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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Commentary
Apologies and medical error.
Citation Text:
Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Sentinel Event Alerts
Safe use of opioids in hospitals.
Citation Text:
Sentinel Event Alert. 2012;49:1-5.
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psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
October 19, 2022 - Study
From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.
Citation Text:
Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…
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psnet.ahrq.gov/issue/patient-safety-lessons-learned
October 18, 2017 - Commentary
Patient safety: lessons learned.
Citation Text:
Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90.
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psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
May 31, 2017 - Commentary
A mediation skills model to manage disclosure of errors and adverse events to patients.
Citation Text:
Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
November 16, 2015 - Book/Report
PHSO Review: Quality of NHS Complaints Investigations.
Citation Text:
PHSO Review: Quality of NHS Complaints Investigations. First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Of…
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psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
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psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
May 18, 2022 - Commentary
Moving towards a Safety II approach.
Citation Text:
Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264.
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psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors
January 11, 2023 - Review
System-related factors contributing to diagnostic errors.
Citation Text:
Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004.
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - Book/Report
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.
Citation Text:
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012.
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psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
September 12, 2018 - Book/Report
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop.
Citation Text:
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …
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psnet.ahrq.gov/issue/repair-project-prospectus-change-toward-racial-justice-medical-education-and-health-sciences
May 18, 2022 - Commentary
The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences research: REPAIR project steering committee.
Citation Text:
The REPAIR Project: a prospectus for change toward racial justice in medical education and health sciences res…
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psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
September 22, 2021 - Newspaper/Magazine Article
How nursing homes’ worst offenses are hidden from the public.
Citation Text:
How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021.
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psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
June 19, 2019 - Book/Report
Eliminating Medication Overload: A National Action Plan.
Citation Text:
Eliminating Medication Overload: A National Action Plan. Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020.
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psnet.ahrq.gov/issue/surgical-site-verification-through-z
October 26, 2022 - Commentary
Surgical site verification: A through Z.
Citation Text:
Dunn D. Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31.
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psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
March 21, 2017 - Study
Patient concerns about medical errors in emergency departments.
Citation Text:
Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med. 2005;12(1):57-64.
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psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
May 03, 2023 - Government Resource
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report.
Citation Text:
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduct…
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psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
May 25, 2022 - Review
Patient safety in dermatology: a review of the literature.
Citation Text:
Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3.
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psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
November 18, 2011 - Book/Report
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.
Citation Text:
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…
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psnet.ahrq.gov/issue/getting-root-medication-errors
March 21, 2009 - Study
Getting to the root of medication errors.
Citation Text:
Cohen H, Shastay AD. Getting to the root of medication errors. Nursing (Brux). 2008;38(12):39-49. doi:10.1097/01.NURSE.0000342031.85246.a1.
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