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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - Study
Health information technology and its effects on hospital costs, outcomes, and patient safety.
Citation Text:
Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient safety. Inquiry. 2011;48(4):288-303.
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - Audiovisual
More hospitals move to confront medical errors head on.
Citation Text:
More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023.
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psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
December 16, 2009 - Review
Hospital safety climate surveys: measurement issues.
Citation Text:
Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6.
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psnet.ahrq.gov/issue/patient-safety-front-and-center
November 20, 2024 - Newspaper/Magazine Article
Patient safety front and center.
Citation Text:
Terry K. Patient safety front and center. National forces converge, strategies emerge to push the movement forward. Hospitals & health networks. 2011;85(7):38-40, 42.
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psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
October 02, 2019 - Commentary
Trends in adverse events over time: why are we not improving?
Citation Text:
Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935.
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psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
November 29, 2017 - Commentary
Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information.
Citation Text:
Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - Commentary
Patient safety answers require outreach, in-reach, and partnerships.
Citation Text:
Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436.
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psnet.ahrq.gov/issue/safe-operation-social-construct
August 07, 2019 - Commentary
Safe operation as a social construct.
Citation Text:
Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884.
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psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system.
Citation Text:
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
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psnet.ahrq.gov/issue/abandon-term-second-victim
October 09, 2024 - Commentary
Emerging Classic
Abandon the term "second victim."
Citation Text:
Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233.
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psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
July 22, 2019 - Book/Report
From Safety-I to Safety-II: A White Paper.
Citation Text:
From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015.
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psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states
April 13, 2022 - Commentary
Patient safety functions of state medical boards in the United States.
Citation Text:
Patient safety functions of state medical boards in the United States. Roy CG. Yale J Biol Med. 2021;94(1):165-173.
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psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
May 02, 2012 - Study
Impact of a standard medication chart on prescribing errors: a before-and-after audit.
Citation Text:
Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.11…
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psnet.ahrq.gov/issue/technology-cognition-and-error
September 04, 2024 - Commentary
Technology, cognition and error.
Citation Text:
Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484.
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psnet.ahrq.gov/issue/cognitive-health-system
September 04, 2024 - Commentary
The cognitive health system.
Citation Text:
Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140-6736(19)32987-3.
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psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
March 14, 2018 - Organizational Policy/Guidelines
Pediatric Readiness in the Emergency Department.
Citation Text:
Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459.
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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psnet.ahrq.gov/issue/perinatal-high-reliability
September 29, 2010 - Review
Perinatal high reliability.
Citation Text:
Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900.
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psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
September 18, 2024 - Study
Classic
The importance of cognitive errors in diagnosis and strategies to minimize them.
Citation Text:
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780.
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psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
November 28, 2018 - Commentary
An organizational learning framework for patient safety.
Citation Text:
Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295.
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