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes.
Citation Text:
Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…
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psnet.ahrq.gov/node/43674/psn-pdf
November 12, 2014 - Living with cancer: not talking about medical mistakes.
November 12, 2014
Gubar S.
https://psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes
This newspaper article describes how surgical complications, health care–associated infections, and
ineffective patient–provider communication contributed…
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psnet.ahrq.gov/node/37599/psn-pdf
January 01, 2009 - Improving process while changing practice: FMEA and
medication administration.
March 12, 2008
Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2).
doi:10.1097/01.numa.0000310533.54708.38.
https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…
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psnet.ahrq.gov/node/34985/psn-pdf
July 14, 2010 - The role of automation in complex system failures.
July 14, 2010
Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf.
2005;1(1):56-61.
https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Complex_System_Failures.10.aspx.
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