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psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
December 12, 2014 - Study
Exploring strategies for reducing hospital errors.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136.
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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/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
May 31, 2017 - Newspaper/Magazine Article
Maximize benefits of IV workflow management systems by addressing workarounds and errors.
Citation Text:
Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…
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psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
September 11, 2009 - Newspaper/Magazine Article
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue.
Citation Text:
Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …
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psnet.ahrq.gov/issue/clinicians-quality-improvement-new-career-pathway-academic-medicine
June 09, 2015 - Commentary
Clinicians in quality improvement: a new career pathway in academic medicine.
Citation Text:
Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine. JAMA. 2009;301(7):766-8. doi:10.1001/jama.2009.140.
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - Commentary
The checklist: recognize limits, but harness its power.
Citation Text:
Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603.
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psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
September 07, 2016 - Commentary
Assessing the performance of aging surgeons.
Citation Text:
Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA. 2019;321(5):449-450. doi:10.1001/jama.2018.22216.
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psnet.ahrq.gov/issue/quality-and-safety-surgical-care
August 26, 2011 - Commentary
Quality and safety in surgical care.
Citation Text:
Polk HC, Birkmeyer JD, Hunt D, et al. Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48.
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psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
March 10, 2011 - Review
Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.
Citation Text:
Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879.
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psnet.ahrq.gov/issue/designing-safer-radiology-department
March 04, 2015 - Commentary
Designing a safer radiology department.
Citation Text:
Johnson D, Miranda R, Osborn HH, et al. Designing a safer radiology department. AJR Am J Roentgenol. 2012;198(2):398-404. doi:10.2214/AJR.11.7234.
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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/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2007 Guide to State Adverse Event Reporting Systems.
Citation Text:
2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301.
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psnet.ahrq.gov/issue/your-companys-secret-change-agents
June 09, 2021 - Commentary
Your company's secret change agents.
Citation Text:
Pascale RT, Sternin J. Your company's secret change agents. Harv Bus Rev. 2005;83(5):72-81, 153.
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psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
September 01, 2021 - Commentary
Imagining the future of diagnostic performance feedback.
Citation Text:
Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055.
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psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
June 17, 2014 - Newspaper/Magazine Article
Medication safety issue brief. Look-alike, sound-alike drugs.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H & H. Medication safety issue brief, look-alike, sound-alike drugs. Hospitals and Health Networks. October 2005;79(10):57-58.
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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes?
Citation Text:
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368.
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psnet.ahrq.gov/issue/drug-shortage-affecting-patient-care-your-critical-care-unit
November 22, 2017 - Commentary
Is the drug shortage affecting patient care in your critical care unit?
Citation Text:
Alspach JAG. Is the drug shortage affecting patient care in your critical care unit? Crit Care Nurse. 2012;32(1):8-13. doi:10.4037/ccn2012810.
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
February 28, 2024 - Commentary
Learning from patient safety incidents: creating participative risk regulation in healthcare.
Citation Text:
Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452.
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - Toolkit
The CUSP Method
Citation Text:
The CUSP Method.
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psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
July 25, 2018 - Commentary
Peer support for clinicians: a programmatic approach.
Citation Text:
Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297.
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