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psnet.ahrq.gov/issue/cognitive-health-system
September 04, 2024 - Commentary
The cognitive health system.
Citation Text:
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3.
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psnet.ahrq.gov/issue/surveys-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Classic
Surveys on Patient Safety Culture.
Citation Text:
Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
July 02, 2014 - Commentary
Assessing teamwork and communication in the authentic patient care learning environment.
Citation Text:
Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767.
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psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
December 08, 2024 - Meeting/Conference Proceedings
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad.
Citation Text:
Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
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psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
September 13, 2010 - Commentary
Disclosure of medical errors: the right thing to do.
Citation Text:
Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9.
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psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-through-organizational-strategies
December 24, 2008 - Book/Report
Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies.
Citation Text:
Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022.&nbs…
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psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
May 02, 2012 - Study
Impact of a standard medication chart on prescribing errors: a before-and-after audit.
Citation Text:
Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.11…
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psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
June 15, 2022 - Special or Theme Issue
Improving Usability, Safety and Patient Outcomes With Health Information Technology.
Citation Text:
Improving Usability, Safety and Patient Outcomes With Health Information Technology. Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257…
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psnet.ahrq.gov/issue/unleash-power-patients-make-care-safer-around-world-essay-helen-haskell
January 08, 2020 - Commentary
Unleash the power of patients to make care safer around the world: an essay by Helen Haskell.
Citation Text:
Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565.
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psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
February 01, 2023 - Commentary
Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology.
Citation Text:
Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Newspaper/Magazine Article
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety.
Citation Text:
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
September 12, 2016 - Commentary
Planning an MR suite: what can be done to enhance safety?
Citation Text:
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Commentary
Disclosing harmful medical errors to patients: tackling three tough cases.
Citation Text:
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Newspaper/Magazine Article
No bad apples.
Citation Text:
Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1.
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist.
Citation Text:
Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305.
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psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
July 22, 2020 - Special or Theme Issue
Heart Failure: The Decline of a Historic Transplant Program.
Citation Text:
Heart Failure: The Decline of a Historic Transplant Program. Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica. May 2018-May 2019.
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - Commentary
The science and economics of improving clinical communication.
Citation Text:
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…