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psnet.ahrq.gov/issue/using-met-service-manage-acute-thromboembolic-stroke
January 05, 2017 - Commentary
Using an MET service to manage an acute thromboembolic stroke.
Citation Text:
Jones D, Bellomo R, Leong T. Using an MET service to manage an acute thromboembolic stroke. Jt Comm J Qual Patient Saf. 2006;32(7):361-5, 357.
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psnet.ahrq.gov/issue/why-dont-we-know-whether-care-safe
January 14, 2014 - Commentary
Why don't we know whether care is safe?
Citation Text:
Pham JC, Frick KD, Pronovost P. Why don't we know whether care is safe? Am J Med Qual. 2013;28(6):457-63. doi:10.1177/1062860613479397.
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psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
January 15, 2025 - Commentary
Effective approaches to control non-actionable alarms and alarm fatigue.
Citation Text:
Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007.
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psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
September 24, 2016 - Study
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Citation Text:
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…
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psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
July 02, 2014 - Study
Ambiguities of chronic illness management and challenges to the medical error paradigm.
Citation Text:
Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25.
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psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety
September 27, 2017 - Commentary
Addressing the nursing work environment to promote patient safety.
Citation Text:
Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum. 2007;42(1):20-30.
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psnet.ahrq.gov/issue/variability-pharmacy-interpretations-physician-prescriptions
September 25, 2008 - Study
Variability in pharmacy interpretations of physician prescriptions.
Citation Text:
Wolf MS, Shekelle PG, Choudhry NK, et al. Variability in pharmacy interpretations of physician prescriptions. Med Care. 2009;47(3):370-373. doi:10.1097/MLR.0b013e31818af91a.
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psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
October 14, 2009 - Study
Safety climate in health care organizations: a multidimensional approach.
Citation Text:
Safety climate in health care organizations: a multidimensional approach. Katz-Navon T; Naveh E; Stern Z. Academy of Management Journal. 2005;48(6):1075-1089.
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - Commentary
A systems approach to patient-centered care.
Citation Text:
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51.
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psnet.ahrq.gov/issue/when-errors-occur
March 12, 2011 - Newspaper/Magazine Article
When errors occur.
Citation Text:
Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2.
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psnet.ahrq.gov/issue/patient-safety-planting-seed
February 09, 2011 - Commentary
Patient safety: planting the seed.
Citation Text:
Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202.
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psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
December 15, 2008 - Commentary
Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.
Citation Text:
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
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psnet.ahrq.gov/issue/physician-autonomy-and-informed-decision-making-finding-balance-patient-safety-and-quality
July 01, 2017 - Commentary
Physician autonomy and informed decision making: finding the balance for patient safety and quality.
Citation Text:
Mathews SC, Pronovost P. Physician autonomy and informed decision making: finding the balance for patient safety and quality. JAMA. 2008;300(24):2913-5. doi:10…
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
January 14, 2011 - Newspaper/Magazine Article
Do some surgical implants do more harm than good?
Citation Text:
Do some surgical implants do more harm than good? Groopman J. New Yorker Online. April 13, 2020.
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psnet.ahrq.gov/issue/addiction-disease-isolation-so-pandemic-puts-recovery-risk
May 05, 2021 - Newspaper/Magazine Article
Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk.
Citation Text:
Addiction is ‘A disease of isolation’ — so pandemic puts recovery at risk. Bebinger M. Kaiser Health News. March 30, 2020.
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psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
July 25, 2012 - Study
Deconstructing intraoperative communication failures.
Citation Text:
Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029.
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psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
March 06, 2005 - Study
Can we use incident reports to detect hospital adverse events?
Citation Text:
Can we use incident reports to detect hospital adverse events? Blais R; Bruno D; Bartlett G; Tamblyn R.
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psnet.ahrq.gov/issue/measuring-hospital-wide-activity-volume-patient-safety-and-infection-control-multi-centre
January 15, 2009 - Study
Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan.
Citation Text:
Hayashida K, Imanaka Y, Fukuda H. Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan. BMC H…
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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