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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops.
Citation Text:
Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2.
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - The doctor came back from the second day on
call and said, "I delivered 11 babies in 24 hours by myself … Then your person came back
and told you that he or she delivered 11 babies, and you felt it was unsafe … We do that for premature
babies, back-transfer them to a lower level nursery.
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psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
October 05, 2016 - March 12, 2014
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential
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psnet.ahrq.gov/node/60883/psn-pdf
September 02, 2020 - When the misdiagnosis is child abuse.
September 2, 2020
Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20.
https://psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse
Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations. This feature
article il…
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psnet.ahrq.gov/node/837001/psn-pdf
April 27, 2022 - Final Report of the Ockenden Review.
April 27, 2022
London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
https://psnet.ahrq.gov/issue/final-report-ockenden-review
Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves
as the final conclusions of an i…
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psnet.ahrq.gov/node/860731/psn-pdf
January 17, 2024 - Occupational Health and Organizational Culture within a
Healthcare Setting: Challenges, Complexities, and
Dynamics.
January 17, 2024
Tran Y, Ellis LA, Clay-Williams R, eds. Lausanne, Switzerland: Frontiers Media SA; 2023. ISBN
9782832540770.
https://psnet.ahrq.gov/issue/occupational-health-and-organizational-cult…
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psnet.ahrq.gov/issue/nebraska-medical-center-investigates-staff-after-girls-death
August 18, 2010 - Newspaper/Magazine Article
Nebraska Medical Center investigates staff after girl's death.
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April 14, 2010
This news piece focuses on a heparin ove…
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psnet.ahrq.gov/node/837345/psn-pdf
June 08, 2022 - A checklist to address implicit bias in healthcare settings
during the COVID-19 pandemic: The PLACE Strategy.
June 8, 2022
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during
the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263.
doi:…
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psnet.ahrq.gov/issue/rx-drug-error-may-affect-2000-patients
September 02, 2009 - Audiovisual Presentation
Rx drug error may affect 2,000 patients.
Citation Text:
Towne S.
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November 16, 2011
Towne S.
This arti…
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psnet.ahrq.gov/issue/computerized-order-entry-systems-may-miss-medication-errors
July 28, 2010 - Newspaper/Magazine Article
Published July 28, 2010
Computerized order entry systems may miss medication errors.
Dolan PL.
Topics
Approach to Improving Safety
Computerized Adverse Event Detection
Computerized Prov…
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psnet.ahrq.gov/issue/state-launches-3rd-priority-investigation-childrens
October 13, 2010 - Audiovisual
Published October 13, 2010
State launches 3rd priority investigation into Children's.
Vedder T.
Topics
Approach to Improving Safety
Credentialing, Licensure, and Discipline
Error Analysis
Safet…
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psnet.ahrq.gov/issue/kaiser-santa-clara-hospital-fined-after-babys-death-25000-penalty-kaisers-drug-error
September 16, 2015 - Newspaper/Magazine Article
Kaiser-Santa Clara hospital fined after baby's death: $25,000 penalty for Kaiser's drug error.
Citation Text:
Ostrov BF.
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psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
July 14, 2010 - Newspaper/Magazine Article
Pressing for better quality across healthcare.
Citation Text:
Pressing for better quality across healthcare. Levey NN.
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psnet.ahrq.gov/issue/state-care
June 12, 2024 - Book/Report
State of Care.
Citation Text:
State of Care. Newcastle Upon Tyne, UK: Care Quality Commission; October 2024.
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…
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psnet.ahrq.gov/issue/us-inaction-lets-look-alike-tubes-kill-patients
September 01, 2008 - Newspaper/Magazine Article
U.S. inaction lets look-alike tubes kill patients.
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September 1, 2010
View more articles from the same aut…
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psnet.ahrq.gov/issue/peggy-lillis-foundation
February 05, 2020 - Multi-use Website
Peggy Lillis Foundation.
Citation Text:
Peggy Lillis Foundation. 266 12th Street #6, Brooklyn, NY 11215.
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psnet.ahrq.gov/issue/making-hospitals-accountable
December 09, 2020 - Newspaper/Magazine Article
Making hospitals accountable.
Citation Text:
Making hospitals accountable. Peters PG Jr.
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…
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - Book/Report
Complaints to the Parliamentary and Health Service Ombudsman.
Citation Text:
Complaints to the Parliamentary and Health Service Ombudsman. Manchester, UK: Parliamentary and Health Service Ombudsman.
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - Cesarean sections can also impact fertility and make subsequent cesarean sections riskier. 13 Babies … when the rate reached over 30% of all births) was not associated with improved outcomes for moms or babies
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psnet.ahrq.gov/issue/patient-safety-law-protects-some-documents-court-case
May 30, 2012 - Newspaper/Magazine Article
Patient safety law protects some documents in court case.
Citation Text:
Patient safety law protects some documents in court case. Gallegos A.
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Fac…