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psnet.ahrq.gov/issue/working-conditions-support-patient-safety
June 23, 2009 - Commentary
Working conditions that support patient safety.
Citation Text:
Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289-292.
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psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
September 01, 2018 - Study
Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center.
Citation Text:
Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…
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psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
April 24, 2018 - Commentary
The sterile cockpit: an effective approach to reducing medication errors?
Citation Text:
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
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psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
January 27, 2021 - Newspaper/Magazine Article
Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs.
Citation Text:
Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …
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psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations
November 03, 2015 - Commentary
Creating highly reliable accountable care organizations.
Citation Text:
Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672.
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psnet.ahrq.gov/issue/surgical-complications-and-their-implications-surgeons-well-being
December 04, 2016 - Study
Surgical complications and their implications for surgeons' well-being.
Citation Text:
Pinto A, Faiz O, Bicknell C, et al. Surgical complications and their implications for surgeons' well-being. Br J Surg. 2013;100(13):1748-55. doi:10.1002/bjs.9308.
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psnet.ahrq.gov/issue/balancing-innovation-and-safety-when-integrating-digital-tools-health-care
July 01, 2011 - Commentary
Balancing innovation and safety when integrating digital tools into health care.
Citation Text:
Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108.
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psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
October 06, 2016 - Study
The association of shift-level nurse staffing with adverse patient events.
Citation Text:
Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf.
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psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run
March 21, 2012 - Commentary
Classic
Rapid response teams—walk, don't run.
Citation Text:
Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645.
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psnet.ahrq.gov/issue/association-perceived-medical-errors-resident-distress-and-empathy-prospective-longitudinal
February 03, 2011 - Study
Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.
Citation Text:
West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA.…
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psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
January 27, 2019 - Study
Factors associated with disclosure of medical errors by housestaff.
Citation Text:
Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084.
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psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
June 09, 2015 - Review
Quality improvement in medical education: current state and future directions.
Citation Text:
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
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psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
November 06, 2024 - Commentary
A piece of my mind. After the medical error.
Citation Text:
Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004.
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - Study
Use of board certification and recertification of pediatricians in health plan credentialing policies.
Citation Text:
Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…
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psnet.ahrq.gov/issue/misdiagnosed-food-allergy-resulting-severe-malnutrition-infant
April 24, 2018 - Commentary
Misdiagnosed food allergy resulting in severe malnutrition in an infant.
Citation Text:
Alvares M, Kao L, Mittal V, et al. Misdiagnosed food allergy resulting in severe malnutrition in an infant. Pediatrics. 2013;132(1):e229-32. doi:10.1542/peds.2012-2362.
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
June 14, 2017 - Newspaper/Magazine Article
Children's Hospital investigated five patient deaths from deadly fungal disease in 2009.
Citation Text:
Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
August 18, 2021 - Review
Patient safety and quality improvement: terminology.
Citation Text:
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
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psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Newspaper/Magazine Article
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages.
Citation Text:
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
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psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
February 24, 2011 - Study
Patient-reported service quality on a medicine unit.
Citation Text:
Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101.
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