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psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
May 29, 2013 - Review
Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure.
Citation Text:
Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…
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psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
December 13, 2023 - Commentary
A piece of my mind. Changing the narrative.
Citation Text:
Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029.
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psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
March 01, 2023 - Commentary
Non-Luer connectors: are we nearly there yet?
Citation Text:
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x.
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psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
July 14, 2010 - Commentary
Disclosing adverse events: you said it, now write it.
Citation Text:
Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55.
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psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
December 23, 2020 - Commentary
A systemic methodology for risk management in healthcare sector.
Citation Text:
Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006.
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psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
March 20, 2024 - Newspaper/Magazine Article
11 medicine mistakes to avoid.
Citation Text:
Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024;
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psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
October 23, 2018 - Commentary
To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest?
Citation Text:
Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…
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psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
May 01, 2024 - Newspaper/Magazine Article
Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.
Citation Text:
Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …
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psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
November 20, 2019 - Commentary
Saying "I'm sorry": error disclosure for ophthalmologists.
Citation Text:
Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010.
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psnet.ahrq.gov/issue/algorithmic-bias-playbook
May 13, 2020 - Book/Report
Algorithmic Bias Playbook.
Citation Text:
Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021.
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psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
July 22, 2019 - Book/Report
From Safety-I to Safety-II: A White Paper.
Citation Text:
From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/beeler-2009-response
January 01, 2009 - Beeler A 2009 "Response to request for information by Dr. Angela Beeler of South County Pediatrics on July 6, 2009."
Reference
Beeler A. Response to request for information (RFI) by Dr. Angela Beeler of South County Pediatrics on July 6, 2009. Agency for Healthcare Research and Quality; 2009.
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psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
June 24, 2020 - Commentary
The systems approach to medicine: controversy and misconceptions.
Citation Text:
Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106.
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psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - Newspaper/Magazine Article
A biased test kept thousands of Black people from getting a kidney transplant.
Citation Text:
A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eccles-m-et-al-2002
January 01, 2002 - Eccles M et al. 2002 "Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial."
Reference
Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina i…
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psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
August 31, 2011 - Commentary
Policy and the future of adverse event detection using information technology.
Citation Text:
Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/2019-letter-of-appreciation.pdf
January 01, 2019 - 2019 Letter of Appreciation to Associate Editors and Peer Reviewers
Letter of Appreciation
We sincerely thank the 115 Peer Reviewers who completed reviews for the Agency for
Healthcare Research and Quality (AHRQ) Effective Health Care (EHC) Program in 2019. Peer
reviewers donate substantial time and effort…
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psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
June 19, 2019 - Commentary
Checklists, safety, my culture and me.
Citation Text:
Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20. doi:10.1136/bmjqs-2011-000608.
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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
July 26, 2023 - Study
Adverse drug events in hospitalized cardiac patients.
Citation Text:
Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9.
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psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
February 01, 2023 - Commentary
Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology.
Citation Text:
Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…