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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - Newspaper/Magazine Article
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
Citation Text:
Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
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psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
November 06, 2015 - Study
Governing the surgical count through communication interactions: implications for patient safety.
Citation Text:
Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…
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psnet.ahrq.gov/issue/patient-safety-part-i-patient-safety-and-dermatologist
June 07, 2008 - Review
Patient safety: Part I. Patient safety and the dermatologist.
Citation Text:
Elston DM, Taylor JS, Coldiron BM, et al. Patient safety. J Am Acad Dermatol. 2009;61(2):179-190. doi:10.1016/j.jaad.2009.04.056.
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psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences-mentor-hospital
November 21, 2016 - Commentary
Medical emergency team implementation: experiences of a mentor hospital.
Citation Text:
Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323.
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psnet.ahrq.gov/issue/improving-patient-safety-moving-beyond-hype-medical-errors
December 22, 2010 - Commentary
Improving patient safety: moving beyond the "hype" of medical errors.
Citation Text:
Forster AJ, Shojania KG, van Walraven C. Improving patient safety: moving beyond the "hype" of medical errors. CMAJ. 2005;173(8):893-4.
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psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice
March 15, 2017 - Commentary
Overcoming diagnostic errors in medical practice.
Citation Text:
Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - Book/Report
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing.
Citation Text:
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…
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psnet.ahrq.gov/issue/quality-reporting-studies-evaluating-time-diagnosis-systematic-review-paediatrics
March 29, 2010 - Review
Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics.
Citation Text:
Launay E, Morfouace M, Deneux-Tharaux C, et al. Quality of reporting of studies evaluating time to diagnosis: a systematic review in paediatrics. Arch Dis Child. 2014…
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations.
Citation Text:
Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054.
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psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
September 30, 2009 - Commentary
Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century.
Citation Text:
Manthous CA. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Am J Med. 2004;116(3):188-93.
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psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
February 18, 2019 - Review
Office-based anesthesia: safety and outcomes.
Citation Text:
Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-285. doi:10.1213/ane.0000000000000313.
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 22, 2009 - Commentary
Involuntary automaticity: a work-system induced risk to safe health care.
Citation Text:
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6.
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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - Commentary
Standardizing hand-off processes.
Citation Text:
Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
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psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
March 02, 2016 - Commentary
Diagnostic error: untapped potential for improving patient safety?
Citation Text:
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149.
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
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psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
September 24, 2016 - Review
Interdisciplinary communication: an uncharted source of medical error?
Citation Text:
Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242.
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psnet.ahrq.gov/issue/patient-safety-honoring-advanced-directives
June 23, 2009 - Commentary
Patient safety: honoring advanced directives.
Citation Text:
Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81.
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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
December 24, 2008 - Toolkit
Classic
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
Citation Text:
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…