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psnet.ahrq.gov/issue/patient-safety-some-progress-and-many-challenges
June 22, 2009 - Commentary
Patient safety: some progress and many challenges.
Citation Text:
Gluck PA. Patient safety: some progress and many challenges. Obstet Gynecol. 2012;120(5):1149-1159.
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psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
June 14, 2023 - Book/Report
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.
Citation Text:
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
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psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
July 01, 2017 - Commentary
Learning accountability for patient outcomes.
Citation Text:
Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979.
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psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - Newspaper/Magazine Article
Death by 1,000 clicks: where electronic health records went wrong.
Citation Text:
Death by 1,000 clicks: where electronic health records went wrong. Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
September 06, 2017 - Review
Systematic review: the evidence that publishing patient care performance data improves quality of care.
Citation Text:
Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;…
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psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
April 17, 2013 - Commentary
Improving patient safety by taking systems seriously.
Citation Text:
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445.
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - Study
Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.
Citation Text:
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
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psnet.ahrq.gov/issue/wrong-site-surgery-1
September 02, 2020 - Commentary
Wrong-site surgery.
Citation Text:
Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177.
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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process.
Citation Text:
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/overtreatment-united-states
November 21, 2017 - Study
Overtreatment in the United States.
Citation Text:
Lyu H, Xu T, Brotman D, et al. Overtreatment in the United States. PLoS One. 2017;12(9):e0181970. doi:10.1371/journal.pone.0181970.
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psnet.ahrq.gov/issue/enhancing-culture-safety-through-disclosure-adverse-events
October 26, 2022 - Newspaper/Magazine Article
Enhancing a culture of safety through disclosure of adverse events.
Citation Text:
Enhancing a culture of safety through disclosure of adverse events. Cornelissen C, Call RC, Harbell MW, et al. APSF Newsletter. February 202136(1);25-27
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psnet.ahrq.gov/issue/sleepy-nurses-are-we-willing-accept-challenge-today
March 31, 2021 - Review
Sleepy nurses: are we willing to accept the challenge today?
Citation Text:
Surani S, Murphy J, Shah A. Sleepy nurses: are we willing to accept the challenge today? Nurs Adm Q. 2007;31(2):146-151.
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psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
July 17, 2024 - Commentary
A cycle of redemption in a medical error disclosure and apology program.
Citation Text:
Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869.
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psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
May 05, 2021 - Newspaper/Magazine Article
Laura Levis' death outside ER has changed hospital signage, lighting in Mass.
Citation Text:
Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Mullins L, Menard F. WBUR. April 27, 2023.
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psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
March 27, 2024 - Newspaper/Magazine Article
Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests?
Citation Text:
Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? Clar…
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psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
April 01, 2015 - Newspaper/Magazine Article
Making checklists work: South Carolina's statewide experiment.
Citation Text:
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - Audiovisual
Doctors' unconscious bias affects quality of health care services, research shows.
Citation Text:
Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020.
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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - Newspaper/Magazine Article
Sounding the alarm. Nurses, organizations work to address alarm fatigue.
Citation Text:
Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7.
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psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - Commentary
Why your TeamSTEPPS program may not be working.
Citation Text:
Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007.
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