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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
November 11, 2020 - Award Recipient
John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital.
Citation Text:
Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts …
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psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
January 19, 2011 - Study
Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors.
Citation Text:
Throckmorton T, Etchegaray J. Factors affecting i…
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - Commentary
Classic
Human error: models and management.
Citation Text:
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
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psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
April 28, 2021 - Commentary
Why is it so hard to reduce harm from medicines?
Citation Text:
Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. doi:10.1016/j.fhj.2024.100205.
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psnet.ahrq.gov/issue/patient-safety-learning-aviation-industry
September 03, 2011 - Commentary
Patient safety: learning from the aviation industry.
Citation Text:
Kosnik LK, Brown J, Maund T. Patient safety: learning from the aviation industry. Nurs Manage. 2007;38(1):25-30; quiz 31.
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psnet.ahrq.gov/issue/decimal-numbers-and-safe-interpretation-clinical-pathology-results
July 16, 2014 - Study
Decimal numbers and safe interpretation of clinical pathology results.
Citation Text:
Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-continuing-leadership-needed-hhs-prioritize
September 06, 2016 - Congressional Testimony
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections.
Citation Text:
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to…
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psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
October 09, 2016 - Review
Human factors—recognising and minimising errors in our day to day practice.
Citation Text:
Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384.
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psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
November 01, 2023 - Newspaper/Magazine Article
The right and wrong way to talk to patients about adverse events.
Citation Text:
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5.
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psnet.ahrq.gov/issue/nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion-and-value
August 04, 2021 - Commentary
A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication.
Citation Text:
Cunningham SC, Klein R, Kavic SM. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of commu…
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psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
June 24, 2010 - Commentary
Rules, safety and the narrativisation of identity: a hospital operating theatre case study.
Citation Text:
McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202.
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psnet.ahrq.gov/issue/three-laws-paperlessness
July 22, 2015 - Commentary
Three laws for paperlessness.
Citation Text:
Thimbleby H. Three laws for paperlessness. Digit Health. 2019;5:2055207619827722. doi:10.1177/2055207619827722.
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psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
April 22, 2016 - Newspaper/Magazine Article
Hospitals often ignore policies on using qualified medical interpreters.
Citation Text:
Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20.
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psnet.ahrq.gov/issue/tort-reform-and-patient-safety-movement-seeking-common-ground
August 04, 2021 - Commentary
Tort reform and the patient safety movement: seeking common ground.
Citation Text:
Budetti PP. Tort reform and the patient safety movement: seeking common ground. JAMA. 2005;293(21):2660-2.
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psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence-reporttechnology
December 24, 2008 - Government Resource
Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment.
Citation Text:
Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment. Hsu EB, Jenckes MW, Cat…
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psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
November 06, 2015 - Commentary
Classic
Clinical decision support in the era of artificial intelligence.
Citation Text:
Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163.
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psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
October 19, 2022 - Organizational Policy/Guidelines
Crowding in the Emergency Department: Challenges for the Care of Children.
Citation Text:
Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…
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psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
November 01, 2017 - Review
Why we need a single definition of disruptive behavior.
Citation Text:
Petrovic MA, Scholl AT. Why We Need a Single Definition of Disruptive Behavior. Cureus. 2018;10(3):e2339. doi:10.7759/cureus.2339.
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psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
October 02, 2013 - Book/Report
2008 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2008 Update on Consumers' Views of Patient Safety and Quality Information. Kaiser Family Foundation, Agency for Healthcare Research and Quality. Menlo Park, CA: Henry J. Kaiser Famil…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
June 01, 2022 - Book/Report
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report.
Citation Text:
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…