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psnet.ahrq.gov/issue/quality-improvement-healthcare-new-zealand-part-2-are-our-patients-safe-and-what-are-we-doing
April 01, 2015 - Commentary
Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it?
Citation Text:
Merry A, Seddon M, Quality EPI and. Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it…
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psnet.ahrq.gov/issue/computerized-provider-order-entry-strategies-successful-implementation
February 15, 2017 - Commentary
Computerized provider order entry: strategies for successful implementation.
Citation Text:
Jones S, Moss J. Computerized Provider Order Entry. J Nurs Admin. 2006;36(3):136-139. doi:10.1097/00005110-200603000-00007.
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psnet.ahrq.gov/issue/rapid-response-systems
September 30, 2010 - Commentary
Rapid response systems.
Citation Text:
Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21.
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psnet.ahrq.gov/issue/doctors-new-dilemma
November 13, 2024 - Commentary
The doctor's new dilemma.
Citation Text:
Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708.
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psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
September 09, 2013 - Study
Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.
Citation Text:
Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res. …
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psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
July 01, 2016 - Study
Sentinel events. In memory of Ben—a case study.
Citation Text:
Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5.
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psnet.ahrq.gov/issue/epidemiology-malpractice-lawsuits-paediatrics
June 16, 2021 - Review
Epidemiology of malpractice lawsuits in paediatrics.
Citation Text:
Najaf-Zadeh A, Dubos F, Aurel M, et al. Epidemiology of malpractice lawsuits in paediatrics. Acta Paediatr. 2008;97(11):1486-91. doi:10.1111/j.1651-2227.2008.00898.x.
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psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
January 28, 2015 - Commentary
Enhancing pediatric perioperative patient safety.
Citation Text:
Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007.
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psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
January 08, 2020 - Study
Tracking with virtual slides: a tool to study diagnostic error in histopathology.
Citation Text:
Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Multi-use Website
LeDeR - Learning from Lives and Deaths.
Citation Text:
LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England.
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psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
April 22, 2016 - Newspaper/Magazine Article
Hospitals often ignore policies on using qualified medical interpreters.
Citation Text:
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20.
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care organizations deal with major failures.
Citation Text:
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11.
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
July 14, 2010 - Study
Nursing student medication errors involving tubing and catheters: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…
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psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
January 11, 2017 - Study
Emergency medical and health providers' perceptions of key issues in prehospital patient safety.
Citation Text:
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…
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psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
August 08, 2018 - Newspaper/Magazine Article
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety.
Citation Text:
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…
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psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
July 08, 2015 - Commentary
Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service.
Citation Text:
Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…
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psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
December 21, 2022 - Study
Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières.
Citation Text:
Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…
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psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics
May 18, 2016 - Review
Team training: implications for emergency and critical care pediatrics.
Citation Text:
Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3.
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
April 19, 2017 - Commentary
Disclosing medical errors to patients: a challenge for health care professionals and institutions.
Citation Text:
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…