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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - Study
The cost of serious fall-related injuries at three midwestern hospitals.
Citation Text:
Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87.
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psnet.ahrq.gov/issue/patient-safety-during-anaesthesia-incorporation-who-safe-surgery-guidelines-clinical-practice
September 20, 2011 - Review
Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice.
Citation Text:
Schlack WS, Boermeester MA. Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. Curr Opin Anaesthesi…
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psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - Book/Report
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed.
Citation Text:
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
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psnet.ahrq.gov/issue/avoiding-medical-emergencies
April 07, 2021 - Commentary
Avoiding medical emergencies.
Citation Text:
Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217.
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psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
September 24, 2017 - Commentary
Clinical decision support and malpractice risk.
Citation Text:
Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929.
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - Commentary
Rapid response systems: should we still question their implementation?
Citation Text:
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
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psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
December 12, 2012 - Commentary
Rapid response teams: what's the latest?
Citation Text:
Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21.
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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/development-patient-safety-program-across-continuum-care
September 21, 2009 - Commentary
The development of a patient safety program across the continuum of care.
Citation Text:
Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307.
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psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
April 21, 2021 - Study
Effects of sleep inertia on cognition.
Citation Text:
Wertz AT, Ronda JM, Czeisler CA, et al. Effects of sleep inertia on cognition. JAMA. 2006;295(2):163-4.
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psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
January 26, 2022 - Study
Spike in fatal medication errors at the beginning of each month.
Citation Text:
Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month. Pharmacotherapy. 2005;25(1):1-9.
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psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting
May 20, 2009 - Commentary
New patient safety organizations lower roadblocks to medical error reporting.
Citation Text:
Clancy CM. New patient safety organizations lower roadblocks to medical error reporting. Am J Med Qual. 2008;23(4):318-21. doi:10.1177/1062860608319673.
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psnet.ahrq.gov/issue/clinical-review-checklists-translating-evidence-practice
April 08, 2009 - Review
Clinical review: Checklists—translating evidence into practice.
Citation Text:
Winters BD, Gurses AP, Lehmann H, et al. Clinical review: checklists - translating evidence into practice. Crit Care. 2009;13(6):210. doi:10.1186/cc7792.
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psnet.ahrq.gov/issue/listen-carefully-risk-error-spoken-medication-orders
November 16, 2022 - Study
Listen carefully: the risk of error in spoken medication orders.
Citation Text:
Lambert BL, Dickey LW, Fisher WM, et al. Listen carefully: the risk of error in spoken medication orders. Soc Sci Med. 2010;70(10):1599-608. doi:10.1016/j.socscimed.2010.01.042.
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - Audiovisual
More hospitals move to confront medical errors head on.
Citation Text:
More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023.
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - Commentary
The path to safe and reliable healthcare.
Citation Text:
Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001.
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psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
May 20, 2009 - Commentary
Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.
Citation Text:
Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-…
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - Commentary
Nurses and patients: natural partners to advance patient safety
Citation Text:
Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377.
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - Newspaper/Magazine Article
Preventing medical errors: how to proceed with caution.
Citation Text:
Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64.
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