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psnet.ahrq.gov/issue/double-booked-when-surgeons-operate-two-patients-once
March 29, 2017 - Newspaper/Magazine Article
Double-booked: when surgeons operate on two patients at once.
Citation Text:
Double-booked: when surgeons operate on two patients at once. Boodman SG. Kaiser Health News. July 12, 2017.
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psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals
September 21, 2011 - Commentary
The limits of current A.I. in health care: patient safety policing in hospitals.
Citation Text:
The limits of current A.I. in health care: patient safety policing in hospitals. Furrow BR. NE Univ Law Rev. 2020;12(1):1-55.
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
December 14, 2016 - Newspaper/Magazine Article
The other big drug problem: older people taking too many pills.
Citation Text:
The other big drug problem: older people taking too many pills. Boodman SG. Washington Post. December 9, 2017.
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psnet.ahrq.gov/issue/using-pharmacogenetics-improve-drug-safety-and-efficacy
November 18, 2016 - Commentary
Using pharmacogenetics to improve drug safety and efficacy.
Citation Text:
Haga SB, Burke W. Using pharmacogenetics to improve drug safety and efficacy. JAMA. 2004;291(23):2869-71.
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psnet.ahrq.gov/issue/nurses-role-communication-and-patient-safety
July 23, 2008 - Commentary
Nurses' role in communication and patient safety.
Citation Text:
Nadzam DM. Nurses' role in communication and patient safety. J Nurs Care Qual. 2009;24(3):184-188. doi:10.1097/01.NCQ.0000356905.87452.62.
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psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
August 02, 2016 - Book/Report
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health.
Citation Text:
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 97807546…
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Newspaper/Magazine Article
10 ways to guarantee a lawsuit.
Citation Text:
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
July 02, 2014 - Commentary
Preventing diagnostic errors in primary care.
Citation Text:
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
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psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
November 17, 2009 - Newspaper/Magazine Article
Physician leadership is key to creating a safer, more reliable health care system.
Citation Text:
Physician leadership is key to creating a safer, more reliable health care system. Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16.
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psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
December 16, 2015 - Special or Theme Issue
Diagnostic Errors and Strategies to Minimize Them.
Citation Text:
Diagnostic Errors and Strategies to Minimize Them. Cutrer WB, Sullivan WM, Fleming AE, et al. Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257.
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psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
June 27, 2016 - Government Resource
Measurement of diagnostic errors is a key first step to their reduction.
Citation Text:
Measurement of diagnostic errors is a key first step to their reduction. Singh H. National Quality Measures Expert Commentaries. November 23, 2015.
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
April 06, 2022 - Newspaper/Magazine Article
Bias in mental health diagnosis gets in the way of treatment.
Citation Text:
Bias in mental health diagnosis gets in the way of treatment. Garb HN. Psyche. March 22, 2022.
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - Special or Theme Issue
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist.
Citation Text:
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Pra…
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psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
June 01, 2022 - Book/Report
Core Entrustable Professional Activities for Entering Residency.
Citation Text:
Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2014.
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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Newspaper/Magazine Article
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder.
Citation Text:
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was m…
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psnet.ahrq.gov/issue/patient-survival-handbook
February 22, 2006 - Book/Report
The Patient Survival Handbook.
Citation Text:
The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Tool: Check-Back (or Repeat-Back)
A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was rece…