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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - Commentary
To err is human, to apologize is hard.
Citation Text:
Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840.
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digital.ahrq.gov/ahrq-funded-projects/using-health-it-practice-redesign-impact-health-it-workflow/annual-summary/2012
January 01, 2012 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012
Project Name
Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow
Principal Investigator
Carayon, Pascale
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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - Newspaper/Magazine Article
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say.
Citation Text:
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…
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psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
February 17, 2011 - Study
Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.
Citation Text:
Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-17.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0405_01-16-2011.pdf
January 01, 2011 - Effective Health Care
Topic Number: 0341
Document Completion Date: 3-23-11
1
Results of Topic Selection Process & Next Steps
Diagnosis and management of chronic cough will go forward for refinement as a systematic review.
The scope of this topic, including populations, interventions, comparato…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0352_09-22-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0298
Document Completion Date: 03-19-12
1
Results of Topic Selection Process & Next Steps
Perinatal depression treatment will go forward for refinement as a systematic review. The scope of this
topic, including populations, interventions, comparators, and ou…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0174_10-20-2009.pdf
January 01, 2009 - Effective Health Care
Topic Numbers: 0215 & 0078
Document Completion Date: 6-8-10
1
Results of Topic Selection Process & Next Steps
Physical therapy for knee pain secondary to osteoarthritis of the knee will go forward for refinement as
a systematic review. The scope of this topic, includin…
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psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology
September 09, 2009 - Review
Key principles in quality and safety in radiology.
Citation Text:
Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951.
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psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
December 27, 2018 - Newspaper/Magazine Article
Are national efforts to reduce drug name confusion paying off?
Citation Text:
Are national efforts to reduce drug name confusion paying off? ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
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psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Sentinel Event Alerts
Safely implementing health information and converging technologies.
Citation Text:
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
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psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
October 02, 2019 - Commentary
Moving patient safety into ambulatory settings and beyond.
Citation Text:
Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329.
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psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
December 15, 2021 - Fact Sheet/FAQs
ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings.
Citation Text:
ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Horsham, PA: Institute of Safe Medication Practices; 2021
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psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
October 19, 2022 - Review
Avoiding wrong site surgery: a systematic review.
Citation Text:
Devine J, Chutkan N, Norvell DC, et al. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa 1976). 2010;35(9 Suppl):S28-36. doi:10.1097/BRS.0b013e3181d833ac.
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psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
May 25, 2022 - Commentary
The National Database of Nursing Quality Indicators(TM) (NDNQI®).
Citation Text:
The National Database of Nursing Quality Indicators(TM) (NDNQI®). Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.
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psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - Study
Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.
Citation Text:
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…
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psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
November 01, 2017 - Newspaper/Magazine Article
Mean girls of the ER: the alarming nurse culture of bullying and hazing.
Citation Text:
Mean girls of the ER: the alarming nurse culture of bullying and hazing. Robbins A. Good Housekeeping. May 20, 2016.
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psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
May 01, 2024 - Commentary
Toward the modelling of safety violations in healthcare systems.
Citation Text:
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - Study
Testing a classification model for emergency department errors.
Citation Text:
Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9.
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psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
March 02, 2010 - Study
Emergency department medication lists are not accurate.
Citation Text:
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
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psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
February 10, 2012 - Study
No simple fix for fixation errors: cognitive processes and their clinical applications.
Citation Text:
Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia. 2009;65(1). doi:10.1111/j.1365-2044.2009.05994…