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psnet.ahrq.gov/issue/impact-nursing-hospital-patient-mortality-focused-review-and-related-policy-implications
September 21, 2011 - Review
Impact of nursing on hospital patient mortality: a focused review and related policy implications.
Citation Text:
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(…
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psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
May 13, 2020 - Commentary
Emerging Classic
The risks to patient safety from health system expansions.
Citation Text:
Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074.
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psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
November 11, 2020 - Commentary
Use of complex adaptive systems metaphor to achieve professional and organizational change.
Citation Text:
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
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psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department
September 09, 2009 - Study
Identifying vulnerabilities in communication in the emergency department.
Citation Text:
Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318.
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psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
November 16, 2022 - Commentary
Reducing falls with a safety spotter program.
Citation Text:
Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27.
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psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
February 15, 2017 - Review
Organizational resilience as paradox management: a systematic review of the literature.
Citation Text:
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - Commentary
Implementation, CPOE, and medication errors.
Citation Text:
Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course.
Citation Text:
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116.
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psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
November 18, 2020 - Newspaper/Magazine Article
The pursuit of perfection: hospitals take heightened actions to reduce adverse events.
Citation Text:
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3.
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Review
Critical incident reporting system in emergency medicine.
Citation Text:
Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82.
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psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
September 23, 2020 - Commentary
Surgical complications: disclosing adverse events and medical errors.
Citation Text:
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
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psnet.ahrq.gov/issue/monitoring-anaesthetist-operating-theatre-professional-competence-and-patient-safety
November 15, 2023 - Review
Monitoring the anaesthetist in the operating theatre—professional competence and patient safety.
Citation Text:
Larsson J. Monitoring the anaesthetist in the operating theatre - professional competence and patient safety. Anaesthesia. 2017;72 Suppl 1:76-83. doi:10.1111/anae.13743.…
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psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
June 26, 2015 - Commentary
Classic
A piece of my mind. Coping with fallibility.
Citation Text:
Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252.
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psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
February 07, 2024 - Commentary
A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management.
Citation Text:
Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…
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psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
April 24, 2013 - Study
Assessing the quality of patient handoffs at care transitions.
Citation Text:
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
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psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
May 29, 2019 - Commentary
Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics.
Citation Text:
Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043…
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psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
August 20, 2018 - Study
Simulation for operational readiness in a new freestanding emergency department: strategy and tactics.
Citation Text:
Kerner RL, Gallo K, Cassara M, et al. Simulation for Operational Readiness in a New Freestanding Emergency Department. Simul Healthc. 2016;11(5). doi:10.1097/sih.00…
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psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
October 30, 2019 - Study
First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes.
Citation Text:
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes…