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psnet.ahrq.gov/issue/diagnostic-safety-toolkit
December 05, 2024 - Toolkit
Diagnostic Safety Toolkit.
Citation Text:
Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020.
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psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
October 29, 2014 - Newspaper/Magazine Article
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences.
Citation Text:
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…
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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/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - Study
Factors influencing doctors' ability to calculate drug doses correctly.
Citation Text:
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94.
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psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
April 19, 2016 - Commentary
How to use online clinician rating systems.
Citation Text:
Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957.
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psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
February 01, 2023 - Newspaper/Magazine Article
Assessing medication safety in settings not designated solely for pediatric patients.
Citation Text:
Assessing medication safety in settings not designated solely for pediatric patients. ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5…
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Newspaper/Magazine Article
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers.
Citation Text:
Are you well positioned to resolve conflicts with the safety of an order? Learning…
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psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
June 29, 2016 - Government Resource
ONC Health IT Certification Program: Enhanced Oversight and Accountability.
Citation Text:
ONC Health IT Certification Program: Enhanced Oversight and Accountability. Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;…
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psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
February 22, 2023 - Book/Report
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting.
Citation Text:
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association; 2009.
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psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
November 21, 2021 - Commentary
Opioids, iatrogenic harm and disclosure of medical error.
Citation Text:
Blinderman CD. Opioids, iatrogenic harm and disclosure of medical error. J Pain Symptom Manage. 2010;39(2):309-13. doi:10.1016/j.jpainsymman.2009.11.242.
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psnet.ahrq.gov/issue/evaluating-teamwork-simulated-obstetric-environment
November 04, 2009 - Study
Evaluating teamwork in a simulated obstetric environment.
Citation Text:
Morgan PJ, Pittini R, Regehr G, et al. Evaluating teamwork in a simulated obstetric environment. Anesthesiology. 2007;106(5):907-915.
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psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
September 30, 2009 - Commentary
Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century.
Citation Text:
Manthous CA. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. Am J Med. 2004;116(3):188-93.
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Commentary
Roundtable on public policy affecting patient safety.
Citation Text:
Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd.
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psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - Commentary
Insulin dosing error in a patient with severe hyperkalemia.
Citation Text:
Hewitt B, Barnard C, Bilimoria KY. Insulin Dosing Error in a Patient With Severe Hyperkalemia. JAMA. 2017;318(24):2485-2486. doi:10.1001/jama.2017.7964.
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psnet.ahrq.gov/issue/patient-misidentification-oncology-care
March 22, 2006 - Commentary
Patient misidentification in oncology care.
Citation Text:
Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498.
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psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
October 27, 2010 - Study
Otolaryngologists' responses to errors and adverse events.
Citation Text:
Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20.
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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology.
Citation Text:
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
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psnet.ahrq.gov/issue/implementing-met-based-rrs-toronto-general-hospital
January 11, 2017 - Commentary
Implementing an MET-based RRS at Toronto General Hospital.
Citation Text:
Warner MB, Reynolds SF. Implementing an MET-based RRS at Toronto General Hospital. Jt Comm J Qual Patient Saf. 2008;34(1):57-9, 1.
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psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
March 19, 2019 - Commentary
Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement?
Citation Text:
Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care sa…
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - Commentary
Poor medication history plus slow symptom onset delays a diagnosis.
Citation Text:
Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.
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