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psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
March 24, 2017 - Commentary
Intolerance of error and culture of blame drive medical excess.
Citation Text:
Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702.
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psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
July 03, 2014 - Study
The role of surgeon error in withdrawal of postoperative life support.
Citation Text:
Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5.
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psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
July 19, 2023 - Study
Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Citation Text:
Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…
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psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
January 31, 2024 - Commentary
Emerging Classic
Parenteral opioid shortage—treating pain during the opioid-overdose epidemic.
Citation Text:
Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJM…
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psnet.ahrq.gov/issue/relationship-hospital-organizational-culture-patient-safety-climate-veterans-health
October 14, 2009 - Study
Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.
Citation Text:
Hartmann CW, Meterko M, Rosen AK, et al. Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration…
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psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
October 02, 2013 - Commentary
Another surgeon's error: must you tell the patient?
Citation Text:
Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073.
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psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
June 16, 2011 - Study
Comparing safety climate between two populations of hospitals in the United States.
Citation Text:
Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk
April 12, 2011 - Study
Risk management, or just a different risk?
Citation Text:
Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9.
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psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards
June 16, 2009 - Study
Usability study of two common defibrillators reveals hazards.
Citation Text:
Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029.
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Study
Teamwork on inpatient medical units: assessing attitudes and barriers.
Citation Text:
O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795.
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psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-beneficiaries
December 04, 2016 - Study
Hospital prescribing of opioids to Medicare beneficiaries.
Citation Text:
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
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psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
May 06, 2009 - Study
A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.
Citation Text:
Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…
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psnet.ahrq.gov/issue/strategies-reduce-medication-errors-pediatric-ambulatory-settings
August 04, 2021 - Review
Strategies to reduce medication errors in pediatric ambulatory settings.
Citation Text:
Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med. 2012;58(1):47-53. doi:10.4103/0022-3859.93252.
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psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
October 15, 2008 - Book/Report
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics.
Citation Text:
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…
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psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
June 14, 2023 - Commentary
Preventing sentinel events caused by family members.
Citation Text:
Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0.
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psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
September 23, 2020 - Study
Increasing patient safety and efficiency in transfusion therapy using formal process definitions.
Citation Text:
Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…
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psnet.ahrq.gov/issue/development-and-implementation-pediatric-patient-safety-program
September 27, 2010 - Commentary
Development and implementation of a pediatric patient safety program.
Citation Text:
Alton M, Frush K, Brandon D, et al. DEVELOPMENT AND IMPLEMENTATION OF A PEDIATRIC PATIENT SAFETY PROGRAM. Adv Neonatal Care. 2006;6(3):104-111. doi:10.1016/j.adnc.2006.02.003.
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psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-impact-patient-safety
May 08, 2024 - Commentary
How the physician's financial wellness could impact patient safety.
Citation Text:
Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J. 2024;100(1182):276-278. doi:10.1093/postmj/qgad076.
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psnet.ahrq.gov/issue/medical-groups-adoption-electronic-health-records-and-information-systems
January 14, 2011 - Study
Medical groups' adoption of electronic health records and information systems.
Citation Text:
Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323.
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psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
September 30, 2010 - Study
Adverse events after screening and follow-up colonoscopy.
Citation Text:
Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5.
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