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psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
December 01, 2021 - Review
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Citation Text:
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - Book/Report
Health IT Patient Safety Action and Surveillance Plan.
Citation Text:
Health IT Patient Safety Action and Surveillance Plan. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013.
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
November 16, 2022 - Commentary
Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm?
Citation Text:
Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Study
Speaking up and sharing information improves trainee neonatal resuscitations.
Citation Text:
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
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psnet.ahrq.gov/issue/latent-bias-and-implementation-artificial-intelligence-medicine
August 18, 2021 - Commentary
Emerging Classic
Latent bias and the implementation of artificial intelligence in medicine.
Citation Text:
Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. d…
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Citation Text:
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
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psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
September 20, 2011 - Study
Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital.
Citation Text:
Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…
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psnet.ahrq.gov/issue/improving-care-teams-functioning-recommendations-team-science
June 24, 2020 - Commentary
Improving care teams' functioning: recommendations from team science.
Citation Text:
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.00…
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psnet.ahrq.gov/issue/use-public-health-law-framework-improve-medication-safety-anesthesia-providers
December 22, 2018 - Commentary
Use of a public health law framework to improve medication safety by anesthesia providers.
Citation Text:
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…
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psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
January 02, 2008 - Study
Tort claims and adverse events in emergency medical services.
Citation Text:
Wang HE, Fairbanks RJ, Shah M, et al. Tort claims and adverse events in emergency medical services. Ann Emerg Med. 2008;52(3):256-62. doi:10.1016/j.annemergmed.2008.02.011.
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psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
July 24, 2024 - Commentary
Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.
Citation Text:
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…
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psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
July 30, 2014 - Study
Work-arounds observed by fourth-year nursing students.
Citation Text:
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
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psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sharing-system
September 29, 2010 - Study
Reporting trends in a regional medication error data-sharing system.
Citation Text:
Anderson J, Ramanujam R, Hensel DJ, et al. Reporting trends in a regional medication error data-sharing system. Health Care Manag Sci. 2010;13(1):74-83.
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psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
October 14, 2015 - Study
Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan.
Citation Text:
Williams BW, Flanders P. Physician health and wellbeing provide challenges to patient safety and outcome quality across the careerspan. Australas Psychiatry…
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - Study
Using a quantitative risk register to promote learning from a patient safety reporting system.
Citation Text:
Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…
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www.ahrq.gov/data/apcd/backgroundrpt/measure.html
April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases
Measure Inventory
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Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases …
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psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
June 26, 2019 - Study
Missed steps in the preanesthetic set-up.
Citation Text:
DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e.
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psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
May 14, 2008 - Study
Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence.
Citation Text:
Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
January 02, 2017 - Commentary
John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery.
Citation Text:
Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …
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psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
July 10, 2024 - Commentary
Creating a just culture: the Ottawa Hospital's experience.
Citation Text:
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
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