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psnet.ahrq.gov/issue/restoring-trust-va-health-care
June 21, 2016 - Commentary
Restoring trust in VA health care.
Citation Text:
Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852.
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psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
March 19, 2019 - Study
Adversarial attacks on medical machine learning.
Citation Text:
Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399.
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
June 27, 2018 - Commentary
Critical laboratory value notification: a failure mode effects and criticality analysis.
Citation Text:
Saxena S, Kempf R, Wilcox S, et al. Critical laboratory value notification: a failure mode effects and criticality analysis. Jt Comm J Qual Patient Saf. 2005;31(9):495-506…
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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/defensive-medicine-among-high-risk-specialist-physicians-volatile-malpractice-environment
February 17, 2011 - Study
Defensive medicine among high-risk specialist physicians in a volatile malpractice environment.
Citation Text:
Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293(21):2609-17.
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psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science
February 17, 2021 - Book/Report
Emerging Classic
Operational Measurement of Diagnostic Safety: State of the Science.
Citation Text:
Operational Measurement of Diagnostic Safety: State of the Science. Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - Newspaper/Magazine Article
Death by 1,000 clicks: where electronic health records went wrong.
Citation Text:
Death by 1,000 clicks: where electronic health records went wrong. Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019.
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psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
September 12, 2018 - Book/Report
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop.
Citation Text:
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …
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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/guidelines-practice-prevention-unintentionally-retained-surgical-items
August 03, 2022 - Commentary
Guidelines in Practice: prevention of unintentionally retained surgical items.
Citation Text:
Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804.
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psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
December 01, 2021 - Commentary
Tackling implicit bias in health care.
Citation Text:
Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107. doi:10.1056/nejmp2201180.
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
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psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
June 29, 2016 - Government Resource
Report on the Safe Use of Pick Lists in Ambulatory Care Settings.
Citation Text:
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
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psnet.ahrq.gov/issue/2019-update-medical-overuse-review
May 05, 2021 - Review
Emerging Classic
2019 update on medical overuse: a review.
Citation Text:
Morgan DJ, Dhruva SS, Coon ER, et al. 2019 update on medical overuse: a review. JAMA Intern Med. 2019;179(11):1568. doi:10.1001/jamainternmed.2019.3842.
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psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
March 15, 2022 - Newspaper/Magazine Article
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…
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psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Commentary
Engineering the system of communication for safer surgery.
Citation Text:
Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5.
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psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
April 12, 2023 - Newspaper/Magazine Article
Second opinions improve healthcare outcomes and reduce costs.
Citation Text:
Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8.
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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - Book/Report
Classic
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition.
Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 978147…