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psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
February 15, 2023 - Newspaper/Magazine Article
Emergency lights and sirens on ambulances may do more harm than good.
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Emergency lights and sirens on ambulances may do more harm than good. Renault M. Stat. July 7, 2023.
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psnet.ahrq.gov/issue/eighth-annual-national-patient-safety-foundation-congress-conference-proceedings
November 29, 2017 - Meeting/Conference Proceedings
Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings.
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Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. Stepnick L, Edgman-Levitan S, Kaplan GS et al. J Patient Saf. 2006;2(2):…
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
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The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
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Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
February 10, 2021 - Press Release/Announcement
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.
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FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
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psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
April 20, 2022 - Newspaper/Magazine Article
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.
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Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…
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psnet.ahrq.gov/issue/using-twitter-assess-patient-takes-patient-experience
February 24, 2021 - Newspaper/Magazine Article
Using Twitter to assess patient takes on patient experience.
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Using Twitter to assess patient takes on patient experience. Heath S. Patient Engagement HIT. October 29, 2020.
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psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
June 21, 2017 - Commentary
Thinking fast and slow in medicine.
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Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043.
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psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
June 08, 2022 - Special or Theme Issue
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.
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Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.
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psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - Book/Report
Classic
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.
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The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…
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psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
July 05, 2006 - Commentary
Systemic failures in health care oversight.
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Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802.
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psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
January 16, 2019 - Commentary
AI as an ecosystem — ensuring generative AI is safe and effective.
Citation Text:
Coiera E, Fraile-Navarro D. AI as an ecosystem — ensuring generative AI is safe and effective. NEJM AI. 2024;1(9):AIp2400611. doi:10.1056/aip2400611.
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psnet.ahrq.gov/issue/need-cognition-and-curse-cognition
September 18, 2024 - Commentary
The need for cognition and the curse of cognition.
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Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072.
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psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
April 17, 2013 - Commentary
Improving patient safety by taking systems seriously.
Citation Text:
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445.
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psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
July 09, 2012 - Book/Report
Silence Kills: The Seven Crucial Conversations for Healthcare.
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Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.
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psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
April 22, 2016 - Newspaper/Magazine Article
Hospitals slow to adopt patient apology policies.
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Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
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Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
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psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
July 15, 2020 - Commentary
The challenge of competency assessment of the late-career practitioner.
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Steffany M. The challenge of competency assessment of the late‐career practitioner. J Healthc Risk Manag. 2022;41(3):31-38. doi:10.1002/jhrm.21492.
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psnet.ahrq.gov/issue/negotiating-medical-virtues-toward-development-physician-mistake-disclosure-model
June 14, 2017 - Commentary
Negotiating medical virtues: toward the development of a physician mistake disclosure model.
Citation Text:
Hannawa AF. Negotiating medical virtues: toward the development of a physician mistake disclosure model. Health Comm. 2009;24(5):391-399. doi:10.1080/10410230903023279…
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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
January 01, 2008 - Commentary
Preventing vincristine administration errors: does evidence support minibag infusions?
Citation Text:
Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …