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psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
June 30, 2011 - Commentary
Disclosure of medical error: policies and practice.
Citation Text:
Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309.
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psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
July 14, 2010 - Study
Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.
Citation Text:
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
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psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
May 20, 2015 - Commentary
Patient safety and medical malpractice: a case study.
Citation Text:
Brennan TA, Mello MM. Patient safety and medical malpractice: a case study. Ann Intern Med. 2003;139(4):267-73.
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psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
August 19, 2009 - Review
Patient safety: Part II. Opportunities for improvement in patient safety.
Citation Text:
Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…
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psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
March 13, 2013 - Commentary
Progress in patient safety: a glass fuller than it seems.
Citation Text:
Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554.
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psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
November 27, 2012 - Study
"Canary measures" among the AHRQ Patient Safety Indicators.
Citation Text:
Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585.
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psnet.ahrq.gov/issue/role-patient-safety-culture-causation-unintended-events-hospitals
October 14, 2009 - Study
The role of patient safety culture in the causation of unintended events in hospitals.
Citation Text:
Smits M, Wagner C, Spreeuwenberg P, et al. The role of patient safety culture in the causation of unintended events in hospitals. J Clin Nurs. 2012;21(23-24):3392-401. doi:10.1111…
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psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-use-computerized-clinical-reminders
November 05, 2015 - Study
Exploring barriers and facilitators to the use of computerized clinical reminders.
Citation Text:
Saleem JJ, Patterson ES, Militello LG, et al. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc. 2005;12(4):438-47.
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psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
August 13, 2014 - Review
Noise in the operating room—what do we know? A review of the literature.
Citation Text:
Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001.
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psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
March 18, 2009 - Meeting/Conference Proceedings
Patient safety in North America: beyond "operate through your initials" and "sign your site."
Citation Text:
Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - Commentary
Time out: an analysis.
Citation Text:
Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003.
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psnet.ahrq.gov/issue/association-between-culture-climate-and-quality-care-primary-health-care-teams
May 30, 2011 - Commentary
The association between culture, climate and quality of care in primary health care teams.
Citation Text:
Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in primary health care teams. Fam Pract. 2007;24(4):323-9.
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psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
September 14, 2016 - Review
Technology, governance and patient safety: systems issues in technology and patient safety.
Citation Text:
Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Study
Patient reports of preventable problems and harms in primary health care.
Citation Text:
Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40.
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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - Study
Classic
Motion study in surgery.
Citation Text:
Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31.
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psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
July 02, 2019 - Commentary
Information chaos in primary care: implications for physician performance and patient safety.
Citation Text:
Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…
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psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
January 31, 2024 - Commentary
Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges.
Citation Text:
Murray E, Holmes A. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspectiv…
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psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
September 09, 2015 - Study
Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.
Citation Text:
Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - Study
Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.
Citation Text:
Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…