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psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
April 01, 2009 - Review
Missed injuries in trauma patients: a literature review.
Citation Text:
Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. doi:10.1186/1754-9493-2-20.
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - Commentary
Remembering to learn: the overlooked role of remembrance in safety improvement.
Citation Text:
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
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psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2
December 16, 2015 - Commentary
The COVID-19 pandemic and dentistry: parts 1 and 2.
Citation Text:
The COVID-19 pandemic and dentistry: parts 1 and 2. Coulthard P, Thomson P, Dave M, et al. Br Dent J. 2020;229:743-747; 801-805.
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psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
June 15, 2022 - Newspaper/Magazine Article
Education is “predictably disappointing” and should never be relied upon alone to improve safety.
Citation Text:
Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
March 30, 2022 - Study
Emergency department crowding: the canary in the health care system.
Citation Text:
doi:10.1056/CAT.21.0217.
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psnet.ahrq.gov/issue/medical-errors-where-are-we-now
September 30, 2020 - Commentary
Medical errors: where are we now?
Citation Text:
Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50-54.
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psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
July 29, 2009 - Newspaper/Magazine Article
Addressing electronic health record contributions to diagnostic error.
Citation Text:
Addressing electronic health record contributions to diagnostic error. Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024.
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psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
October 02, 2013 - Review
Work-arounds in health care settings: literature review and research agenda.
Citation Text:
Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine
March 13, 2024 - Commentary
Classic
Framing the challenges of artificial intelligence in medicine.
Citation Text:
Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551.
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psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took-so-long
February 14, 2024 - Newspaper/Magazine Article
Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long?
Citation Text:
Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? McFarling UL. STAT. November 1, 2022.
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - Review
Doctors' handovers in hospitals: a literature review.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
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psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - Study
The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.
Citation Text:
Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…
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psnet.ahrq.gov/issue/preventing-retained-surgical-items
December 07, 2022 - Commentary
Preventing retained surgical items.
Citation Text:
Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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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/errors-originating-hospital-and-health-system-outpatient-pharmacies
December 19, 2016 - Newspaper/Magazine Article
Errors originating in hospital and health-system outpatient pharmacies.
Citation Text:
Errors originating in hospital and health-system outpatient pharmacies. Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - Newspaper/Magazine Article
Using information from external errors to signal a "clear and present danger."
Citation Text:
Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.
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psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
March 11, 2017 - Toolkit
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.
Citation Text:
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Study
Airway carts: a systems-based approach to airway safety.
Citation Text:
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07.
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