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psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study.
Citation Text:
Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec.
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psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences-mentor-hospital
November 21, 2016 - Commentary
Medical emergency team implementation: experiences of a mentor hospital.
Citation Text:
Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323.
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psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency
February 26, 2009 - Commentary
Drug shortages and clinicians: no time for complacency.
Citation Text:
Rochon P, Gurwitz JH. Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500.
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psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
July 01, 2017 - Commentary
Rethinking peer review: what aviation can teach radiology about performance improvement.
Citation Text:
Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222.
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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/returning-roots-culture-review-and-re-conceptualisation-safety-culture
December 16, 2020 - Review
Returning to the roots of culture: a review and re-conceptualisation of safety culture.
Citation Text:
Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004.
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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/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
September 21, 2022 - Newspaper/Magazine Article
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane.
Citation Text:
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Donovan-Smith O. Spokesman Review. March 15,…
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psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
March 02, 2016 - Commentary
Diagnostic error: untapped potential for improving patient safety?
Citation Text:
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149.
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psnet.ahrq.gov/issue/record-avoiding-pitfalls-going-electronic
October 25, 2017 - Commentary
Off the record — avoiding the pitfalls of going electronic.
Citation Text:
Hartzband P, Groopman J. Off the record--avoiding the pitfalls of going electronic. N Engl J Med. 2008;358(16):1656-8. doi:10.1056/NEJMp0802221.
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psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
March 02, 2011 - Commentary
Personal accountability in healthcare: searching for the right balance.
Citation Text:
Wachter R. Personal accountability in healthcare: searching for the right balance. BMJ Qual Saf. 2013;22(2):176-80. doi:10.1136/bmjqs-2012-001227.
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psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
October 06, 2021 - Commentary
Level IV evidence—adverse anecdote and clinical practice.
Citation Text:
Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/perianesthesia-nursing-advocacy-influential-voice-patient-safety
June 08, 2022 - Commentary
Perianesthesia nursing advocacy: an influential voice for patient safety.
Citation Text:
Windle PE, Mamaril M, Fossum S. Perianesthesia nursing advocacy: an influential voice for patient safety. J Perianesth Nurs. 2008;23(3):163-71. doi:10.1016/j.jopan.2008.03.008.
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psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - Newspaper/Magazine Article
Taking risky business out of the MRI suite.
Citation Text:
Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23.
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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/bar-coding-patient-safety
February 12, 2020 - Commentary
Bar coding for patient safety.
Citation Text:
Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31.
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psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
January 22, 2016 - Commentary
Medication room madness: calming the chaos.
Citation Text:
Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d.
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psnet.ahrq.gov/issue/medication-error-prevention-school-setting-closer-look
March 01, 2023 - Commentary
Medication error prevention in the school setting: a closer look.
Citation Text:
Richmond SL. Medication error prevention in the school setting: a closer look. NASN Sch Nurse. 2011;26(5):304-8.
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psnet.ahrq.gov/issue/sleep-deprivation-call-institutional-rules
June 27, 2018 - Commentary
Sleep deprivation: a call for institutional rules.
Citation Text:
McKenna L, Kodner IJ, Healy GB, et al. Sleep deprivation: a call for institutional rules. Surgery. 2013;154(1):118-22.
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