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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/performing-wrong-procedure
April 24, 2018 - Commentary
Performing the wrong procedure.
Citation Text:
Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134.
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - Newspaper/Magazine Article
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error
Citation Text:
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
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psnet.ahrq.gov/issue/family-centered-rounds
April 24, 2018 - Commentary
Family-centered rounds.
Citation Text:
Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003.
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - Commentary
Poor medication history plus slow symptom onset delays a diagnosis.
Citation Text:
Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.
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psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
January 21, 2011 - Commentary
Organization and representation of patient safety data: current status and issues around generalizability and scalability.
Citation Text:
Boxwala AA, Dierks M, Keenan M, et al. Organization and representation of patient safety data: current status and issues around generalizab…
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psnet.ahrq.gov/issue/delivering-quality-health-services-global-imperative-universal-health-coverage
July 20, 2011 - Book/Report
Classic
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.
Citation Text:
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. Geneva, Switzerland: World Health Organization; July …
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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
September 14, 2011 - Commentary
Patient Safety in the Traditional and Evolving Nontraditional Office Setting
Citation Text:
Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471.
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psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
January 10, 2024 - Commentary
Creating a culture of safety by coaching clinicians to competence.
Citation Text:
Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025.
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
February 01, 2013 - Review
How safe is my intensive care unit? Methods for monitoring and measurement.
Citation Text:
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - Commentary
Identification errors in pathology and laboratory medicine.
Citation Text:
Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii.
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psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-safety-threat
March 06, 2005 - Study
Workplace violence against anesthesiologists: we are not immune to this patient safety threat.
Citation Text:
Workplace violence against anesthesiologists: we are not immune to this patient safety threat. Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;…
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
February 28, 2024 - Commentary
Learning from patient safety incidents: creating participative risk regulation in healthcare.
Citation Text:
Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452.
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psnet.ahrq.gov/issue/language-barriers-prescriptions-patients-limited-english-proficiency-survey-pharmacies
September 23, 2020 - Study
Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.
Citation Text:
Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 20…
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psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
May 29, 2013 - Review
Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure.
Citation Text:
Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…
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psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
June 25, 2010 - Study
The Shift Coupon: an innovative method to monitor adverse events.
Citation Text:
Kellogg VA, Havens DS. The Shift Coupon: an innovative method to monitor adverse events. J Nurs Care Qual. 2006;21(1):49-55.
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psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
September 07, 2016 - Commentary
Assessing the performance of aging surgeons.
Citation Text:
Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA. 2019;321(5):449-450. doi:10.1001/jama.2018.22216.
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psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
June 29, 2011 - Commentary
Measuring patient safety in the emergency department.
Citation Text:
Pham JC, Alblaihed L, Cheung DS, et al. Measuring patient safety in the emergency department. Am J Med Qual. 2014;29(2):99-104. doi:10.1177/1062860613489846.
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