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psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
July 28, 2021 - Commentary
Should audits consider the care pathway model? A new approach to benchmarking real-world activities.
Citation Text:
Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):179…
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psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
March 29, 2017 - Commentary
Quality & safety in the time of coronavirus--design better, learn faster.
Citation Text:
Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051.
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psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
November 16, 2022 - Study
Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough?
Citation Text:
Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…
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psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
December 18, 2013 - Review
The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.
Citation Text:
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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psnet.ahrq.gov/issue/medical-error-disclosure-gap-between-attitude-and-practice
November 13, 2024 - Study
Medical error disclosure: the gap between attitude and practice.
Citation Text:
Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118.
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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/quantifying-and-monitoring-overdiagnosis-cancer-screening-systematic-review-methods
September 15, 2021 - Review
Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods.
Citation Text:
Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. …
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psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
September 27, 2017 - Review
Patient safety in psychiatric inpatient care: a literature review.
Citation Text:
Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x.
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psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety
September 27, 2017 - Study
What does it take? A case study of radical change toward patient safety.
Citation Text:
Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609.
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psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication
January 09, 2013 - Study
Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
Citation Text:
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…
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psnet.ahrq.gov/issue/preventing-medication-errors-information-age
February 15, 2023 - Commentary
Preventing medication errors in the information age.
Citation Text:
Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38.
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psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
September 14, 2011 - Commentary
Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.
Citation Text:
Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577.
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psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
July 19, 2023 - Commentary
Advocate Health Care: a systemwide approach to quality and safety.
Citation Text:
Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566.
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psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
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psnet.ahrq.gov/issue/momentary-interruptions-can-derail-train-thought
May 18, 2022 - Study
Momentary interruptions can derail the train of thought.
Citation Text:
Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986.
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - Study
Bullying of junior doctors prevails in Irish health system: a bitter reality.
Citation Text:
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275.
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psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
September 23, 2020 - Commentary
Surgical complications: disclosing adverse events and medical errors.
Citation Text:
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
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psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
April 22, 2016 - Newspaper/Magazine Article
Hospitals often ignore policies on using qualified medical interpreters.
Citation Text:
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20.
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