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psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
January 24, 2018 - Commentary
The concept of error and malpractice in radiology.
Citation Text:
Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009.
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psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
April 03, 2017 - Commentary
Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.
Citation Text:
Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…
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psnet.ahrq.gov/issue/anatomy-and-pathophysiology-errors-occurring-clinical-radiology-practice
February 01, 2011 - Commentary
Anatomy and pathophysiology of errors occurring in clinical radiology practice.
Citation Text:
Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. d…
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psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors
August 16, 2017 - Journal Article
Headline-grabbing study brings attention back to medical errors.
Citation Text:
Abbasi J. Headline-Grabbing Study Brings Attention Back to Medical Errors. JAMA. 2016;316(7):698-700. doi:10.1001/jama.2016.8073.
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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Government Resource
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.
Citation Text:
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…
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psnet.ahrq.gov/issue/effects-duty-napping-intern-sleep-time-and-fatigue
February 03, 2011 - Study
The effects of on-duty napping on intern sleep time and fatigue.
Citation Text:
Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann Intern Med. 2006;144(11):792-8.
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psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
March 02, 2010 - Commentary
Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement."
Citation Text:
Kumar PR, Nash DB. Annotated Bibliography: An Update to “Understanding Ambulatory Care Practices in the Context of Patient S…
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psnet.ahrq.gov/issue/teamwork-operating-theatre-cohesion-or-confusion
July 26, 2011 - Study
Teamwork in the operating theatre: cohesion or confusion?
Citation Text:
Undre S, Sevdalis N, Healey A, et al. Teamwork in the operating theatre: cohesion or confusion? J Eval Clin Pract. 2006;12(2):182-9.
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psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
November 20, 2024 - Study
Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre.
Citation Text:
Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…
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psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events
February 18, 2009 - Government Resource
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events.
Citation Text:
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspecto…
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psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
November 02, 2022 - Book/Report
Report on the Burden of Endemic Health Care–Associated Infection Worldwide.
Citation Text:
Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Allegranzi B, Nejad SB, Castillejos GG, Kilpatrick C, Kelley E, Mathai E; Clean Care is Safer Care Team. …
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psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - Study
Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study.
Citation Text:
Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…
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psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
May 06, 2015 - Special or Theme Issue
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program.
Citation Text:
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Inf…
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psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
November 13, 2024 - Audiovisual Presentation
Report links Georgia's abortion ban to preventable deaths.
Citation Text:
Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024.
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psnet.ahrq.gov/issue/review-medical-error-reporting-system-design-considerations-and-proposed-cross-level-systems
May 16, 2012 - Review
A review of medical error reporting system design considerations and a proposed cross-level systems research framework.
Citation Text:
Holden RJ, Karsh B-T. A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Hu…
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - Commentary
Patient safety: moving the bar in prison health care standards.
Citation Text:
Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242.
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psnet.ahrq.gov/issue/problem-5-whys
July 19, 2023 - Commentary
The problem with the '5 whys.'
Citation Text:
Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849.
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psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
November 12, 2014 - Review
What to do with healthcare incident reporting systems.
Citation Text:
Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27.
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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/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
December 21, 2017 - Commentary
Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.
Citation Text:
Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpati…