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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - Commentary
Team communication in the operating room.
Citation Text:
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
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psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
October 25, 2023 - Newspaper/Magazine Article
Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology.
Citation Text:
Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,…
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - Commentary
Balancing just culture with regulatory standards.
Citation Text:
Gorzeman J. Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. doi:10.1097/01.NAQ.0000336728.72501.c6.
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psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized
July 22, 2020 - Newspaper/Magazine Article
Flu shot mix-up at Oklahoma facility leaves 10 hospitalized
Citation Text:
Flu shot mix-up at Oklahoma facility leaves 10 hospitalized The Associated Press. NBC News. November 8, 2019.
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psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
August 04, 2021 - Tools/Toolkit
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence.
Citation Text:
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Houston TX; Baylor College of Medicine: 2022.
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psnet.ahrq.gov/issue/using-telehealth-revolutionize-speed-making-rare-disease-diagnoses
November 04, 2020 - Newspaper/Magazine Article
Using telehealth to revolutionize the speed of making rare disease diagnoses.
Citation Text:
Using telehealth to revolutionize the speed of making rare disease diagnoses. Nothaft W, Moore G, Le Cam Y. STAT. August 27, 2020.
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psnet.ahrq.gov/issue/texting-debate-beneficial-means-communication-or-safety-and-security-risk
July 12, 2023 - Newspaper/Magazine Article
The texting debate: beneficial means of communication or safety and security risk?
Citation Text:
The texting debate: beneficial means of communication or safety and security risk? ISMP Medication Safety Alert! Acute Care Edition. June 29, 2017;16:1-5.
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psnet.ahrq.gov/issue/patient-safety-23
October 31, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618.
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
June 02, 2021 - Commentary
Using patient safety science to explore strategies for improving safety in intravenous medication administration.
Citation Text:
Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…
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psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
December 14, 2022 - Newspaper/Magazine Article
Hidden medication loss when using a primary administration set for small-volume intermittent infusions.
Citation Text:
Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/patient-safety-dialysis-facility
May 27, 2015 - Commentary
Patient safety in the dialysis facility.
Citation Text:
Kliger AS. Patient safety in the dialysis facility. Blood Purif. 2006;24(1):19-21.
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psnet.ahrq.gov/issue/case-investing-patient-safety-canada
October 05, 2021 - Book/Report
The Case for Investing in Patient Safety in Canada.
Citation Text:
The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
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psnet.ahrq.gov/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization.
Citation Text:
Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12.
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - Commentary
Clinician mindfulness and patient safety.
Citation Text:
Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817.
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - the Medical Care
Availability and Reduction of Error Act (MCARE), which was passed to reform medical professional
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - clinician didn’t have earlier test results;
having to come back for another appointment because the health professional
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - people are going to be fine with peer support, some need more expert support, and some need intensive professional
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
Pascale Carayon, PhD; Nicole Werner, PhD; Anita Makkenchery, MPH; Sarah E. Mossburg, RN, PhD
| November 16, 2022
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