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psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
May 30, 2019 - Book/Report
Classic
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition.
Citation Text:
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…
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psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
June 01, 2022 - Study
Health information technology-related wrong-patient errors: context is critical.
Citation Text:
Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.
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psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
August 18, 2021 - Review
The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature.
Citation Text:
Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5…
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psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
April 28, 2021 - Commentary
Retained surgical items and minimally invasive surgery.
Citation Text:
Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4.
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psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
September 25, 2024 - Commentary
The Swiss cheese model of adverse event occurrence—closing the holes.
Citation Text:
Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003.
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psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - Study
Managing patients with identical names in the same ward.
Citation Text:
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
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psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
November 16, 2022 - Study
Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough?
Citation Text:
Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…
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psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
June 10, 2020 - Commentary
A piece of my mind. The art of constructive worrying.
Citation Text:
John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670.
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Commentary
Classic
Human error: models and management.
Citation Text:
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
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psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
February 04, 2009 - Special or Theme Issue
Supplement on Deepening our Understanding of Quality in Australia (DUQuA).
Citation Text:
Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105.
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psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
November 16, 2022 - Review
Generative artificial intelligence, patient safety and healthcare quality: a review.
Citation Text:
Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690.
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - Study
Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.
Citation Text:
Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…
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psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
January 04, 2017 - Commentary
Classic
Creating an integrated patient safety team.
Citation Text:
Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90.
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psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
December 16, 2011 - Study
The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.
Citation Text:
Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing…
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Commentary
Use of cascading A3s to drive systemwide improvement.
Citation Text:
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
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psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
March 04, 2011 - Study
Hospital responses to the Leapfrog Group in local markets.
Citation Text:
Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499.
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psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
December 02, 2020 - Review
Advancing patient safety through the clinical application of a framework focused on communication.
Citation Text:
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…
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psnet.ahrq.gov/issue/shedding-light-dark-side-doctor-patient-interactions-verbal-and-nonverbal-messages-physicians
June 14, 2017 - Study
Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures.
Citation Text:
Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians commu…
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psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
November 16, 2022 - Commentary
What is an ethically informed approach to managing patient safety risk during discharge planning?
Citation Text:
West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…
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psnet.ahrq.gov/issue/cpoe-strategies-success
October 09, 2019 - Commentary
CPOE: strategies for success.
Citation Text:
Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f.
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