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psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
February 09, 2011 - Newspaper/Magazine Article
Small patients, big consequences in medical errors.
Citation Text:
Small patients, big consequences in medical errors. Tarkan L. New York Times. September 14, 2008;Health section:7.
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psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
November 03, 2015 - Book/Report
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do.
Citation Text:
Black Box Thinking: Why Most People Never Learn From Their Mistakes—But Some Do. Syed M. New York, NY: Portfolio; 2015. ISBN: 9781591848226.
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psnet.ahrq.gov/issue/design-everyday-things
August 01, 2012 - Book/Report
Classic
The Design of Everyday Things.
Citation Text:
The Design of Everyday Things. Norman DA. New York, NY: Doubleday; 1988. ISBN: 9780385267748.
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psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
July 27, 2011 - Book/Report
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety.
Citation Text:
The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
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psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
March 27, 2005 - Book/Report
Classic
Operating at the sharp end: the complexity of human error.
Citation Text:
Operating at the sharp end: the complexity of human error. Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Assoc…
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psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
November 08, 2017 - Meeting/Conference Proceedings
TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis?
Citation Text:
TeleDx: How is Telemedicine Working - and not Working - to Support Diagnosis? Society to Improve Diagnosis in Medicine. June 3, 2021.
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psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work
June 26, 2019 - Book/Report
Classic
Unity of Mistakes: A Phenomenological Interpretation of Medical Work.
Citation Text:
Unity of Mistakes: A Phenomenological Interpretation of Medical Work. Paget MA. Philadelphia: Temple University Press; 2004.
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psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
March 27, 2005 - Newspaper/Magazine Article
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Citation Text:
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Collins TR. The Hospitalist. July 2011.
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psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation
August 03, 2005 - Book/Report
Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation.
Citation Text:
Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 1…
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psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
August 02, 2017 - Book/Report
Antibiotic Stewardship in Acute Care: A Practical Playbook.
Citation Text:
Antibiotic Stewardship in Acute Care: A Practical Playbook. National Quality Partners. Washington, DC: National Quality Forum; 2016.
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psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
October 05, 2022 - Book/Report
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition.
Citation Text:
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. Raheja D. New York, NY: Productivity Press; 2019. ISBN: 9780367178482
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
January 27, 2016 - Study
Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.
Citation Text:
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…
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psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
July 14, 2021 - Commentary
Classic
The new recommendations on duty hours from the ACGME Task Force.
Citation Text:
Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800.
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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - Study
Frequency of failure to inform patients of clinically significant outpatient test results.
Citation Text:
Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…
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psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals
September 01, 2014 - Special or Theme Issue
Classic
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Citation Text:
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Yokoe DS, Mermel LA,…
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psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
November 30, 2022 - Study
National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic.
Citation Text:
Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;…
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psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
August 26, 2011 - Commentary
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…
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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - Commentary
Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution.
Citation Text:
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…
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psnet.ahrq.gov/issue/management-test-results-primary-care-does-electronic-medical-record-make-difference
April 12, 2011 - Study
The management of test results in primary care: does an electronic medical record make a difference?
Citation Text:
Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33…
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psnet.ahrq.gov/issue/measuring-teamwork-performance-teams-crisis-situations-systematic-review-assessment-tools-and
November 04, 2020 - Review
Emerging Classic
Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.
Citation Text:
Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of tea…