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psnet.ahrq.gov/issue/case-investing-patient-safety-canada
October 05, 2021 - Book/Report
The Case for Investing in Patient Safety in Canada.
Citation Text:
The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).
Citation Text:
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). Chicago, IL; American Society of Healthcare Risk Ma…
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psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
June 22, 2011 - Book/Report
A Review of FDA’s Approach to Medical Product Shortages.
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A Review of FDA’s Approach to Medical Product Shortages. Silver Spring, MD: US Food and Drug Administration; October 31, 2011.
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Citation Text:
Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
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psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
November 05, 2014 - Newspaper/Magazine Article
The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve!
Citation Text:
The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
October 05, 2016 - Newspaper/Magazine Article
Fail-safe patient ID matching remains just out of reach.
Citation Text:
Fail-safe patient ID matching remains just out of reach. Arndt RZ. Mod Healthc. July 14, 2018.
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psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
February 21, 2007 - Newspaper/Magazine Article
Tenfold errors can lead to tragedy.
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Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006.
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psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
September 28, 2016 - Newspaper/Magazine Article
How communications issues between doctors and nurses can affect your health.
Citation Text:
How communications issues between doctors and nurses can affect your health. Howley EK. US News & World Report. September 5, 2018.
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psnet.ahrq.gov/issue/surgeons-opioid-prescribing-habits-are-hard-kick
August 28, 2019 - Newspaper/Magazine Article
Surgeons' opioid-prescribing habits are hard to kick.
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Surgeons' opioid-prescribing habits are hard to kick. Appleby J; Lucas E.
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psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - Newspaper/Magazine Article
Eliminating insulin errors: RPhs share tricks.
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Eliminating insulin errors: RPhs share tricks. Cassell D. Drug Topics. March 20, 2006.
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psnet.ahrq.gov/issue/drug-package-inserts-get-mixed-reception
September 12, 2016 - Newspaper/Magazine Article
Drug package inserts get mixed reception.
Citation Text:
Mitka M. Drug package inserts get mixed reception. JAMA. 2006;295(10):1110-1.
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - A framework for assessing reasoning about controversial
end-of-life clinical decisions.
December 14, 2022
Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of-
life clinical decisions. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
Pascale Carayon, PhD; Nicole Werner, PhD; Anita Makkenchery, MPH; Sarah E. Mossburg, RN, PhD
| November 16, 2022
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD
November 16, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.In Conversation With... Pascale Carayon, PhD and Ni…
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
Introduction
Each one of the countless necessa…
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration
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June 14, 2023
Innov…