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psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
November 06, 2015 - Review
Monitoring teamwork: a narrative review.
Citation Text:
Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744.
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psnet.ahrq.gov/issue/characteristics-medical-liability-claims-against-dermatologists-1991-through-2015
July 29, 2020 - Study
Characteristics of medical liability claims against dermatologists from 1991 through 2015.
Citation Text:
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001…
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psnet.ahrq.gov/issue/partial-codes-when-less-may-not-be-more
August 28, 2024 - Commentary
Partial codes—when "less" may not be "more."
Citation Text:
Rousseau P. Partial Codes-When "Less" May Not Be "More". JAMA Intern Med. 2016;176(8):1057-8. doi:10.1001/jamainternmed.2016.2522.
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psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
November 29, 2023 - Commentary
Impact of nurse peer review on a culture of safety.
Citation Text:
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
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psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
February 21, 2015 - Review
Patient safety movement: history and future directions.
Citation Text:
Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006.
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psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
March 14, 2022 - Commentary
Information technology cannot guarantee patient safety.
Citation Text:
de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety. BMJ. 2007;334(7598):851-2.
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psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
April 17, 2024 - Study
'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.
Citation Text:
Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…
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psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
August 11, 2021 - Commentary
Fewer but better auditory alarms will improve patient safety.
Citation Text:
Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14(3):212-215. doi:10.1136/qshc.2004.013052.
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psnet.ahrq.gov/issue/iatrogenic-psychological-harm
February 28, 2024 - Review
Iatrogenic psychological harm.
Citation Text:
Rees C. Iatrogenic psychological harm. Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011-300362.
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psnet.ahrq.gov/issue/medical-groups-adoption-electronic-health-records-and-information-systems
January 14, 2011 - Study
Medical groups' adoption of electronic health records and information systems.
Citation Text:
Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323.
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psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
January 12, 2011 - Review
Creating a highly reliable neonatal intensive care unit through safer systems of care.
Citation Text:
Panagos PG, Pearlman SA. Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care. Clin Perinatol. 2017;44(3):645-662. doi:10.1016/j.clp.2017.05.006. …
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psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safety-priority
September 02, 2018 - Review
Classic
Pushing the profession: how the news media turned patient safety into a priority.
Citation Text:
Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf Health Care. 2002;11(1):57-63.
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - Study
Empowering patients in the hospital as a new approach to reducing the burden of health care–associated infections: the attitudes of hospital health care workers.
Citation Text:
Seale H, Chughtai AA, Kaur R, et al. Empowering patients in the hospital as a new approach to reducing th…
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psnet.ahrq.gov/node/49672/psn-pdf
January 01, 2013 - The Lung Nodule That Refused To Grow
December 1, 2012
Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
Case Objectives
Define a solitary pulmonary nodule.
Identify the different initial first steps of management.
Identify …
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - In Conversation with...Lucian Leape, MD
August 1, 2006
In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to
getting involved in safety an…
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - Executives and Administrators
Educators
Active Errors
Latent Errors
Quality Improvement Strategies
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psnet.ahrq.gov/issue/defining-and-classifying-medical-error-lessons-patient-safety-reporting-systems
October 13, 2010 - Study
Defining and classifying medical error: lessons for patient safety reporting systems.
Citation Text:
Tamuz M, Thomas EJ, Franchois KE. Defining and classifying medical error: lessons for patient safety reporting systems. Qual Saf Health Care. 2004;13(1):13-20.
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psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine
August 04, 2021 - Commentary
Developing an action plan for patient radiation safety in adult cardiovascular medicine.
Citation Text:
Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the Duke University Clin…
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psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
November 16, 2022 - Study
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Citation Text:
Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - Commentary
A novel process audit for standardized perioperative handoff protocols.
Citation Text:
Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…