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psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
October 27, 2010 - Study
Extraneous tissue a potential source for diagnostic error in surgical pathology.
Citation Text:
Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
January 22, 2017 - Study
Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise.
Citation Text:
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…
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psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
September 02, 2009 - Study
How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.
Citation Text:
Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf …
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psnet.ahrq.gov/issue/aligning-patient-safety-and-stewardship-harm-reduction-strategy-children
February 27, 2019 - Review
Aligning patient safety and stewardship: a harm reduction strategy for children.
Citation Text:
Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…
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psnet.ahrq.gov/issue/epidemiology-comparative-methods-detection-and-preventability-adverse-drug-events
March 09, 2016 - Study
Epidemiology, comparative methods of detection, and preventability of adverse drug events.
Citation Text:
Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother. 2005;39(7-8):1169-74.
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psnet.ahrq.gov/issue/healthcare-professionals-views-smart-glasses-intensive-care-qualitative-study
October 23, 2024 - Study
Healthcare professionals' views of smart glasses in intensive care: a qualitative study.
Citation Text:
Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.201…
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psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
February 17, 2010 - Study
Human factors–focused reporting system for improving care quality and safety in hospital wards.
Citation Text:
Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …
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psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
August 26, 2011 - Study
The value of 'gentle reminder' on safe medical behaviour.
Citation Text:
Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763.
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psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
October 06, 2011 - Study
Adoption of order entry with decision support for chronic care by physician organizations.
Citation Text:
Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9.
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psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
July 31, 2019 - Commentary
Pain as the neglected patient safety concern: five years on.
Citation Text:
Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422.
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psnet.ahrq.gov/issue/behavioral-integrity-safety-priority-safety-psychological-safety-and-patient-safety-team
April 21, 2010 - Study
Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study.
Citation Text:
Leroy H, Dierynck B, Anseel F, et al. Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study…
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psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
March 20, 2024 - Review
The effects of bar-coding technology on medication errors: a systematic literature review.
Citation Text:
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…
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psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
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psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
January 13, 2010 - Commentary
Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators.
Citation Text:
Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…
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psnet.ahrq.gov/issue/perspectives-patient-and-family-engagement-reduction-harm-forgotten-voice
December 01, 2011 - Study
Perspectives on patient and family engagement with reduction in harm: the forgotten voice.
Citation Text:
Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1…
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system.
Citation Text:
Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
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psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
June 22, 2022 - Commentary
Classic
The elephant of patient safety: what you see depends on how you look.
Citation Text:
Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401.
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psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
March 12, 2025 - Study
Variations by state in physician disciplinary actions by US medical licensure boards.
Citation Text:
Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974.
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digital.ahrq.gov/technology/pharmacy-information-system
January 01, 2023 - Pharmacy Information System
CancelRx case study: Implications for clinic and community pharmacy work systems.
Citation
Watterson TL, Stone JA, Kleinschmidt PC, Chui MA. CancelRx case study: Implications for clinic and community pharmacy work systems. BMC Health Serv Res. 2023 …
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psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
November 29, 2023 - Organizational Policy/Guidelines
Guidelines on Human Factors in Critical Situations 2023.
Citation Text:
Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262.
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