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psnet.ahrq.gov/issue/breaking-rules-understanding-non-compliance-policies-and-guidelines
September 24, 2018 - Commentary
Breaking the rules: understanding non-compliance with policies and guidelines.
Citation Text:
Carthey J, Walker S, Deelchand V, et al. Breaking the rules: understanding non-compliance with policies and guidelines. BMJ. 2011;343:d5283. doi:10.1136/bmj.d5283.
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psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
November 01, 2023 - Newspaper/Magazine Article
Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses.
Citation Text:
Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. O'Neill E. Health Shots. National Public Radio. December 2, 2023.
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psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
January 25, 2023 - Study
Fatality involving vinblastine overdose as a result of a complex medical error.
Citation Text:
Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95.
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psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
November 06, 2015 - Study
Governing the surgical count through communication interactions: implications for patient safety.
Citation Text:
Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…
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psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
July 12, 2017 - Book/Report
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era.
Citation Text:
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Book/Report
Classic
The Checklist Manifesto: How to Get Things Right.
Citation Text:
The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
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psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
June 21, 2017 - Commentary
Thinking fast and slow in medicine.
Citation Text:
Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043.
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psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper
July 22, 2019 - Book/Report
From Safety-I to Safety-II: A White Paper.
Citation Text:
From Safety-I to Safety-II: A White Paper. Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015.
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psnet.ahrq.gov/issue/aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
June 07, 2023 - Commentary
Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.
Citation Text:
McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older physicians. Ann Emerg Med. 2011;58(3):A15-A17.
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psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
September 07, 2016 - Commentary
Assessing the performance of aging surgeons.
Citation Text:
Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA. 2019;321(5):449-450. doi:10.1001/jama.2018.22216.
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psnet.ahrq.gov/issue/checklists-and-guidelines-imaging-techniques-visualizing-what-do
December 02, 2015 - Commentary
Checklists and guidelines: imaging techniques for visualizing what to do.
Citation Text:
Davidoff F. Checklists and guidelines: imaging techniques for visualizing what to do. JAMA. 2010;304(2):206-7. doi:10.1001/jama.2010.972.
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.
Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - Commentary
Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.
Citation Text:
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
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psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
October 23, 2013 - Book/Report
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.
Citation Text:
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…
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psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
February 18, 2019 - Review
Office-based anesthesia: safety and outcomes.
Citation Text:
Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-285. doi:10.1213/ane.0000000000000313.
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psnet.ahrq.gov/issue/taking-bullying-out-health-care-patient-safety-imperative
June 19, 2024 - Commentary
Taking bullying out of health care: a patient safety imperative.
Citation Text:
Ross J. Taking Bullying Out of Health Care: A Patient Safety Imperative. J Perianesth Nurs. 2017;32(6):653-655. doi:10.1016/j.jopan.2017.08.006.
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psnet.ahrq.gov/issue/technology-cognition-and-error
September 04, 2024 - Commentary
Technology, cognition and error.
Citation Text:
Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484.
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psnet.ahrq.gov/issue/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
February 17, 2011 - Study
Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.
Citation Text:
Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-17.
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psnet.ahrq.gov/issue/8th-annual-ismp-cheers-awards-and-winners-are
October 05, 2005 - Citation Text:
Institute for Safe Medication Practices; ISMP. … Twitter
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January 4, 2006
Institute for Safe Medication Practices … Cite
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Citation Text:
Institute for Safe Medication Practices
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psnet.ahrq.gov/node/44641/psn-pdf
October 26, 2016 - Resident Safety Practices in Nursing Home Settings. … https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
Efforts to maintain patient … https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
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