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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
September 28, 2022 - Webinar
Case Study Webinar Series on Clinician Burnout: The Ohio State University
Citation Text:
Case Study Webinar Series on Clinician Burnout: The Ohio State University NAM Action Collaborative on Clinician Well-Being and Resilience. Case Study Webinar Series on Clinician Burnout: The …
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psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
June 17, 2020 - Commentary
Fallacious reasoning and complexity as root causes of clinical inertia.
Citation Text:
Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2007 Guide to State Adverse Event Reporting Systems.
Citation Text:
2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301.
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 22, 2009 - Commentary
Involuntary automaticity: a work-system induced risk to safe health care.
Citation Text:
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6.
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psnet.ahrq.gov/issue/sleep-science-and-policy-change
September 21, 2022 - Commentary
Sleep, science, and policy change.
Citation Text:
Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7.
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psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
January 24, 2024 - Study
Pediatric drug labeling: improving the safety and efficacy of pediatric therapies.
Citation Text:
Roberts R, Rodriguez W, Murphy D, et al. Pediatric Drug Labeling. JAMA. 2003;290(7). doi:10.1001/jama.290.7.905.
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - Commentary
A systems approach to patient-centered care.
Citation Text:
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51.
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - Commentary
Confronting a colleague who covers up a medical error.
Citation Text:
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274.
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psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
June 10, 2020 - Study
Debriefing after critical incidents for anaesthetic trainees.
Citation Text:
Tan H. Debriefing after critical incidents for anaesthetic trainees. Anaesth Intensive Care. 2005;33(6):768-72.
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psnet.ahrq.gov/issue/malpractice-liability-patient-safety-and-personification-medical-injury-opportunities
February 03, 2011 - Commentary
Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine.
Citation Text:
Sage WM. Malpractice liability, patient safety, and the personification of medical injury: opportunities for academic medicine. Acad Med. 200…
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - Commentary
Nurses and patients: natural partners to advance patient safety
Citation Text:
Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377.
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psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
August 28, 2024 - Commentary
Understanding the role of non-technical skills in patient safety.
Citation Text:
White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8.
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - Commentary
Theoretical approaches for investigating patient safety.
Citation Text:
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134.
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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/hand-communication-requisite-perioperative-patient-safety
October 19, 2022 - Commentary
Hand-off communication: a requisite for perioperative patient safety.
Citation Text:
Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4.
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psnet.ahrq.gov/issue/patient-safety-plastic-surgery
September 09, 2020 - Commentary
Patient safety in plastic surgery.
Citation Text:
Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349.
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psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
November 26, 2014 - Commentary
Medical emergency team calls: the need to communicate a resuscitation plan.
Citation Text:
MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1.
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