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psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
March 24, 2019 - Commentary
Information behavior in the context of improving patient safety.
Citation Text:
MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…
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psnet.ahrq.gov/issue/reducing-specimen-identification-errors
October 12, 2016 - Commentary
Reducing specimen identification errors.
Citation Text:
Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303.
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - Commentary
Creating a fellowship curriculum in patient safety and quality.
Citation Text:
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
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psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis
April 18, 2011 - Study
Human factors in anaesthetic practice: insights from a task analysis.
Citation Text:
Phipps D, Meakin GH, Beatty PCW, et al. Human factors in anaesthetic practice: insights from a task analysis. Br J Anaesth. 2008;100(3):333-43. doi:10.1093/bja/aem392.
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psnet.ahrq.gov/issue/duty-hour-reform-shifting-medical-landscape
June 08, 2022 - Commentary
Duty hour reform in a shifting medical landscape.
Citation Text:
Jena AB, Prasad V. Duty hour reform in a shifting medical landscape. J Gen Intern Med. 2013;28(9):1238-40. doi:10.1007/s11606-013-2439-8.
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psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
December 16, 2020 - Study
Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals.
Citation Text:
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - Study
Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.
Citation Text:
Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in nursing homes: implications and insights fr…
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psnet.ahrq.gov/issue/drill-down-root-cause-analysis
June 15, 2016 - Commentary
Drill down with root cause analysis.
Citation Text:
McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32.
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psnet.ahrq.gov/issue/medical-simulation-gets-real
June 14, 2023 - Newspaper/Magazine Article
Medical simulation gets real.
Citation Text:
Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677.
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psnet.ahrq.gov/issue/health-care-professionals-views-about-safety-maternity-services-qualitative-study
June 10, 2020 - Study
Health-care professionals' views about safety in maternity services: a qualitative study.
Citation Text:
Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11…
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psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
April 24, 2018 - Study
Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.
Citation Text:
Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):3…
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Multi-use Website
LeDeR - Learning from Lives and Deaths.
Citation Text:
LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England.
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psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
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psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
May 13, 2020 - Commentary
Emerging Classic
The risks to patient safety from health system expansions.
Citation Text:
Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074.
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
August 30, 2023 - Review
Wireless technologies and patient safety in hospitals.
Citation Text:
Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82.
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psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
November 16, 2022 - Commentary
Reducing falls with a safety spotter program.
Citation Text:
Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27.
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psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
January 19, 2011 - Study
Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.
Citation Text:
Throckmorton T, Etchegaray J. Factors affecting i…
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psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
May 25, 2022 - Commentary
Classic
Understanding the "Swiss cheese model" and its application to patient safety.
Citation Text:
Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
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psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
May 01, 2020 - Commentary
Using the medication error prioritization system to improve patient safety.
Citation Text:
Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9.
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