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psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
July 10, 2024 - Commentary
Systems approach to suicide prevention: strengthening culture, practice, and education.
Citation Text:
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality improvement project.
Citation Text:
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…
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psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
January 20, 2015 - Review
Classic
Transforming concepts in patient safety: a progress report.
Citation Text:
Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756.
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psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science-0
September 28, 2022 - Commentary
Emerging Classic
Operational measurement of diagnostic safety: state of the science.
Citation Text:
Singh H, Bradford A, Goeschel CA. Operational measurement of diagnostic safety: state of the science. Diagnosis (Berl). 2021;8(1):51-66. doi:10.1515/dx…
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psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
January 23, 2017 - Commentary
Classic
Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine.
Citation Text:
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…
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psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
August 18, 2021 - Review
Weight stigma and barriers to effective obesity care.
Citation Text:
Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am. 2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002.
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psnet.ahrq.gov/issue/effects-work-hour-limitations-resident-well-being-patient-care-and-education-internal
January 13, 2021 - Study
The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.
Citation Text:
Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in …
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psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety
May 29, 2024 - Review
Antimicrobial stewardship: another focus for patient safety?
Citation Text:
Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077.
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psnet.ahrq.gov/issue/medication-errors-school-nurse-second-victim
October 19, 2022 - Commentary
Medication errors: the school nurse as second victim.
Citation Text:
Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse. 2018;33(3):163-166. doi:10.1177/1942602x17747294.
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psnet.ahrq.gov/issue/emotion-and-coping-aftermath-medical-error-cross-country-exploration
August 10, 2022 - Study
Emotion and coping in the aftermath of medical error: a cross-country exploration.
Citation Text:
Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b…
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psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
February 15, 2023 - Study
Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA.
Citation Text:
Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…
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psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
July 15, 2020 - Study
Regional variations in diagnostic practices.
Citation Text:
Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881.
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Commentary
Ethical dilemma in missed melanoma: what to tell the patient and other providers.
Citation Text:
Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
January 06, 2015 - Book/Report
Classic
Americans' Experiences With Medical Errors and Views on Patient Safety.
Citation Text:
Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…
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psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
May 12, 2021 - Study
Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates.
Citation Text:
Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…
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psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
May 25, 2010 - Commentary
Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors.
Citation Text:
Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…
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psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient
April 21, 2015 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
September 24, 2018 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend
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psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
August 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend