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psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
July 14, 2021 - Commentary
Changing the patient safety mindset: can safety cases help?
Citation Text:
Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652.
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psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
November 21, 2021 - Study
Missed diagnoses by urologists resulting in malpractice payment.
Citation Text:
Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9.
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - Study
Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.
Citation Text:
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
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psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
May 01, 2024 - Commentary
Spreading human factors expertise in healthcare: untangling the knots in people and systems.
Citation Text:
Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…
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psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
March 04, 2015 - Commentary
Quality initiatives: developing a radiology quality and safety program: a primer.
Citation Text:
Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…
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psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
February 20, 2016 - Study
Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness.
Citation Text:
Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170.
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psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
March 20, 2024 - Review
A review of current and emerging approaches to address failure-to-rescue.
Citation Text:
Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633.
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psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Have you M.E.T. the future of better patient safety?
Citation Text:
Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1.
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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - Newspaper/Magazine Article
Dispensing Errors.
Citation Text:
Dispensing Errors. Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020.
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psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
July 01, 2020 - Study
Using video recording to identify management errors in pediatric trauma resuscitation.
Citation Text:
Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664.
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psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
March 09, 2009 - Commentary
System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy.
Citation Text:
Lien H-H, Huang C-C, Liu J-S, et al. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Surg La…
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psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
August 31, 2022 - Study
Tablet-splitting: a common yet not so innocent practice.
Citation Text:
Verrue C, Mehuys E, Boussery K, et al. Tablet-splitting: a common yet not so innocent practice. J Adv Nurs. 2011;67(1):26-32. doi:10.1111/j.1365-2648.2010.05477.x.
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - Review
Missed breast cancers at US-guided core needle biopsy: how to reduce them.
Citation Text:
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27(1):79-94.
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psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
June 03, 2020 - Commentary
Eliminating preventable death at Ascension Health.
Citation Text:
Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54.
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psnet.ahrq.gov/issue/rolling-out-rapid-response-team
November 11, 2020 - Commentary
Rolling out the rapid response team.
Citation Text:
Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f.
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psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
October 22, 2014 - Study
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems.
Citation Text:
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44.
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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - Study
Pediatric rapid response teams in the academic medical center.
Citation Text:
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
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psnet.ahrq.gov/issue/interactive-effects-nurse-experienced-time-pressure-and-burnout-patient-safety-cross
September 23, 2009 - Study
Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey.
Citation Text:
Teng C-I, Shyu Y-IL, Chiou W-K, et al. Interactive effects of nurse-experienced time pressure and burnout on patient safety: a cross-sectional survey. Int…
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psnet.ahrq.gov/issue/when-less-more-role-overdiagnosis-and-overtreatment-patient-safety
July 22, 2020 - Commentary
When less is more: the role of overdiagnosis and overtreatment in patient safety.
Citation Text:
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
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psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
May 10, 2023 - Commentary
Prescribing errors resulting in adverse drug events: how can they be prevented?
Citation Text:
Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93.
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