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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Citation Text:
Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73.
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psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
June 12, 2013 - Commentary
Patient safety: is it just another bandwagon?
Citation Text:
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
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psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
October 29, 2014 - Newspaper/Magazine Article
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences.
Citation Text:
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - Study
Medication error reduction and the use of PDA technology.
Citation Text:
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07.
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - Commentary
The high costs of unnecessary care.
Citation Text:
Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193.
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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - Study
A human factors subsystems approach to trauma care.
Citation Text:
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8.
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psnet.ahrq.gov/issue/errors-and-analysis-errors
August 28, 2019 - Commentary
Errors and analysis of errors.
Citation Text:
Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Toolkit
Reducing Adverse Drug Events Related to Opioids Implementation Guide.
Citation Text:
Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
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psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
March 21, 2018 - Commentary
Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.
Citation Text:
Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…
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psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
February 24, 2021 - Commentary
The challenges in defining and measuring diagnostic error.
Citation Text:
Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069.
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psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
February 18, 2019 - Review
Office-based anesthesia: safety and outcomes.
Citation Text:
Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-285. doi:10.1213/ane.0000000000000313.
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psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
August 21, 2024 - Review
The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists?
Citation Text:
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3…
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-setting
October 02, 2019 - Review
Patient safety in the obstetric and gynecologic office setting.
Citation Text:
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am. 2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
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psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
September 28, 2010 - Government Resource
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened.
Citation Text:
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…
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psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
October 23, 2018 - Commentary
Are apologies a way to reduce malpractice risks?.
Citation Text:
Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772.
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psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
July 14, 2010 - Commentary
Lessons from the war on cancer: the need for basic research on safety.
Citation Text:
Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8
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psnet.ahrq.gov/issue/monitoring-patient-safety-health-care-building-case-surrogate-measures
June 23, 2009 - Commentary
Monitoring patient safety in health care: building the case for surrogate measures.
Citation Text:
Gaynes RP, Platt R. Monitoring patient safety in health care: building the case for surrogate measures. Jt Comm J Qual Patient Saf. 2006;32(2):95-101.
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psnet.ahrq.gov/issue/studying-technical-work-emergency-care
September 29, 2010 - Commentary
Studying the technical work of emergency care.
Citation Text:
Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6.
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psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
October 19, 2022 - Commentary
The increased incidence of anesthetic adverse events in late afternoon surgeries.
Citation Text:
Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020.
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