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psnet.ahrq.gov/issue/enhancing-culture-safety-through-disclosure-adverse-events
October 26, 2022 - Newspaper/Magazine Article
Enhancing a culture of safety through disclosure of adverse events.
Citation Text:
Enhancing a culture of safety through disclosure of adverse events. Cornelissen C, Call RC, Harbell MW, et al. APSF Newsletter. February 202136(1);25-27
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psnet.ahrq.gov/issue/harms-way
July 08, 2009 - Commentary
In harm's way.
Citation Text:
Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037.
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psnet.ahrq.gov/issue/patient-safety-8
October 18, 2017 - Special or Theme Issue
Patient Safety.
Citation Text:
Bagian JP. Health care and patient safety: The failure of traditional approaches - how human factors and ergonomics can and MUST help. Human Factors and Ergonomics in Manufacturing & Service Industries. 2011;22(1). doi:10.1002/hfm.2…
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psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-about-improvement
April 27, 2011 - Meeting/Conference Proceedings
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement?
Citation Text:
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Ca…
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psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
May 28, 2015 - Commentary
Current status of the monitoring of medication practice.
Citation Text:
Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605.
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psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
December 18, 2017 - Study
The effect of hospital organizational characteristics on postoperative complications.
Citation Text:
Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf. 2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b.
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psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
March 23, 2011 - Study
Incidents during out-of-hospital patient transportation.
Citation Text:
Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236.
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psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
September 28, 2010 - Commentary
A practical tool to learn from defects in patient care.
Citation Text:
Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108.
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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - Newspaper/Magazine Article
Costly issues of an uncommunicative OR.
Citation Text:
Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3.
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psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
April 08, 2019 - Commentary
The (slowly) vanishing prescription pad.
Citation Text:
Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864.
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psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
May 01, 2003 - Study
Unintended exposure in radiotherapy: identification of prominent causes.
Citation Text:
Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - Newsletter/Journal
Pediatric Quality and Safety.
Citation Text:
Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.
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psnet.ahrq.gov/issue/reducing-medication-prescribing-errors-teaching-hospital
August 02, 2010 - Study
Reducing medication prescribing errors in a teaching hospital.
Citation Text:
Garbutt J, Milligan PE, McNaughton C, et al. Reducing medication prescribing errors in a teaching hospital. Jt Comm J Qual Patient Saf. 2008;34(9):528-536.
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psnet.ahrq.gov/issue/why-dont-we-know-whether-care-safe
January 14, 2014 - Commentary
Why don't we know whether care is safe?
Citation Text:
Pham JC, Frick KD, Pronovost P. Why don't we know whether care is safe? Am J Med Qual. 2013;28(6):457-63. doi:10.1177/1062860613479397.
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psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
September 04, 2013 - Commentary
Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.
Citation Text:
Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…
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psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
October 29, 2014 - Commentary
Addressing medication errors - the role of undergraduate nurse education.
Citation Text:
Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24.
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psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
April 18, 2011 - Study
Interdisciplinary communication in the intensive care unit.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52.
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psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
March 30, 2016 - Newspaper/Magazine Article
Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues.
Citation Text:
Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23.
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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - Audiovisual
Electronic Health Record (EHR) Safety and Usability: See What We Mean.
Citation Text:
Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare.
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psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - Newspaper/Magazine Article
Understanding human over-reliance on technology.
Citation Text:
Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
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