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psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
July 19, 2023 - Commentary
The challenges to transparency in reporting medical errors.
Citation Text:
Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
July 24, 2013 - Newspaper/Magazine Article
The drive toward transparency: enhancing openness and accountability.
Citation Text:
Cohen SS. The drive toward transparency: enhancing openness and accountability. Healthcare executive. 2005;20(4):16-20.
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - Newspaper/Magazine Article
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts?
Citation Text:
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Commentary
Roundtable on public policy affecting patient safety.
Citation Text:
Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd.
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psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
January 18, 2012 - Meeting/Conference Proceedings
Establishing a simulation center for surgical skills: what to do and how to do it.
Citation Text:
Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it.
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psnet.ahrq.gov/issue/intrapersonal-and-institutional-influences-overall-perception-radiation-safety-among
September 27, 2023 - Study
Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists.
Citation Text:
Intrapersonal and institutional influences on overall perception of radiation safety among radiologic technologists. Moore QT, Walker DA, Frush DP, et…
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psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
January 11, 2017 - Newspaper/Magazine Article
Omission of high-alert medications: a hidden danger.
Citation Text:
Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155.
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psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
March 19, 2019 - Commentary
Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement?
Citation Text:
Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care sa…
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - Commentary
Poor medication history plus slow symptom onset delays a diagnosis.
Citation Text:
Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.
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psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
August 28, 2024 - Commentary
New enteral connectors: raising awareness.
Citation Text:
Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330.
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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - Commentary
Standardizing hand-off processes.
Citation Text:
Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
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psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
December 17, 2009 - Commentary
On the trail of quality and safety in health care.
Citation Text:
Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74-6. doi:10.1136/bmj.39413.486944.AD.
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www.ahrq.gov/prevention/resources/depression/depsumtab5.html
April 01, 2013 - Table 5. Summary of the Effect of Feedback from Screening on Patient Outcomes
Screening for Depression in Adults: Summary of the Evidence
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, co…
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psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
July 19, 2018 - Commentary
Decreasing 30-day readmission rates.
Citation Text:
Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02.
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Webinar
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error.
Citation Text:
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…
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psnet.ahrq.gov/issue/leaders-role-medical-device-safety
August 14, 2017 - Newspaper/Magazine Article
The leader's role in medical device safety.
Citation Text:
Federico F. The leader's role in medical device safety. Healthcare executives must ensure appropriate policies, procedures. Healthcare executive. 2013;28(3):82-5.
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psnet.ahrq.gov/issue/alliance-between-society-and-medicine-publics-stake-medical-professionalism
November 16, 2022 - Commentary
Alliance between society and medicine: the public's stake in medical professionalism.
Citation Text:
Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: the public's stake in medical professionalism. JAMA. 2007;298(6):670-3.
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care.
Citation Text:
Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203.
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