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psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
January 02, 2017 - Commentary
Alcohol and drug testing of health professionals following preventable adverse events: a bad idea.
Citation Text:
Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…
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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/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/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
August 30, 2017 - Commentary
Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.
Citation Text:
Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…
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psnet.ahrq.gov/issue/association-perceived-medical-errors-resident-distress-and-empathy-prospective-longitudinal
February 03, 2011 - Study
Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.
Citation Text:
West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA.…
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psnet.ahrq.gov/issue/piece-my-mind-after-medical-error
November 06, 2024 - Commentary
A piece of my mind. After the medical error.
Citation Text:
Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004.
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psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
January 30, 2019 - Commentary
Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety.
Citation Text:
Measured response to identified suicide risk and violence: what you need to know about psychiatric patient safety. Yeager KR, Saveanu R, Roberts AR…
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psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
July 31, 2013 - Study
Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Citation Text:
Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …
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psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
December 09, 2020 - Commentary
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Citation Text:
Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591.
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety.
Citation Text:
Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260.
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psnet.ahrq.gov/issue/federal-governments-oversight-ct-safety-regulatory-possibilities
February 13, 2019 - Commentary
The federal government's oversight of CT safety: regulatory possibilities.
Citation Text:
Harvey B, Pandharipande P. The federal government's oversight of CT safety: regulatory possibilities. Radiology. 2012;262(2):391-8. doi:10.1148/radiol.11111032.
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psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
May 20, 2020 - Newspaper/Magazine Article
How to prevent the top 4 medication errors.
Citation Text:
How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018.
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psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
October 19, 2022 - Study
Standardised proformas improve patient handover: audit of trauma handover practice.
Citation Text:
Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24.
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psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
October 28, 2020 - Commentary
Why patients need leaders: introducing a ward safety checklist.
Citation Text:
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
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psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
November 30, 2016 - Commentary
Rapid response teams improve outcomes—Part 1, Part 2, and Part 3.
Citation Text:
Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601.
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psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
July 06, 2012 - Study
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.
Citation Text:
Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Exp…
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psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
August 03, 2022 - Review
How well do health professionals interpret diagnostic information? A systematic review.
Citation Text:
Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…
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psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
August 18, 2021 - Commentary
Using an advanced practice nursing model for a rapid response team.
Citation Text:
Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7.
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Commentary
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.
Citation Text:
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…
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psnet.ahrq.gov/issue/building-highway-quality-health-care
February 14, 2017 - Commentary
Building a highway to quality health care.
Citation Text:
Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074.
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