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psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
January 27, 2021 - Sentinel Event Alerts
Addressing health care disparities by improving quality and safety.
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Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7.
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psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
October 19, 2022 - Review
Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence.
Citation Text:
Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. …
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psnet.ahrq.gov/issue/making-business-case-quality-and-safety
January 19, 2022 - Commentary
Making the business case for quality and safety.
Citation Text:
Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008.
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psnet.ahrq.gov/issue/interruptions-and-multi-tasking-moving-research-agenda-new-directions
March 23, 2011 - Commentary
Interruptions and multi-tasking: moving the research agenda in new directions.
Citation Text:
Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372.
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psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
June 10, 2020 - Study
Error tracking in a clinical biochemistry laboratory.
Citation Text:
Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272.
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psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
August 01, 2018 - Commentary
Changing smart pump vendors: lessons learned.
Citation Text:
Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789.
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psnet.ahrq.gov/issue/prevalence-preventable-medication-related-hospitalizations-australia-opportunity-reduce-harm
September 23, 2020 - Study
Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.
Citation Text:
Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual…
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psnet.ahrq.gov/issue/do-no-harm-reaffirming-value-evidence-and-equipoise-while-minimizing-cognitive-bias-covid-19
July 14, 2021 - Commentary
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era.
Citation Text:
Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548.
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psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
June 26, 2024 - Book/Report
Simulation to Improve Patient Safety: Getting Started.
Citation Text:
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055.
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psnet.ahrq.gov/issue/safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness
December 20, 2017 - Review
Safety-I, Safety-II and burnout: how complexity science can help clinician wellness.
Citation Text:
Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147.
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psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
January 04, 2015 - Study
Reducing interruptions to improve medication safety.
Citation Text:
Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e.
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psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
August 19, 2020 - Commentary
Speaking up—when doctors navigate medical hierarchy.
Citation Text:
Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.
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psnet.ahrq.gov/issue/perceptions-patient-safety-culture-among-physicians-and-rns-perioperative-area
November 03, 2010 - Study
Perceptions of patient safety culture among physicians and RNs in the perioperative area.
Citation Text:
Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J. 2008;87(1):163-175. doi:10.1016/j.aorn.2007.07.003. …
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psnet.ahrq.gov/issue/time-out-patient-safety
October 26, 2022 - Commentary
Time out for patient safety.
Citation Text:
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007.
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psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events
April 22, 2015 - Review
Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?
Citation Text:
Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriora…
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psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run
March 21, 2012 - Commentary
Classic
Rapid response teams—walk, don't run.
Citation Text:
Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645.
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psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
September 01, 2016 - Commentary
Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners.
Citation Text:
Bismark MM, Morris JM, Clarke C. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Intern Med J. 2014;44(12a…
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psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
March 29, 2023 - Review
Leadership and patient safety: a review of the literature.
Citation Text:
Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-56. doi:10.1016/s2155-8256(15)30164-2.
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psnet.ahrq.gov/issue/cognitive-versus-technical-debriefing-after-simulation-training
September 12, 2011 - Study
Cognitive versus technical debriefing after simulation training.
Citation Text:
Bond WF, Deitrick LM, Eberhardt M, et al. Cognitive versus technical debriefing after simulation training. Acad Emerg Med. 2006;13(3):276-283.
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psnet.ahrq.gov/issue/relationship-between-response-time-and-diagnostic-accuracy
February 06, 2014 - Study
The relationship between response time and diagnostic accuracy.
Citation Text:
Sherbino J, Dore KL, Wood TJ, et al. The relationship between response time and diagnostic accuracy. Acad Med. 2012;87(6):785-791. doi:10.1097/ACM.0b013e318253acbd.
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