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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
September 30, 2015 - Commentary
Implementing patient safety and quality improvement in dermatology.
Citation Text:
Implementing patient safety and quality improvement in dermatology. Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67.
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psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
June 19, 2013 - Study
Priority patient safety issues identified by perioperative nurses.
Citation Text:
Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016.
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
December 16, 2015 - Commentary
Safety-I, Safety-II and resilience engineering.
Citation Text:
Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001.
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psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
January 17, 2024 - Special or Theme Issue
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records.
Citation Text:
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…
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psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
February 28, 2024 - Review
Emerging Classic
Governing the safety of artificial intelligence in healthcare.
Citation Text:
Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484.
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psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
May 25, 2016 - Commentary
Applying human-centered design thinking to enhance safety in the OR.
Citation Text:
Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004.
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psnet.ahrq.gov/issue/dual-process-cognitive-interventions-enhance-diagnostic-reasoning-systematic-review
March 20, 2019 - Review
Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review.
Citation Text:
Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.113…
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psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
September 27, 2022 - Commentary
The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine.
Citation Text:
Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024.
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psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
September 05, 2018 - Review
Building cultures of high reliability: lessons from the high reliability organization paradigm.
Citation Text:
Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
December 24, 2008 - Multi-use Website
Guide to Patient and Family Engagement in Hospital Quality and Safety.
Citation Text:
Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
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psnet.ahrq.gov/issue/safety-performance-and-satisfaction-outcomes-operating-room-literature-review
April 03, 2019 - Review
Emerging Classic
Safety, performance, and satisfaction outcomes in the operating room: a literature review.
Citation Text:
Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review.…
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psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
February 10, 2012 - Review
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Citation Text:
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…
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psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
September 23, 2020 - Review
Impact of hospital accreditation on quality improvement in healthcare: a systematic review.
Citation Text:
Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…
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psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
July 13, 2010 - Study
Management of the difficult airway: a closed claims analysis.
Citation Text:
Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39.
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psnet.ahrq.gov/issue/sorry-works-coalition-making-case-full-disclosure
May 18, 2022 - Commentary
The Sorry Works! Coalition: making the case for full disclosure.
Citation Text:
Wojcieszak D, Banja J, Houk C. The Sorry Works! Coalition: Making the Case for Full Disclosure. The Joint Commission Journal on Quality and Patient Safety. 2016;32(6). doi:10.1016/s1553-7250(06)320…
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psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
November 30, 2012 - Study
Wrong site surgery near misses and actual occurrences.
Citation Text:
Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010.
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psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
May 08, 2017 - Commentary
A learning health care system using computer-aided diagnosis.
Citation Text:
Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663.
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psnet.ahrq.gov/issue/lost-art-history-and-physical
May 08, 2013 - Commentary
The lost art of the history and physical.
Citation Text:
Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326.
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