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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/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/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/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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psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - Study
Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.
Citation Text:
Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…
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psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
March 14, 2022 - Commentary
Information technology cannot guarantee patient safety.
Citation Text:
de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety. BMJ. 2007;334(7598):851-2.
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psnet.ahrq.gov/issue/toward-higher-performance-health-systems-adults-health-care-experiences-seven-countries-2007
February 22, 2010 - Study
Toward higher-performance health systems: adults' health care experiences in seven countries, 2007.
Citation Text:
Schoen C, Osborn R, Doty M, et al. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Health Aff (Millwood). 2007;26…
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psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
June 10, 2020 - Commentary
A piece of my mind. The art of constructive worrying.
Citation Text:
John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670.
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psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
August 02, 2023 - Study
Performance of a web-based clinical diagnosis support system for internists.
Citation Text:
Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8.
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psnet.ahrq.gov/issue/systematic-review-literature-multidisciplinary-rounds-design-information-technology
November 20, 2024 - Review
A systematic review of the literature on multidisciplinary rounds to design information technology.
Citation Text:
Gurses AP, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information technology. J Am Med Inform Assoc. 2006;13(3):267-76.
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psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
April 06, 2016 - Book/Report
Systems Analysis of Critical Incidents: the London Protocol.
Citation Text:
Systems Analysis of Critical Incidents: the London Protocol. Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024.
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psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
August 17, 2005 - Study
Voluntary incident reporting by anaesthetic trainees in an Australian hospital.
Citation Text:
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7.
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psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
November 11, 2020 - Book/Report
Evidence Brief: Implementation of High Reliability Organization Principles.
Citation Text:
Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019.
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psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
April 24, 2018 - Commentary
How to deliver safer and effective patient care: tips for team leaders and educators.
Citation Text:
Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017.
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psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics
October 10, 2018 - Commentary
The elusive and illusive quest for diagnostic safety metrics.
Citation Text:
Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2.
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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Review
Classic
Teamwork in healthcare: key discoveries enabling safer, high-quality care.
Citation Text:
Rosen MA, DiazGranados D, Dietz AS, et al. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-450. doi:10.…