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psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
February 02, 2022 - Newspaper/Magazine Article
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame.
Citation Text:
Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…
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psnet.ahrq.gov/issue/development-training-program-bar-code-assisted-medication-administration-inpatient-pharmacy
September 22, 2021 - Commentary
Development of a training program for bar-code–assisted medication administration in inpatient pharmacy.
Citation Text:
Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010…
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading
July 22, 2020 - Commentary
The evolving role of health educators in advancing patient safety: forging partnerships and leading change.
Citation Text:
Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Health Promot Pract. 2007;8(2):119…
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psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions
July 07, 2021 - Study
Physician gender and apologies in clinical interactions.
Citation Text:
Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005.
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psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
December 03, 2014 - Study
Changing operating room culture: implementation of a postoperative debrief and improved safety culture.
Citation Text:
Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…
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psnet.ahrq.gov/issue/influence-workplace-demands-nurses-perception-patient-safety
September 29, 2010 - Study
Influence of workplace demands on nurses' perception of patient safety.
Citation Text:
Ramanujam R, Abrahamson K, Anderson J. Influence of workplace demands on nurses' perception of patient safety. Nurs Health Sci. 2008;10(2):144-50. doi:10.1111/j.1442-2018.2008.00382.x.
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psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
July 08, 2020 - Study
Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors.
Citation Text:
Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493.
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psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - Study
Managing patients with identical names in the same ward.
Citation Text:
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
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psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
January 13, 2010 - Study
Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
Citation Text:
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …
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psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
December 21, 2016 - Commentary
The normalization of deviance: a threat to patient safety.
Citation Text:
Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002.
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psnet.ahrq.gov/issue/common-errors-computer-electrocardiogram-interpretation
May 08, 2024 - Study
Common errors in computer electrocardiogram interpretation.
Citation Text:
Guglin ME, Thatai D. Common errors in computer electrocardiogram interpretation. Int J Cardiol. 2006;106(2):232-7.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - Study
A chemotherapy incident reporting and improvement system.
Citation Text:
France DJ, Miles P, Cartwright J, et al. A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80.
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psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
June 22, 2022 - Commentary
Surgical data recording technology: a solution to address medical errors?
Citation Text:
Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510.
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psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
June 07, 2016 - Study
Potential for drug interactions in hospitalized cancer patients.
Citation Text:
Riechelmann RP, Moreira F, Smaletz Ò, et al. Potential for drug interactions in hospitalized cancer patients. Cancer Chemother Pharmacol. 2005;56(3). doi:10.1007/s00280-004-0998-4.
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psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
September 18, 2024 - Study
The contribution of sociotechnical factors to health information technology–related sentinel events.
Citation Text:
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Study
SBAR: a shared mental model for improving communication between clinicians.
Citation Text:
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75.
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psnet.ahrq.gov/issue/intrahospital-patient-transport-checklists-adverse-events-and-other-considerations-anesthesia
April 24, 2019 - Newspaper/Magazine Article
Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional.
Citation Text:
Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesi…
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psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
September 03, 2011 - Commentary
Patient safety: learning from the aviation industry.
Citation Text:
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Study
Framing of clinical information affects physicians' diagnostic accuracy.
Citation Text:
Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409.
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