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psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
December 12, 2012 - Commentary
Unreported errors in the intensive care unit: a case study of the way we work.
Citation Text:
Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/interview-lucian-leape
June 30, 2011 - Commentary
An interview with Lucian Leape.
Citation Text:
Schyve PM. An Interview with Lucian Leape. Jt Comm J Qual Patient Saf. 2016;30(12):653-658. doi:10.1016/s1549-3741(04)30076-6.
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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/emergency-medicine-quality-improvement-and-patient-safety-curriculum
November 30, 2012 - Course Material/Curriculum
Emergency medicine quality improvement and patient safety curriculum.
Citation Text:
Kelly JJ, Thallner E, Broida RI, et al. Emergency Medicine Quality Improvement and Patient Safety Curriculum. Academic Emergency Medicine. 2010;17. doi:10.1111/j.1553-2712.20…
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psnet.ahrq.gov/issue/patient-safety-emergency-department
July 13, 2016 - Commentary
Patient safety in the emergency department.
Citation Text:
Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052.
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psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
March 11, 2017 - Toolkit
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.
Citation Text:
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…
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psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse
June 09, 2021 - Newspaper/Magazine Article
When the misdiagnosis is child abuse.
Citation Text:
Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20.
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psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
March 13, 2019 - Newspaper/Magazine Article
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Citation Text:
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019.
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psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
January 15, 2020 - Newspaper/Magazine Article
Pandemic imperiled non-English speakers more than others.
Citation Text:
Pandemic imperiled non-English speakers more than others. Bebinger M. WBUR and Kaiser Health News. April 27, 2021.
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psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-state-hospital
March 22, 2024 - Meeting/Conference Proceedings
Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association.
Citation Text:
Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. Agency for Healthc…
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psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
October 23, 2019 - Webinar
Introducing the New SOPS Hospital Survey 2.0.
Citation Text:
Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019.
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psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
May 03, 2023 - Government Resource
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report.
Citation Text:
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduct…
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psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - Study
Nursing management of medication errors.
Citation Text:
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
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psnet.ahrq.gov/issue/measuring-safety-climate-health-care
March 01, 2023 - Review
Measuring safety climate in health care.
Citation Text:
Flin R, Burns C, Mearns K, et al. Measuring safety climate in health care. Qual Saf Health Care. 2006;15(2):109-15.
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psnet.ahrq.gov/issue/back-basics-universal-protocol
March 17, 2021 - Commentary
Back to basics: the Universal Protocol.
Citation Text:
Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002.
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psnet.ahrq.gov/issue/patient-safety-patients-role
May 26, 2011 - Commentary
Patient safety: the patient's role.
Citation Text:
Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48.
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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - Newspaper/Magazine Article
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.
Citation Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…
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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - Newspaper/Magazine Article
Death by handwriting.
Citation Text:
Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.
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psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
March 28, 2011 - Review
Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector.
Citation Text:
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…