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psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform
November 02, 2014 - Commentary
Patient safety in the era of healthcare reform.
Citation Text:
Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6.
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psnet.ahrq.gov/issue/ethical-issues-patient-safety
November 02, 2014 - Commentary
Ethical issues in patient safety.
Citation Text:
Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501.
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psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
September 01, 2010 - Newspaper/Magazine Article
Hospital bosses ignored months of doctors' warnings about Lucy Letby.
Citation Text:
Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023.
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psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
September 27, 2010 - Commentary
The role for leaders of health care organizations in patient safety.
Citation Text:
Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8.
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psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
January 24, 2024 - Review
Effective discharge communication in the emergency department.
Citation Text:
Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023.
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
October 27, 2021 - Newspaper/Magazine Article
Air pressure: human factors are the key to a safer flight environment.
Citation Text:
Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31.
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psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
January 03, 2017 - Commentary
Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork.
Citation Text:
Salas E, Wilson K, Murphy CE, et al. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-41. …
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Newspaper/Magazine Article
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers.
Citation Text:
Are you well positioned to resolve conflicts with the safety of an order? Learning…
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psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
June 29, 2016 - Government Resource
ONC Health IT Certification Program: Enhanced Oversight and Accountability.
Citation Text:
ONC Health IT Certification Program: Enhanced Oversight and Accountability. Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;…
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psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
July 02, 2014 - Commentary
Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety.
Citation Text:
Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - Review
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Citation Text:
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
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digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
March 03, 2021 - Review
Factors influencing patient safety during postoperative handover.
Citation Text:
Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338.
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psnet.ahrq.gov/issue/next-act-patient-safety
September 03, 2011 - Commentary
A next act for patient safety.
Citation Text:
Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8.
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psnet.ahrq.gov/issue/objective-structured-clinical-examination-educational-tool-patient-safety
May 01, 2014 - Study
The Objective Structured Clinical Examination as an educational tool in patient safety.
Citation Text:
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53.
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psnet.ahrq.gov/issue/team-training-medical-students-21st-century-would-flexner-approve
November 21, 2012 - Commentary
Team training of medical students in the 21st century: would Flexner approve?
Citation Text:
Morrison G, Goldfarb S, Lanken PN. Team training of medical students in the 21st century: would Flexner approve? Acad Med. 2010;85(2):254-9. doi:10.1097/ACM.0b013e3181c8845e.
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psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Award Recipient
The 2021 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424.
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - Audiovisual
More hospitals move to confront medical errors head on.
Citation Text:
More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023.
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