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psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
June 10, 2015 - Study
Using a Delphi method to identify human factors contributing to nursing errors.
Citation Text:
Roth C, Brewer M, Wieck L. Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. Nurs Forum. 2017;52(3):173-179. doi:10.1111/nuf.12178.
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psnet.ahrq.gov/issue/core-competencies-patient-safety-research-cornerstone-global-capacity-strengthening
September 15, 2021 - Commentary
Core competencies for patient safety research: a cornerstone for global capacity strengthening.
Citation Text:
Andermann A, Ginsburg L, Norton P, et al. Core competencies for patient safety research: a cornerstone for global capacity strengthening. BMJ Qual Saf. 2011;20(1):9…
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psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
July 09, 2019 - Book/Report
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Citation Text:
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…
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psnet.ahrq.gov/issue/critical-role-surgeon-anesthesiologist-relationship-patient-safety
November 11, 2020 - Commentary
Critical role of the surgeon–anesthesiologist relationship for patient safety.
Citation Text:
Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324.
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psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
April 08, 2020 - Press Release/Announcement
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers.
Citation Text:
Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…
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psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
March 13, 2013 - Commentary
Progress in patient safety: a glass fuller than it seems.
Citation Text:
Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554.
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psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
November 18, 2020 - Study
National Patient Safety Agency: combining stories with statistics to minimise harm.
Citation Text:
Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489.
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psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
March 04, 2015 - Commentary
Patient safety event reporting in a large radiology department.
Citation Text:
Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718.
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psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
October 12, 2022 - Book/Report
Diagnosis: Reducing Errors and Improving Quality.
Citation Text:
Diagnosis: Reducing Errors and Improving Quality. Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022
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psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
May 29, 2019 - Study
Health care provider use of private sector internal error-reporting systems.
Citation Text:
Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12.
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
November 12, 2014 - Review
What to do with healthcare incident reporting systems.
Citation Text:
Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27.
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psnet.ahrq.gov/issue/empowering-patient-safety-outreach-through-interprofessional-partnerships-educating-our
August 17, 2022 - Commentary
Empowering patient safety outreach through interprofessional partnerships: educating our communities.
Citation Text:
Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional Partnerships: Educating Our Communities. J Hosp Librariansh. …
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - Study
Delayed or missed diagnosis of cervical spine injuries.
Citation Text:
Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …
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psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
June 30, 2011 - Commentary
Disclosure of medical error: policies and practice.
Citation Text:
Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309.
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
June 17, 2015 - Study
Identifying and addressing preventable process errors in trauma care.
Citation Text:
Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9.
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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
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psnet.ahrq.gov/issue/patient-safety-what-how-and-when
June 23, 2021 - Commentary
Patient safety: the what, how, and when.
Citation Text:
Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003.
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psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-adverse-events-patients-and-their-families
March 04, 2009 - Study
A new structure of attention? Open disclosure of adverse events to patients and their families.
Citation Text:
Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2). doi:10.1177/0261927x08330614.
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