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psnet.ahrq.gov/issue/checklists-and-guidelines-imaging-techniques-visualizing-what-do
December 02, 2015 - Commentary
Checklists and guidelines: imaging techniques for visualizing what to do.
Citation Text:
Davidoff F. Checklists and guidelines: imaging techniques for visualizing what to do. JAMA. 2010;304(2):206-7. doi:10.1001/jama.2010.972.
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psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
August 08, 2018 - Commentary
Pharmacist involvement in a rapid-response team at a community hospital.
Citation Text:
Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8.
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psnet.ahrq.gov/issue/patient-safety-lessons-learned
October 18, 2017 - Commentary
Patient safety: lessons learned.
Citation Text:
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - Commentary
The science and economics of improving clinical communication.
Citation Text:
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
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psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
January 01, 2016 - Review
Evaluating situation awareness: an integrative review.
Citation Text:
Orique SB, Despins L. Evaluating Situation Awareness: An Integrative Review. West J Nurs Res. 2018;40(3):388-424. doi:10.1177/0193945917697230.
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psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
November 29, 2017 - Commentary
The concept of shared mental models in healthcare collaboration.
Citation Text:
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307.
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psnet.ahrq.gov/issue/staying-safe-while-getting-well
February 05, 2014 - Newspaper/Magazine Article
Staying safe while getting well.
Citation Text:
Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023
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psnet.ahrq.gov/issue/watson-beyond-jeopardy
April 06, 2022 - Commentary
Watson: Beyond Jeopardy!
Citation Text:
Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009.
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psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
February 22, 2010 - Newspaper/Magazine Article
Reducing harm to patients. Using patient safety dashboards at the board level.
Citation Text:
Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5.
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psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
March 06, 2019 - Book/Report
Patient Options for Safe and Effective Disposal of Unused Opioids.
Citation Text:
Patient Options for Safe and Effective Disposal of Unused Opioids. Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-650.
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psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
January 24, 2018 - Newspaper/Magazine Article
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
Citation Text:
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - Newspaper/Magazine Article
Understanding human over-reliance on technology.
Citation Text:
Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
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psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
September 28, 2010 - Commentary
A practical tool to learn from defects in patient care.
Citation Text:
Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108.
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psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - Book/Report
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006.
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psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
February 28, 2024 - Commentary
Early warnings, weak signals and learning from healthcare disasters.
Citation Text:
Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685.
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psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
May 01, 2024 - Commentary
Toward the modelling of safety violations in healthcare systems.
Citation Text:
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process.
Citation Text:
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - Sentinel Event Alerts
Leadership committed to safety.
Citation Text:
Leadership committed to safety. Sentinel Event Alert. August 27, 2009;(43):1-3.
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psnet.ahrq.gov/issue/errors-and-analysis-errors
August 28, 2019 - Commentary
Errors and analysis of errors.
Citation Text:
Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a.
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psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - Commentary
Medicines-related harm in the elderly post-hospital discharge.
Citation Text:
Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
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