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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
December 24, 2008 - Book/Report
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.
Citation Text:
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
March 05, 2013 - Government Resource
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs.
Citation Text:
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001. AHRQ …
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psnet.ahrq.gov/issue/physicians-information-technology-and-health-care-systems-journey-not-destination
May 04, 2010 - Commentary
Physicians, information technology, and health care systems: a journey, not a destination.
Citation Text:
McDonald CJ, Overhage M, Mamlin BW, et al. Physicians, information technology, and health care systems: a journey, not a destination. J Am Med Inform Assoc. 2004;11(2):1…
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - Commentary
Patient safety in women's health care: a framework for progress.
Citation Text:
Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):525-36.
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psnet.ahrq.gov/issue/cognitive-health-system
September 04, 2024 - Commentary
The cognitive health system.
Citation Text:
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3.
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Commentary
Kenneth W. Kizer, MD, MPH: health care quality evangelist.
Citation Text:
Kizer KW. Kenneth W. Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. JAMA. 2001;285(7):869-71.
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psnet.ahrq.gov/issue/bias-radiology-how-and-why-misses-and-misinterpretations
March 01, 2023 - Commentary
Bias in radiology: the how and why of misses and misinterpretations.
Citation Text:
Busby LP, Courtier JL, Glastonbury CM. Bias in Radiology: The How and Why of Misses and Misinterpretations. Radiographics. 2018;38(1):236-247. doi:10.1148/rg.2018170107.
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psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
August 28, 2024 - Commentary
Understanding the role of non-technical skills in patient safety.
Citation Text:
White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8.
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psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
July 13, 2010 - Review
Surgical safety checklists: do they improve outcomes?
Citation Text:
Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175.
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psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
November 16, 2022 - Commentary
Patient safety in the ambulatory OB/GYN setting.
Citation Text:
Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol. 2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6.
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psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
November 16, 2022 - Newspaper/Magazine Article
Reporting adverse events to patients: a step-by-step approach.
Citation Text:
Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9.
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psnet.ahrq.gov/issue/patient-safety-research-summaries
December 24, 2008 - Book/Report
Patient Safety Research Summaries.
Citation Text:
Patient Safety Research Summaries. Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Commentary
Disclosing harmful medical errors to patients: tackling three tough cases.
Citation Text:
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - Toolkit
Re-Engineered Discharge (RED) Toolkit.
Citation Text:
Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
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psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
September 26, 2016 - Study
Improving the usability of intravenous medication labels to support safe medication delivery.
Citation Text:
Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication delivery. International journal of industrial ergonomics. 2011;41…
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist.
Citation Text:
Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305.
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
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psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
June 22, 2022 - Commentary
The SBAR communication technique: teaching nursing students professional communication skills.
Citation Text:
Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.…
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psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
November 16, 2022 - Study
Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping.
Citation Text:
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
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