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psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/access-clinical-information-bedside
March 16, 2022 - Book/Report
Access to Clinical Information at the Bedside.
Citation Text:
Access to Clinical Information at the Bedside. Farnborough, UK: Healthcare Safety Investigation Branch; February 2023.
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digital.ahrq.gov/care-setting/veteran-affairs-medical-center
January 01, 2023 - Veteran Affairs Medical Center
A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide
Description
This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US m…
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psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
March 02, 2011 - Study
Why nurses make medication errors: a simulation study.
Citation Text:
Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7.
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psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
March 30, 2022 - Book/Report
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner.
Citation Text:
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Paterson R. Auckland, NZ; Office of the Health and Disability Commiss…
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psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
March 14, 2023 - Newspaper/Magazine Article
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.
Citation Text:
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…
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psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
June 10, 2018 - Newspaper/Magazine Article
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP).
Citation Text:
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
July 10, 2008 - Review
Assessing patient safety culture: a review and synthesis of the measurement tools.
Citation Text:
Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a.
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psnet.ahrq.gov/issue/science-and-patient-safety
July 19, 2019 - Commentary
Science and patient safety.
Citation Text:
Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792.
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psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
April 17, 2009 - Study
The association between hospital characteristics and rates of preventable complications and adverse events.
Citation Text:
The association between hospital characteristics and rates of preventable complications and adverse events. Thornlow DK; Stukenborg GJ.
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psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
May 20, 2015 - Review
Fostering rational regulation of patient safety.
Citation Text:
Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426.
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psnet.ahrq.gov/issue/hospital-report-card-ontario-2009
December 17, 2014 - Book/Report
Hospital Report Card: Ontario 2009.
Citation Text:
Hospital Report Card: Ontario 2009. Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082.
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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - Study
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety.
Citation Text:
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Moore CR; Lin JJ; O'Connor N; Hal…
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psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
March 17, 2011 - Book/Report
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement.
Citation Text:
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Salt Lake City, UT: Utah Department of Health, HealthIn…
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psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
May 31, 2023 - Book/Report
Non-accidental Injuries in Infants Attending the Emergency Department.
Citation Text:
Non-accidental Injuries in Infants Attending the Emergency Department. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - Newspaper/Magazine Article
Medication errors affecting pediatric patients: unique challenges for this special population.
Citation Text:
Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…
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psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
July 18, 2018 - Newspaper/Magazine Article
Wrong-site orthopedic operations on the extremities: the Pennsylvania experience.
Citation Text:
Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27.
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
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psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
June 10, 2018 - Newspaper/Magazine Article
A clinical reminder about the safe use of insulin vials.
Citation Text:
A clinical reminder about the safe use of insulin vials. ISMP Medication Safety Alert! Acute care edition. February 21, 2013;18:1-3.
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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