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psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
January 12, 2022 - Commentary
In the wake of hospital inquiries: impact on staff and safety.
Citation Text:
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3.
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psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
May 18, 2022 - Commentary
Systematic approaches to adverse events in obstetrics, Part 1 & Part 2.
Citation Text:
Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003.
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psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
September 23, 2020 - Commentary
Taking the blame: appropriate responses to medical error.
Citation Text:
Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687.
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psnet.ahrq.gov/issue/chronic-kidney-disease-adversely-influences-patient-safety
July 29, 2020 - Study
Chronic kidney disease adversely influences patient safety.
Citation Text:
Seliger SL, Zhan M, Hsu VD, et al. Chronic kidney disease adversely influences patient safety. J Am Soc Nephrol. 2008;19(12):2414-9. doi:10.1681/ASN.2008010022.
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psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
January 04, 2017 - Award Recipient
Lehigh Valley Hospital: engaging patients and families.
Citation Text:
Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual Patient Saf. 2005;31(10):566-72.
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psnet.ahrq.gov/issue/culture-safety-ems-systems-0
February 18, 2011 - Organizational Policy/Guidelines
A culture of safety in EMS systems.
Citation Text:
A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57.
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psnet.ahrq.gov/issue/heart-health-care-parents-perspectives-patient-safety
April 24, 2018 - Commentary
The heart of health care: parents' perspectives on patient safety.
Citation Text:
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Book/Report
Actions Needed to Address Employee Misconduct Process and Ensure Accountability.
Citation Text:
Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
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psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
December 27, 2018 - Newspaper/Magazine Article
Safety with nebulized medications requires an interdisciplinary team approach.
Citation Text:
Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5.
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psnet.ahrq.gov/issue/shifting-learning-curve
March 09, 2009 - Commentary
Shifting the learning curve.
Citation Text:
Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260.
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psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
January 06, 2018 - Review
Lost in translation: impact of language barriers on children's healthcare.
Citation Text:
Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404.
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psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change
September 28, 2022 - Commentary
Classic
Burnout in healthcare: the case for organisational change.
Citation Text:
Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774.
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psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
September 21, 2022 - Review
Disclosure of harmful medical error to patients: a review with recommendations for pathologists.
Citation Text:
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…
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psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
July 10, 2024 - Commentary
Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home.
Citation Text:
Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…
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psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
February 26, 2020 - Commentary
Emerging Classic
Teams of psychologists helping teams: the evolution of the science of team training.
Citation Text:
Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Review
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Citation Text:
Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Sentinel Event Alerts
Safe use of health information technology.
Citation Text:
Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6.
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psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
May 25, 2016 - Book/Report
Guide to Reducing Unintended Consequences of Electronic Health Records.
Citation Text:
Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
February 17, 2011 - Commentary
Incomplete care—on the trail of flaws in the system.
Citation Text:
Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313.
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psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
June 30, 2011 - Study
Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre.
Citation Text:
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…