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psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture
October 20, 2014 - Study
A comprehensive obstetrics patient safety program improves safety climate and culture.
Citation Text:
Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary health education.
Citation Text:
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…
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psnet.ahrq.gov/issue/design-safety-dashboard-patients
March 16, 2022 - Study
Design of a safety dashboard for patients.
Citation Text:
Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021.
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psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
October 30, 2024 - Commentary
Language discordance and patient care-Babel.
Citation Text:
Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273.
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psnet.ahrq.gov/issue/comparative-evaluation-llms-clinical-oncology
April 24, 2018 - Study
Comparative evaluation of LLMs in clinical oncology.
Citation Text:
Rydzewski NR, Dinakaran D, Zhao SG, et al. Comparative evaluation of LLMs in clinical oncology. NEJM AI. 2024;1(5):AIoa2300151. doi:10.1056/aioa2300151.
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psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
January 07, 2009 - Study
Quantifying nursing workflow in medication administration.
Citation Text:
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
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psnet.ahrq.gov/issue/zero-harm-health-care
August 12, 2020 - Commentary
Zero harm in health care.
Citation Text:
Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
December 29, 2014 - Study
Managing the after effects of serious patient safety incidents in the NHS: an online survey study.
Citation Text:
Pinto A, Faiz O, Vincent CA. Managing the after effects of serious patient safety incidents in the NHS: an online survey study. BMJ Qual Saf. 2012;21(12):1001-8. doi:10…
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Commentary
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Citation Text:
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - Study
Registered nurses' judgments of the classification and risk level of patient care errors.
Citation Text:
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Medication Reconciliation Pitfalls
February 1, 2010
Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
The Case
A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was
brought to the eme…
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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - Patient Allergies and Electronic Health Records
Citation Text:
Doyle MJ. Patient Allergies and Electronic Health Records. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to
Reduce Preventable Harms – Point, Counterpoint, and Are…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
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psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
March 21, 2017 - Study
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Citation Text:
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…
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psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
September 15, 2021 - Commentary
Positive approaches to safety: learning from what we do well.
Citation Text:
Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509.
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psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative
July 21, 2021 - Study
The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events.
Citation Text:
Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative e…
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psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
January 22, 2020 - Study
Pathologists' perspectives on disclosing harmful pathology error.
Citation Text:
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
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