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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - Commentary
Rapid response systems: should we still question their implementation?
Citation Text:
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters
December 13, 2023 - Commentary
Appropriate use of medical interpreters.
Citation Text:
Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80.
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psnet.ahrq.gov/issue/unpredictable-drug-shortages-ethical-framework-short-term-rationing-hospitals
May 09, 2014 - Commentary
Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals.
Citation Text:
Rosoff PM. Unpredictable drug shortages: an ethical framework for short-term rationing in hospitals. Am J Bioeth. 2012;12(1):1-9. doi:10.1080/15265161.2011.634483.
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psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
May 01, 2024 - Newspaper/Magazine Article
Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.
Citation Text:
Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …
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psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
March 14, 2022 - Study
Reduction in pediatric identification band errors: a quality collaborative.
Citation Text:
Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911.
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psnet.ahrq.gov/issue/overlooked-condition
October 03, 2018 - Newspaper/Magazine Article
An overlooked condition.
Citation Text:
Nicholas L. An overlooked condition. For diabetics, the hospital can be a dangerous place. Modern healthcare. 2005;35(46):24.
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psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
October 14, 2009 - Study
Safety climate in health care organizations: a multidimensional approach.
Citation Text:
Safety climate in health care organizations: a multidimensional approach. Katz-Navon T; Naveh E; Stern Z. Academy of Management Journal. 2005;48(6):1075-1089.
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - Newspaper/Magazine Article
Medicare failed to investigate suspicious infection cases from 96 hospitals.
Citation Text:
Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017.
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psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
July 14, 2010 - Commentary
Lessons from the war on cancer: the need for basic research on safety.
Citation Text:
Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8
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psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-guide-literature
May 26, 2011 - Review
How to avoid paediatric medication errors: a user's guide to the literature.
Citation Text:
Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the literature. Arch Dis Child. 2005;90(7):698-702.
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psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
July 03, 2016 - Review
Prevention of medication errors in the pediatric inpatient setting.
Citation Text:
Prevention of medication errors in the pediatric inpatient setting. Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. …
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Citation Text:
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7.
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
November 20, 2019 - Commentary
Saying "I'm sorry": error disclosure for ophthalmologists.
Citation Text:
Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010.
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psnet.ahrq.gov/issue/you-make-big-decision
March 05, 2025 - Commentary
Before you make that big decision...
Citation Text:
Kahneman D, Lovallo D, Sibony O. Before you make that big decision.. Harv Bus Rev. 2011;89(6):50-60, 137.
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psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
September 20, 2023 - Review
Evaluating the effectiveness of health care teams.
Citation Text:
Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7.
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psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
November 29, 2017 - Commentary
Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information.
Citation Text:
Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…
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psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
May 08, 2013 - Commentary
Top 10 patient safety issues: what more can we do?
Citation Text:
Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012.
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psnet.ahrq.gov/issue/disclosing-errors-affect-multiple-patients
April 19, 2017 - Commentary
Disclosing errors that affect multiple patients.
Citation Text:
Chafe R, Levinson W, Sullivan T. Disclosing errors that affect multiple patients. CMAJ. 2009;180(11):1125-7. doi:10.1503/cmaj.081016.
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psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge.
Citation Text:
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4.
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