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psnet.ahrq.gov/issue/drug-errors-qualitative-research-and-some-reflections-ethics
January 31, 2024 - Commentary
Drug errors, qualitative research and some reflections on ethics.
Citation Text:
Armitage G. Drug errors, qualitative research and some reflections on ethics. J Clin Nurs. 2005;14(7):869-75.
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psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
May 11, 2019 - Commentary
Reforming the Veterans Health Administration—beyond palliation of symptoms.
Citation Text:
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course.
Citation Text:
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
March 02, 2011 - Commentary
John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center.
Citation Text:
Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…
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psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
March 20, 2024 - Study
Medical errors education: a prospective study of a new educational tool.
Citation Text:
Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345.
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psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
March 05, 2010 - Study
What constitutes a prescribing error in paediatrics?
Citation Text:
Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7.
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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - Commentary
Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.
Citation Text:
Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …
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psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
March 28, 2012 - Study
Errors in thyroid gland fine-needle aspiration.
Citation Text:
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
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psnet.ahrq.gov/issue/effects-interdisciplinary-collaboration-hospitals-medication-errors-integrative-review
June 16, 2021 - Review
Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review.
Citation Text:
Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opin Drug Saf. 2018;17(3):259-275. doi:10.1080/…
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psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
November 16, 2022 - Commentary
Reducing falls with a safety spotter program.
Citation Text:
Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27.
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psnet.ahrq.gov/issue/team-time-out-and-surgical-safety-experiences-12390-neurosurgical-patients
November 21, 2018 - Study
"Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients.
Citation Text:
Oszvald Á, Vatter H, Byhahn C, et al. “Team time-out” and surgical safety—experiences in 12,390 neurosurgical patients. Neurosurg Focus. 2012;33(5). doi:10.3171/2012.8.focus12261.
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
October 19, 2022 - Commentary
How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?
Citation Text:
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
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psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
July 29, 2020 - Commentary
When less is better, but physicians are afraid not to intervene.
Citation Text:
Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257.
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psnet.ahrq.gov/issue/patient-safety-intensive-care-medicine-declaration-vienna
September 30, 2010 - Commentary
Patient safety in intensive care medicine: the Declaration of Vienna.
Citation Text:
Moreno RP, Rhodes A, Donchin Y. Patient safety in intensive care medicine: the Declaration of Vienna. Intensive Care Med. 2009;35(10). doi:10.1007/s00134-009-1621-2.
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psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics
May 18, 2016 - Review
Team training: implications for emergency and critical care pediatrics.
Citation Text:
Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-research-david-w-bates-md-msc-brigham-and-womens
July 25, 2018 - Commentary
John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital.
Citation Text:
Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Q…
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event.
Citation Text:
Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001.
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psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2014 Guide to State Adverse Event Reporting Systems.
Citation Text:
2014 Guide to State Adverse Event Reporting Systems. Hanlon C, Sheedy K, Kniffin T, Rosenthal J. Portland, ME: National Academy for State Health Policy; 2015.
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