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psnet.ahrq.gov/issue/learning-others-legal-aspects-sharing-patient-safety-data-using-provider-consortia
May 04, 2019 - Commentary
Learning from others: legal aspects of sharing patient safety data using provider consortia.
Citation Text:
Learning from others: legal aspects of sharing patient safety data using provider consortia. Liang BA; Weinger MB; Suydam S. J Patient Saf 2005;1:83–89
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psnet.ahrq.gov/issue/there-real-cost-covid-shows-barring-bedside-visitors-icu-deprives-patients-best-care
July 19, 2023 - Newspaper/Magazine Article
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care.
Citation Text:
'There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care. Renault M. STAT. July 28, …
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psnet.ahrq.gov/issue/prescribing-safely-children
September 03, 2014 - Review
Prescribing safely for children.
Citation Text:
Sinha Y, Cranswick NE. Prescribing safely for children. J Paediatr Child Health. 2007;43(3):112-6.
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psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report
November 15, 2016 - Book/Report
Leadership Survey: Immunization Against Burnout: Insights Report.
Citation Text:
Leadership Survey: Immunization Against Burnout: Insights Report. Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018.
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psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
November 18, 2016 - Review
Changing practice to improve patient safety and quality of care in perinatal medicine.
Citation Text:
Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826.
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psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
March 10, 2021 - Toolkit
Health IT Safe Practices for Closing the Loop.
Citation Text:
Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
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psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
April 01, 2024 - Press Release/Announcement
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Citation Text:
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National I…
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psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Just Culture and its critical link to patient safety—part 1 and part 2.
Citation Text:
Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3.
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psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
April 01, 2020 - Book/Report
Medication Overload: America's Other Drug Problem.
Citation Text:
Medication Overload: America's Other Drug Problem. Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019.
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety.
Citation Text:
WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
September 16, 2020 - Commentary
A piece of my mind. Mentorship malpractice.
Citation Text:
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
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psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
September 12, 2016 - Commentary
Promoting civility in the OR: an ethical imperative.
Citation Text:
Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019.
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psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
November 01, 2017 - Newspaper/Magazine Article
Mean girls of the ER: the alarming nurse culture of bullying and hazing.
Citation Text:
Mean girls of the ER: the alarming nurse culture of bullying and hazing. Robbins A. Good Housekeeping. May 20, 2016.
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psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
July 30, 2014 - Review
Overconfidence as a cause of diagnostic error in medicine.
Citation Text:
Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001.
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
Citation Text:
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
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psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
February 12, 2020 - Newspaper/Magazine Article
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices.
Citation Text:
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. July 3…
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - Newspaper/Magazine Article
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error
Citation Text:
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
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psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
June 22, 2009 - Study
Factors influencing nurses' decisions to raise concerns about care quality.
Citation Text:
Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402.
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psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
March 15, 2022 - Newspaper/Magazine Article
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - Commentary
Remembering to learn: the overlooked role of remembrance in safety improvement.
Citation Text:
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
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