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psnet.ahrq.gov/issue/when-bone-flap-hits-floor
March 12, 2025 - Study
When the bone flap hits the floor.
Citation Text:
Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90.
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psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
April 22, 2015 - Newspaper/Magazine Article
More than half a million heart surgery patients at risk of a dangerous infection.
Citation Text:
More than half a million heart surgery patients at risk of a dangerous infection. Sun LH.
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psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
April 29, 2018 - Newspaper/Magazine Article
If safety is your yardstick, measuring culture from the top down must be a priority.
Citation Text:
If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007.
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psnet.ahrq.gov/issue/quality-and-safety-1
September 21, 2022 - Special or Theme Issue
Quality and Safety.
Citation Text:
Quality and Safety. Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272.
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psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-evidence
August 26, 2020 - Commentary
Does malpractice liability make healthcare safer? Aligning law and policy with evidence.
Citation Text:
Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.
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psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
May 02, 2018 - Newspaper/Magazine Article
Using external errors to signal a clear and present danger.
Citation Text:
Using external errors to signal a clear and present danger. ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2.
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psnet.ahrq.gov/issue/adoption-electronic-medical-record-technology-order-prevent-medical-errors-matter-american
March 07, 2018 - Commentary
The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy.
Citation Text:
The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy. Crane JN; …
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psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - Commentary
Adverse outpatient drug events—a problem and an opportunity.
Citation Text:
Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9.
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psnet.ahrq.gov/issue/blaming-others-threatening-events
November 25, 2009 - Review
Classic
Blaming others for threatening events.
Citation Text:
Blaming others for threatening events. Tennen H; Affleck G.
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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psnet.ahrq.gov/issue/implementing-rapid-response-team-practical-guide
July 14, 2010 - Commentary
Implementing a rapid response team: a practical guide.
Citation Text:
Implementing a rapid response team: a practical guide. Garretson S; Dip HE; Rauzi MB.
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
September 12, 2016 - Commentary
Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results.
Citation Text:
Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…
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psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
July 27, 2022 - Special or Theme Issue
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully.
Citation Text:
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158.
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psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-1
July 05, 2013 - Commentary
Battling the obstetric malpractice crisis: improving patient safety, part 1.
Citation Text:
Battling the obstetric malpractice crisis: improving patient safety, part 1. Bernstein PS. Medscape Ob/Gyn. October 31, 2005.
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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/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
February 24, 2025 - Newspaper/Magazine Article
‘Medical errors are the third leading cause of death’ and other statistics you should question.
Citation Text:
‘Medical errors are the third leading cause of death’ and other statistics you should question. Jaklevic MC. HealthJournalism.org. July 27, 2023.
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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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