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psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
February 22, 2023 - Study
The culture of a trauma team in relation to human factors.
Citation Text:
Cole E, Crichton N. The culture of a trauma team in relation to human factors. J Clin Nurs. 2006;15(10). doi:10.1111/j.1365-2702.2006.01566.x.
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psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
October 04, 2006 - Book/Report
Classic
Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care.
Citation Text:
Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Ba…
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psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
April 28, 2021 - Commentary
Retained surgical items and minimally invasive surgery.
Citation Text:
Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4.
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psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
August 13, 2014 - Study
A multicenter collaborative approach to reducing pediatric codes outside the ICU.
Citation Text:
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
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psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
March 18, 2019 - Commentary
Patient safety is not elective: a debate at the NPSF Patient Safety Congress.
Citation Text:
McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429.
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psnet.ahrq.gov/issue/predicting-future-big-data-machine-learning-and-clinical-medicine
June 28, 2017 - Commentary
Predicting the future—big data, machine learning, and clinical medicine.
Citation Text:
Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-1219. doi:10.1056/nejmp1606181.
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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - Study
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Citation Text:
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…
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psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
March 21, 2017 - Study
Reasons for after-hours calls by hospital floor nurses to on-call physicians.
Citation Text:
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
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psnet.ahrq.gov/issue/financial-incentives-and-mortality-taking-pay-performance-step-too-far
December 21, 2017 - Commentary
Financial incentives and mortality: taking pay for performance a step too far.
Citation Text:
Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835.
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psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
December 15, 2021 - Commentary
Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit.
Citation Text:
Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit. Sedlock EW, Ottosen M, Nether …
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psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
December 01, 2021 - Commentary
Delivering the truth: challenges and opportunities for error disclosure in obstetrics.
Citation Text:
Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3). doi:10.1097/aog.0000000000000130.
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psnet.ahrq.gov/issue/implementing-safety-hotlines-stamford-healths-experience-and-future-opportunities
March 23, 2011 - Commentary
Implementing safety hotlines: Stamford Health's experience and future opportunities.
Citation Text:
Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
June 26, 2015 - Commentary
Classic
A piece of my mind. Coping with fallibility.
Citation Text:
Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252.
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psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
August 02, 2023 - Study
Performance of a web-based clinical diagnosis support system for internists.
Citation Text:
Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8.
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psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
April 24, 2018 - Review
Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan.
Citation Text:
Murphy JG, Stee LA, McEvoy MT, et al. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Ch…
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psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
July 13, 2016 - Commentary
Labeling solutions and medications in sterile procedural settings.
Citation Text:
Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82.
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psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
August 18, 2021 - Book/Report
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions.
Citation Text:
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Commentary
Ambiguity and workarounds as contributors to medical error.
Citation Text:
Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630.
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psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
September 23, 2020 - Commentary
Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.
Citation Text:
Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…
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psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
January 07, 2011 - Study
Impact of high-reliability education on adverse event reporting by registered nurses.
Citation Text:
McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…