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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Commentary
Apologies and medical error.
Citation Text:
Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1.
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
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psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
August 08, 2018 - Commentary
Pharmacist involvement in a rapid-response team at a community hospital.
Citation Text:
Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8.
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psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
May 31, 2017 - Commentary
A mediation skills model to manage disclosure of errors and adverse events to patients.
Citation Text:
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
January 04, 2017 - Book/Report
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Denver, CO; Health Grades Inc; 2007.
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/communication-operating-theatre
September 29, 2017 - Review
Communication in the operating theatre.
Citation Text:
Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332.
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - Book/Report
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.
Citation Text:
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - Study
Accuracies of diagnostic methods for acute appendicitis.
Citation Text:
Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106.
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psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
August 21, 2019 - Book/Report
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model.
Citation Text:
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
Citation Text:
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
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psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
September 26, 2012 - Commentary
A new frontier in healthcare risk management: working to reduce avoidable patient suffering.
Citation Text:
Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
July 24, 2024 - Newspaper/Magazine Article
How studying human factors improves patient safety.
Citation Text:
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
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psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
September 27, 2023 - Study
Perceptions of radiation safety culture in medical imaging by role.
Citation Text:
Perceptions of radiation safety culture in medical imaging by role. Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347.
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psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
January 20, 2021 - Book/Report
Mistakes, Errors and Failures across Cultures.
Citation Text:
Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739
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psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
September 04, 2019 - Review
Judging whether a patient is actually improving: more pitfalls from the science of human perception.
Citation Text:
Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…
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psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - Measurement Tool/Indicator
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants.
Citation Text:
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022.
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psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - Newspaper/Magazine Article
Total systems safety supports practitioners in partnering with families to protect patients.
Citation Text:
Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
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psnet.ahrq.gov/issue/intimidation-concept-analysis
May 20, 2020 - Review
Intimidation: a concept analysis.
Citation Text:
Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-6198.2009.00162.x.
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psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
May 04, 2016 - Book/Report
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.
Citation Text:
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…