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psnet.ahrq.gov/issue/safety-numbers-lack-evidence-indicate-number-physicians-needed-provide-safe-acute-medical
December 21, 2017 - Commentary
Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.
Citation Text:
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-professional-colleges-can-make-difference-society
November 28, 2018 - Commentary
Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.
Citation Text:
Milne JK, Lalonde AB. Patient safety in women's health-care: professional colleges can make a differ…
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psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
April 06, 2022 - Study
Patient safety incidents caused by poor quality surgical instruments.
Citation Text:
Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877.
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psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
September 21, 2022 - Study
Regional surveillance of emergency-department visits for outpatient adverse drug events.
Citation Text:
Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…
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psnet.ahrq.gov/issue/adopting-national-quality-forum-medication-safe-practices-progress-and-barriers-hospital
December 16, 2011 - Study
Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.
Citation Text:
Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress and barriers to hospital implementation. J Hosp Med.…
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psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
March 28, 2018 - Study
Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings.
Citation Text:
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their tr…
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psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
September 26, 2012 - Study
Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit.
Citation Text:
Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…
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psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
April 03, 2005 - Study
Accidental iatrogenic pneumothorax in hospitalized patients.
Citation Text:
Zhan C, Smith M, Stryer D. Accidental iatrogenic pneumothorax in hospitalized patients. Med Care. 2006;44(2):182-186.
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psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lecture
November 02, 2014 - Commentary
New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture.
Citation Text:
Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg. 2009;144(5):394-8. doi:10.1001/archsurg.2009.78.
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psnet.ahrq.gov/issue/effectiveness-patient-care-teams-and-role-clinical-expertise-and-coordination-literature
December 17, 2009 - Review
Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
Citation Text:
Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literat…
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psnet.ahrq.gov/issue/key-considerations-ensuring-safe-regional-telehealth-care-model-systematic-review
August 25, 2021 - Review
Key considerations in ensuring a safe regional telehealth care model: a systematic review.
Citation Text:
Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.05…
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psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory
March 09, 2022 - Study
Patient identification errors: the detective in the laboratory.
Citation Text:
Salinas M, López-Garrigós M, Lillo R, et al. Patient identification errors: the detective in the laboratory. Clin Biochem. 2013;46(16-17):1767-9. doi:10.1016/j.clinbiochem.2013.08.005.
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psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
April 24, 2018 - Study
Decoding laboratory test names: a major challenge to appropriate patient care.
Citation Text:
Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…
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psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
May 15, 2019 - Commentary
A quality improvement approach to standardization and sustainability of the hand-off process.
Citation Text:
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
November 16, 2022 - Study
Diagnostic error in pediatric cancer.
Citation Text:
Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325.
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psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
April 11, 2011 - Review
Automated detection of harm in healthcare with information technology: a systematic review.
Citation Text:
Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…
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psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - Study
Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography.
Citation Text:
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-and-continuing-education-qualitative-study-current
April 03, 2013 - Study
Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains.
Citation Text:
Kitto S, Goldman J, Etchells E, et al. Quality improvement, patient safety, and continuing educatio…
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psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams
November 18, 2016 - Review
Emerging Classic
The complexity, diversity, and science of primary care teams.
Citation Text:
Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244.
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psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
October 19, 2022 - Study
Classic
The high cost of low-frequency events: the anatomy and economics of surgical mishaps.
Citation Text:
Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…