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psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
May 27, 2011 - Commentary
One system's journey in creating a disclosure and apology program.
Citation Text:
Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96.
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psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
May 20, 2020 - Newspaper/Magazine Article
Irked by drug-interaction alerts? Customize them, experts advise.
Citation Text:
Irked by drug-interaction alerts? Customize them, experts advise. Dowhower Karpa K. Drug Topics. April 17, 2006.
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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/reducing-medical-errors-and-adverse-events
March 21, 2012 - Review
Reducing medical errors and adverse events.
Citation Text:
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
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psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
June 09, 2011 - Book/Report
Classic
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.
Citation Text:
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…
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psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
May 25, 2022 - Commentary
Tolerance of uncertainty and the practice of emergency medicine.
Citation Text:
Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015.
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psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
September 25, 2008 - Review
Requirements for the design and implementation of checklists for surgical processes.
Citation Text:
Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, et al. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc. 2009;23(4):715-26. doi:10.10…
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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/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - Newspaper/Magazine Article
Classic
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - Newspaper/Magazine Article
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
Citation Text:
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
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psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
May 11, 2016 - Book/Report
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - Commentary
Preventing pressure ulcers: the goal is zero.
Citation Text:
Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10.
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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/what-are-critical-success-factors-team-training-health-care
March 21, 2017 - Commentary
What are the critical success factors for team training in health care?
Citation Text:
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
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psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
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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/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
November 01, 2016 - Book/Report
Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.
Citation Text:
Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…
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psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
June 30, 2021 - Study
Classic
Costs of medical injuries in Utah and Colorado.
Citation Text:
Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA
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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/day-joy-died
August 20, 2018 - Newspaper/Magazine Article
The day Joy died.
Citation Text:
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
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