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psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
June 01, 2004 - Commentary
Physicians with multiple patient complaints: ending our silence.
Citation Text:
Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880.
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
September 27, 2010 - Commentary
The role for leaders of health care organizations in patient safety.
Citation Text:
Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8.
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psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
March 28, 2011 - Review
Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector.
Citation Text:
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…
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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
December 15, 2011 - Review
Medication administration errors: understanding the issues.
Citation Text:
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41.
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psnet.ahrq.gov/issue/what-patient-really-taking-discrepancies-between-surgery-and-anesthesiology-preoperative
August 04, 2021 - Study
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.
Citation Text:
Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…
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psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
February 17, 2011 - Study
Beyond negligence: avoidability and medical injury compensation.
Citation Text:
Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402.
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psnet.ahrq.gov/issue/role-medical-liability-reform-federal-health-care-reform
May 20, 2015 - Commentary
The role of medical liability reform in federal health care reform.
Citation Text:
Mello MM, Brennan TA. The role of medical liability reform in federal health care reform. N Engl J Med. 2009;361(1):1-3. doi:10.1056/NEJMp0903765.
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psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
April 04, 2011 - Review
Importance of teamwork, communication and culture on failure-to-rescue in the elderly.
Citation Text:
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - Commentary
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].
Citation Text:
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant …
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psnet.ahrq.gov/issue/medication-therapy-management-programs-forming-new-cornerstone-quality-and-safety-medicare
January 06, 2017 - Commentary
Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare.
Citation Text:
Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality and safety in medicare. Am J Med Qual. 2006;21(4):276-9.
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psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
November 02, 2014 - Commentary
When good doctors go bad: a systems problem.
Citation Text:
Leape L. When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652.
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psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance
June 12, 2008 - Commentary
Nontechnical skills in pediatric surgery: factors influencing operative performance.
Citation Text:
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
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psnet.ahrq.gov/issue/tragedy-advocacy
October 05, 2016 - Newspaper/Magazine Article
From tragedy to advocacy.
Citation Text:
DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1.
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psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
November 03, 2021 - Book/Report
Classic
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences.
Citation Text:
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
June 21, 2006 - Study
Frequency and type of errors and near errors reported by critical care nurses.
Citation Text:
Frequency and type of errors and near errors reported by critical care nurses. Balas MC; Scott LD; Rogers AE.
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…