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psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
March 14, 2016 - Commentary
Multilayered approach to patient safety culture.
Citation Text:
Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793.
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psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
September 17, 2008 - Study
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Citation Text:
Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform A…
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psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - Study
Classic
Health plan members' views about disclosure of medical errors.
Citation Text:
Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
July 10, 2008 - Review
Disclosing harmful medical errors to patients.
Citation Text:
Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9.
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psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
September 01, 2010 - Newspaper/Magazine Article
Hospital bosses ignored months of doctors' warnings about Lucy Letby.
Citation Text:
Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023.
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psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
April 04, 2011 - Review
Ethical and practical aspects of disclosing adverse events in the emergency department.
Citation Text:
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
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psnet.ahrq.gov/issue/speaking-reduce-noise-or
July 26, 2023 - Commentary
Speaking up to reduce noise in the OR.
Citation Text:
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019.
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psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
November 16, 2022 - Study
Error detection and recovery in dialysis nursing.
Citation Text:
Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf. 2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20.
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psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
June 17, 2010 - Study
Communication patterns in a UK emergency department.
Citation Text:
Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13.
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psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
November 18, 2020 - Newspaper/Magazine Article
Nowhere is safe: record number of patients contracted Covid in the hospital in January.
Citation Text:
Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022.
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psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
December 15, 2008 - Commentary
Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.
Citation Text:
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Citation Text:
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7.
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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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/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
September 24, 2010 - Commentary
On the scene at Children's Hospitals and Clinics of Minnesota.
Citation Text:
Malone G, Akre M, Hauck M. On the scene at Children's Hospitals and Clinics of Minnesota. Nurs Adm Q. 2009;33(1):54-61. doi:10.1097/01.NAQ.0000343349.93537.08.
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psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
January 06, 2017 - Image/Poster
Nurses' perceptions of multidisciplinary team work in acute health-care.
Citation Text:
Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65.
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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/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/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - Newspaper/Magazine Article
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts?
Citation Text:
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …