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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - In Conversation With... James Augustine, MD
July 28, 2021
In Conversation With.. James Augustine, MD. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-james-augustine-md
Editor’s Note: James Augustine, MD, is the National Director of Prehospital Strategy at US Acute Care
Solutions where he p…
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psnet.ahrq.gov/issue/national-patient-safety-alerting-system
April 15, 2020 - Government Resource
National Patient Safety Alerting System.
Citation Text:
National Patient Safety Alerting System. National Health Service England
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psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
July 15, 2009 - Book/Report
Case Studies in Patient Safety: Foundations for Core Competencies.
Citation Text:
Case Studies in Patient Safety: Foundations for Core Competencies. Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548.
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psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
October 05, 2022 - Book/Report
Fragmented: A Doctor's Quest to Piece Together American Health Care.
Citation Text:
Fragmented: A Doctor's Quest to Piece Together American Health Care. Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196.
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psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
October 23, 2019 - Newspaper/Magazine Article
My patient almost died from a mistake I made. I apologized and it changed my life.
Citation Text:
My patient almost died from a mistake I made. I apologized and it changed my life. McLean K. Huffington Post. October 16, 2019.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - Newspaper/Magazine Article
Audit of missed or delayed antimicrobial drugs.
Citation Text:
Audit of missed or delayed antimicrobial drugs. Wright J.
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psnet.ahrq.gov/issue/five-rights-destination-without-map
September 14, 2016 - Newspaper/Magazine Article
The five rights: a destination without a map.
Citation Text:
The five rights: a destination without a map. ISMP Medication Safety Alert! Acute care edition. January 25, 2007.
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psnet.ahrq.gov/issue/ding-ling-ling-ambulances-can-be-dangerous-places
September 20, 2017 - Newspaper/Magazine Article
Ding-a-ling-a-ling: ambulances can be dangerous places.
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Ding-a-ling-a-ling: ambulances can be dangerous places. Meisel Z.
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psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
February 08, 2017 - Meeting/Conference Proceedings
Addressing the Loss of Trust in Safety Culture.
Citation Text:
Addressing the Loss of Trust in Safety Culture. Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.
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psnet.ahrq.gov/issue/disruptive-behavior-affects-hospital-financial-health
February 03, 2010 - Newspaper/Magazine Article
Disruptive behavior affects hospital financial health.
Citation Text:
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital. Journal of healthcare risk management : the journal of the American Society for Healthcare…
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psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
April 15, 2015 - Audiovisual
Breaking the silence on medical mistakes.
Citation Text:
Breaking the silence on medical mistakes. Scott M. The Pulse. New York Public Radio; April 26, 2024.
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psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap
September 20, 2023 - Newspaper/Magazine Article
Dennis Quaid files suit over drug mishap.
Citation Text:
Dennis Quaid files suit over drug mishap. Ornstein C. Los Angeles Times. September 16, 2014.
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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Newspaper/Magazine Article
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death.
Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. Mills M. The Guardian. September 3, 2022.
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
June 10, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4.
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Newspaper/Magazine Article
Half of hospitals in Conn., Del. hit by Medicare's safety penalties.
Citation Text:
Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018.
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Multi-use Website
Diagnostic Excellence Initiative.
Citation Text:
Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation.
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - Shortcuts to Acetaminophen-induced Liver Failure
Citation Text:
Bacak S, Thornburg L. Shortcuts to Acetaminophen-induced Liver Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - Patient Safety
January 1, 2015
Annual Perspective
Accountability
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - requirements was only on day shift), improve overall staffing standards, and increasing nursing home
accountability
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - When a provider expresses regret and accountability for
the situation with sincerity and without condescension