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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
July 17, 2024 - Commentary
A cycle of redemption in a medical error disclosure and apology program.
Citation Text:
Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869.
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psnet.ahrq.gov/issue/digital-clinical-safety-strategy
March 01, 2023 - Book/Report
Digital Clinical Safety Strategy
Citation Text:
Digital Clinical Safety Strategy NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021.
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psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
June 13, 2011 - Newspaper/Magazine Article
Answers to improved medication reconciliation lie with pharmacists.
Citation Text:
Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007.
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients
February 21, 2024 - Award Recipient
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients.
Citation Text:
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum: January 23…
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - Commentary
Learning and mindfulness: improving perioperative patient safety.
Citation Text:
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
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psnet.ahrq.gov/issue/non-technical-skills-training-enhance-patient-safety
August 04, 2021 - Commentary
Non-technical skills training to enhance patient safety.
Citation Text:
Gordon M. Non-technical skills training to enhance patient safety. Clin Teach. 2013;10(3):170-5. doi:10.1111/j.1743-498X.2012.00640.x.
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psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
March 21, 2017 - Commentary
What are the critical success factors for team training in health care?
Citation Text:
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
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psnet.ahrq.gov/issue/simulation-based-training-patient-safety-10-principles-matter
January 02, 2017 - Review
Simulation-based training for patient safety: 10 principles that matter.
Citation Text:
Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6.
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psnet.ahrq.gov/issue/emerging-infections-contact-precautions-controversy
October 12, 2011 - Commentary
Emerging infections: the contact precautions controversy.
Citation Text:
Zastrow RL. Emerging infections: the contact precautions controversy. Am J Nurs. 2011;111(3):47-53. doi:10.1097/10.1097/01.NAJ.0000395242.14347.37.
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psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
December 19, 2017 - Commentary
Group urges going metric to head off dosing mistakes.
Citation Text:
Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362.
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psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
December 21, 2016 - Study
Errors in a stat laboratory: changes in type and frequency since 1996.
Citation Text:
Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42.
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psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
July 01, 2020 - Review
Towards a model of surgeons' leadership in the operating room.
Citation Text:
Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295.
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psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Study
Workplace bullying in the OR: results of a descriptive study.
Citation Text:
Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015.
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
June 09, 2021 - Commentary
Implementing No Interruption Zones in the perioperative environment.
Citation Text:
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018.
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psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform
November 02, 2014 - Commentary
Patient safety in the era of healthcare reform.
Citation Text:
Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6.
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psnet.ahrq.gov/issue/ethical-issues-patient-safety
November 02, 2014 - Commentary
Ethical issues in patient safety.
Citation Text:
Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501.
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
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psnet.ahrq.gov/issue/hospital-governance-and-quality-care
May 05, 2010 - Study
Hospital governance and the quality of care.
Citation Text:
Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7. doi:10.1377/hlthaff.2009.0297.
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