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psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
January 12, 2011 - Commentary
The silent epidemic--the health effects of illiteracy.
Citation Text:
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
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psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
September 09, 2009 - Commentary
Can you prevent adverse drug events after hospital discharge?
Citation Text:
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
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psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
November 17, 2010 - Book/Report
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report.
Citation Text:
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
June 14, 2017 - Book/Report
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar.
Citation Text:
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
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psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
June 17, 2010 - Study
Communication patterns in a UK emergency department.
Citation Text:
Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13.
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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - Newspaper/Magazine Article
Sounding the alarm. Nurses, organizations work to address alarm fatigue.
Citation Text:
Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Toolkit
Reducing Adverse Drug Events Related to Opioids Implementation Guide.
Citation Text:
Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
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psnet.ahrq.gov/issue/2011-john-m-eisenberg-patient-safety-and-quality-awards
November 19, 2018 - Award Recipient
2011 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2011 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2012;38(7):289-327.
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psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
February 22, 2023 - Commentary
Whose responsibility is it to address bullying in health care?
Citation Text:
Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931.
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psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
May 15, 2024 - Commentary
Among the elderly, many mental illnesses go undiagnosed.
Citation Text:
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-31. doi:10.1377/hlthaff.2015.0314.
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psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Special or Theme Issue
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections.
Citation Text:
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - Commentary
Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era.
Citation Text:
Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - Review
Surgical simulation: a systematic review.
Citation Text:
Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300.
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psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
November 17, 2009 - Newspaper/Magazine Article
The Leapfrog Group's CPOE standard and evaluation tool.
Citation Text:
The Leapfrog Group's CPOE standard and evaluation tool. Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25.
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Review
Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives.
Citation Text:
Becich MJ, Gilbertson JR, Gupta D, et al. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality i…
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psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
June 21, 2023 - Audiovisual
More hospitals move to confront medical errors head on.
Citation Text:
More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023.
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psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-safety
March 02, 2016 - Commentary
Diagnostic error: untapped potential for improving patient safety?
Citation Text:
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149.
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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