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psnet.ahrq.gov/issue/when-i-saydiagnostic-error
January 26, 2022 - Commentary
When I say…diagnostic error.
Citation Text:
Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602.
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psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
January 04, 2019 - Commentary
Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs.
Citation Text:
Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/…
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psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
November 29, 2017 - Commentary
Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information.
Citation Text:
Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - Commentary
Patient safety answers require outreach, in-reach, and partnerships.
Citation Text:
Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
April 18, 2011 - Study
Identifying violation-provoking conditions in a healthcare setting.
Citation Text:
Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617.
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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - Study
Patient perceptions of missed nursing care.
Citation Text:
Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7.
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psnet.ahrq.gov/issue/preeminent-hospitals-penalized-over-rates-patients-injuries
January 17, 2018 - Newspaper/Magazine Article
Preeminent hospitals penalized over rates of patients’ injuries.
Citation Text:
Preeminent hospitals penalized over rates of patients’ injuries. Rau J. Kaiser Health News. January 30, 2020.
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psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
April 04, 2011 - Review
Importance of teamwork, communication and culture on failure-to-rescue in the elderly.
Citation Text:
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
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psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
May 26, 2021 - Newspaper/Magazine Article
COVID-19 exposes potential gaps in PPE training, effectiveness.
Citation Text:
COVID-19 exposes potential gaps in PPE training, effectiveness. Ault A. Medscape Medical News. April 6, 2020.
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psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
June 17, 2014 - Commentary
How to avoid the 'seven deadly sins of surgery.'
Citation Text:
Kirby R, Challacombe B, Dasgupta P, et al. How to avoid the 'seven deadly sins of surgery'. BJU Int. 2012;109(2):171-3. doi:10.1111/j.1464-410X.2011.10802.x.
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psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
December 18, 2017 - Study
The effect of hospital organizational characteristics on postoperative complications.
Citation Text:
Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf. 2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b.
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psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-safety-threat
March 06, 2005 - Study
Workplace violence against anesthesiologists: we are not immune to this patient safety threat.
Citation Text:
Workplace violence against anesthesiologists: we are not immune to this patient safety threat. Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;…
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - Commentary
A systems approach to patient-centered care.
Citation Text:
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51.
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psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
May 24, 2016 - Book/Report
A Randomized Field Study of a Leadership WalkRounds-Based Intervention.
Citation Text:
A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.
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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - Study
Classic
Teaching smart people how to learn.
Citation Text:
Teaching smart people how to learn. Argyris C. Harvard Business Review. 1991:69(May-June):99+.
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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psnet.ahrq.gov/issue/you-make-big-decision
March 05, 2025 - Commentary
Before you make that big decision...
Citation Text:
Kahneman D, Lovallo D, Sibony O. Before you make that big decision.. Harv Bus Rev. 2011;89(6):50-60, 137.
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psnet.ahrq.gov/issue/barcode-identification-transfusion-safety
September 09, 2020 - Review
Barcode identification for transfusion safety.
Citation Text:
Murphy MF, Kay JDS. Barcode identification for transfusion safety. Curr Opin Hematol. 2004;11(5):334-338.
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psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
September 18, 2024 - Study
Classic
The importance of cognitive errors in diagnosis and strategies to minimize them.
Citation Text:
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780.
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