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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
January 18, 2023 - Commentary
Leveraging consistent communication tools and organizational values to promote accountability among health care providers.
Citation Text:
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
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psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medication-errors-hospitals
October 19, 2010 - Commentary
Effective strategies to increase reporting of medication errors in hospitals.
Citation Text:
Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41.
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psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
August 04, 2021 - Study
Analyzing communication errors in an air medical transport service.
Citation Text:
Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital.
Citation Text:
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325.
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psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
June 28, 2010 - Study
Special report: suicidal ideation among American surgeons.
Citation Text:
Shanafelt TD, Balch CM, Dyrbye LN, et al. Special report: suicidal ideation among American surgeons. Arch Surg. 2011;146(1):54-62. doi:10.1001/archsurg.2010.292.
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psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations
February 16, 2011 - Study
The effects of stress and coping on surgical performance during simulations.
Citation Text:
Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be.
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psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
July 29, 2020 - Study
Potential medication dosing errors in outpatient pediatrics.
Citation Text:
McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7.
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psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake
November 16, 2022 - Commentary
The prosecution of RaDonda Vaught: an ethical and legal mistake.
Citation Text:
Vogelstein E. The prosecution of RaDonda Vaught: An ethical and legal mistake. Nurs Forum. 2022;57(6):1571-1574. doi:10.1111/nuf.12838.
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psnet.ahrq.gov/issue/improving-discharge-safety-pediatric-emergency-department
June 22, 2022 - Study
Improving discharge safety in a pediatric emergency department.
Citation Text:
Paydar-Darian N, Stack AM, Volpe D, et al. Improving discharge safety in a pediatric emergency department. Pediatrics. 2022;150(5):e2021054307. doi:10.1542/peds.2021-054307.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
December 21, 2011 - Commentary
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24.
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
May 06, 2015 - Special or Theme Issue
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program.
Citation Text:
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Inf…
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psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
November 13, 2024 - Audiovisual Presentation
Report links Georgia's abortion ban to preventable deaths.
Citation Text:
Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024.
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Study
Patient reports of preventable problems and harms in primary health care.
Citation Text:
Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40.
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psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
July 02, 2019 - Commentary
Information chaos in primary care: implications for physician performance and patient safety.
Citation Text:
Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…
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psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
August 04, 2021 - Commentary
Safe use of cellular telephones in hospitals: fundamental principles and case studies.
Citation Text:
Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48.
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psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - Study
Surgical confusions in ophthalmology.
Citation Text:
Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22.
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psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
October 13, 2018 - Commentary
A framework for operationalizing risk: a practical approach to patient safety.
Citation Text:
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…
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psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - Commentary
Disruptive behaviors among physicians.
Citation Text:
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218.
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psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
October 01, 2014 - Study
The effectiveness of management-by-walking-around: a randomized field study.
Citation Text:
Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226.
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