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psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
September 23, 2020 - Commentary
Medication handling: towards a practical, human-centred approach.
Citation Text:
Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482.
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psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
September 24, 2017 - Commentary
Clinical decision support and malpractice risk.
Citation Text:
Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929.
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psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture
December 16, 2020 - Review
Returning to the roots of culture: a review and re-conceptualisation of safety culture.
Citation Text:
Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004.
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psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
August 11, 2010 - Commentary
Embedding quality and safety in otolaryngology–head and neck surgery education.
Citation Text:
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…
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psnet.ahrq.gov/issue/alcohol-based-surgical-prep-solution-and-risk-fire-operating-room-case-report
February 02, 2022 - Commentary
Alcohol based surgical prep solution and the risk of fire in the operating room: a case report.
Citation Text:
Batra S, Gupta R. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Patient Saf Surg. 2008;2(1):10. doi:10.1186/1754-9…
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psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
April 08, 2018 - Commentary
A medical error leads to tragedy: how do we inform the patient?
Citation Text:
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21.
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psnet.ahrq.gov/issue/medical-audible-alarms-review
August 11, 2021 - Review
Medical audible alarms: a review.
Citation Text:
Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9. doi:10.1136/amiajnl-2012-001061.
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psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
June 17, 2020 - Commentary
Fallacious reasoning and complexity as root causes of clinical inertia.
Citation Text:
Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54.
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psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
July 01, 2017 - Commentary
Rethinking peer review: what aviation can teach radiology about performance improvement.
Citation Text:
Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222.
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psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
October 23, 2018 - Commentary
Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...
Citation Text:
Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…
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psnet.ahrq.gov/issue/healthcare-management-strategies-interdisciplinary-team-factors
November 13, 2011 - Review
Healthcare management strategies: interdisciplinary team factors.
Citation Text:
Andreatta P, Marzano D. Healthcare management strategies: interdisciplinary team factors. Curr Opin Obstet Gynecol. 2012;24(6):445-52. doi:10.1097/GCO.0b013e328359f007.
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psnet.ahrq.gov/issue/your-hospital-hospitable-how-physical-environment-influences-patient-safety
July 31, 2024 - Commentary
Is your hospital hospitable?: how physical environment influences patient safety.
Citation Text:
Stichler JF. Is your hospital hospitable? How physical environment influences patient safety. Nurs Womens Health. 2007;11(5):506-11.
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psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
July 29, 2020 - Study
Prevalence of adverse drug combinations in a large post-mortem toxicology database.
Citation Text:
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-02…
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psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2007 Guide to State Adverse Event Reporting Systems.
Citation Text:
2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301.
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psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
January 23, 2017 - Multi-use Website
ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health.
Citation Text:
Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c.
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - Commentary
Implementation of the SBAR communication technique in a tertiary center.
Citation Text:
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
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psnet.ahrq.gov/issue/cost-harm-and-savings-through-safety-using-simulated-patients-leadership-decision-support
November 10, 2015 - Study
The cost of harm and savings through safety: using simulated patients for leadership decision support.
Citation Text:
Denham CR, Guilloteau FR. The cost of harm and savings through safety: using simulated patients for leadership decision support. J Patient Saf. 2012;8(3):89-96. …
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psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
April 22, 2016 - Book/Report
Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health.
Citation Text:
Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310.
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psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
December 24, 2008 - Book/Report
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.
Citation Text:
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse
July 28, 2021 - Newspaper/Magazine Article
How medical jargon can make COVID health disparities even worse.
Citation Text:
How medical jargon can make COVID health disparities even worse. Kritz F. Health Shots. National Public Radio; May 24, 2021.
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