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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - Commentary
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.
Citation Text:
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
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digital.ahrq.gov/ahrq-funded-projects/health-care-stakeholder-participation-health-information-exchanges
January 01, 2023 - Health Care Stakeholder Participation in Health Information Exchanges
Project Description
Publications
Project Details -
Completed
Contract Number
290-05-0007-2
Funding Mechanism(s)
Health Information Technology Community Tracking…
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psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
May 27, 2009 - Newspaper/Magazine Article
CPOE: it don't come easy.
Citation Text:
Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim.
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psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
October 30, 2010 - Commentary
Can we import improvements from industry to healthcare?
Citation Text:
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039.
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - Newspaper/Magazine Article
FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias.
Citation Text:
Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024;
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psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
October 02, 2024 - Commentary
Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents.
Citation Text:
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - Commentary
Imitating incidents: how simulation can improve safety investigation and learning from adverse events.
Citation Text:
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…
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psnet.ahrq.gov/issue/accountability-sought-patients-following-adverse-events-medical-care-new-zealand-experience
June 25, 2010 - Study
Accountability sought by patients following adverse events from medical care: the New Zealand experience.
Citation Text:
Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from medical care: the New Zealand experience. CMAJ. 2006;175…
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psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
March 23, 2011 - Study
The impact of organisational and individual factors on team communication in surgery: a qualitative study.
Citation Text:
Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …
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psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
August 19, 2020 - Commentary
Speaking up—when doctors navigate medical hierarchy.
Citation Text:
Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.
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psnet.ahrq.gov/issue/pre-surgery-briefings-and-safety-climate-operating-theatre
September 27, 2016 - Study
Pre-surgery briefings and safety climate in the operating theatre.
Citation Text:
Allard J, Bleakley A, Hobbs A, et al. Pre-surgery briefings and safety climate in the operating theatre. BMJ Qual Saf. 2011;20(8):711-7. doi:10.1136/bmjqs.2009.032672.
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psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
October 07, 2008 - Study
Stories from the sharp end: case studies in safety improvement.
Citation Text:
Stories from the sharp end: case studies in safety improvement. McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200
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psnet.ahrq.gov/issue/rethinking-medical-ward-quality
November 03, 2015 - Commentary
Rethinking medical ward quality.
Citation Text:
Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice
November 06, 2015 - Study
The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice.
Citation Text:
Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…
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psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
August 30, 2006 - Review
Markers for enhancing team cognition in complex environments: the power of team performance diagnosis.
Citation Text:
Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med…
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psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - Commentary
Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems.
Citation Text:
Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …
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psnet.ahrq.gov/issue/learning-every-death
June 28, 2011 - Commentary
Learning from every death.
Citation Text:
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.
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psnet.ahrq.gov/issue/scoping-review-exploring-confidence-healthcare-professionals-assessing-all-skin-tones
July 17, 2019 - Review
A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.
Citation Text:
Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.202…
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psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
March 20, 2013 - Study
Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.
Citation Text:
Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…
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psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
December 02, 2009 - Study
Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency.
Citation Text:
Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety…