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psnet.ahrq.gov/issue/automated-electronic-reminders-prevent-miscommunication-among-primary-medical-surgical-and
August 16, 2017 - Commentary
Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.
Citation Text:
Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary m…
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psnet.ahrq.gov/issue/meaningful-use-and-certification-health-information-technology-what-about-safety
September 07, 2022 - Commentary
Meaningful use and certification of health information technology: what about safety?
Citation Text:
Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720…
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psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - Study
Revisiting old slides—how worthwhile is it?
Citation Text:
Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006.
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psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
March 11, 2020 - Newspaper/Magazine Article
Zero tolerance for deadly hospital-acquired infections.
Citation Text:
Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40.
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psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
March 26, 2014 - Commentary
Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature.
Citation Text:
Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/…
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psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
January 23, 2017 - Study
Rural inpatient telepharmacy consultation demonstration for after-hours medication review.
Citation Text:
Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…
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psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
September 20, 2023 - Study
Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?
Citation Text:
Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …
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psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
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psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
July 22, 2020 - Commentary
The practice of medicine: understanding diagnostic error.
Citation Text:
Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014.
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
August 09, 2017 - Commentary
Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture.
Citation Text:
Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…
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psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
August 12, 2020 - Newspaper/Magazine Article
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety.
Citation Text:
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…
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psnet.ahrq.gov/issue/nature-adverse-events-dentistry
November 01, 2023 - Study
The nature of adverse events in dentistry.
Citation Text:
Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255.
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psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
September 06, 2017 - Commentary
From good to better: toward a patient safety initiative in dentistry.
Citation Text:
Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60.
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psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
June 18, 2014 - Commentary
HomeNet: ensuring patient safety with medical device use in the home.
Citation Text:
Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home Healthc Nurse. 2009;27(5):300-7.
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psnet.ahrq.gov/issue/analysis-malpractice-claims-mammography-complex-issue
October 19, 2022 - Study
Analysis of malpractice claims in mammography: a complex issue.
Citation Text:
Fileni A, Magnavita N, Pescarini L. Analysis of malpractice claims in mammography: a complex issue. Radiol Med. 2009;114(4):636-44. doi:10.1007/s11547-009-0394-6.
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psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
March 14, 2022 - Commentary
Building a culture of safety in ophthalmology.
Citation Text:
Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019.
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psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
November 13, 2019 - Commentary
Raising and responding to frontline concerns in healthcare.
Citation Text:
Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944. doi:10.1136/bmj.l4944.
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psnet.ahrq.gov/issue/international-advocacy-education-and-safety
August 04, 2021 - Review
International advocacy for education and safety.
Citation Text:
McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008.
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Review
Pay-for-performance and patient safety in acute care: a systematic review.
Citation Text:
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
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psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
August 31, 2016 - Study
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Citation Text:
Tran M, Ciarkowski S, Wagner D, et al. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at…