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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Slideset
Multiple accountabilities in incident reporting and management.
Citation Text:
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
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psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
February 15, 2023 - Newspaper/Magazine Article
Emergency lights and sirens on ambulances may do more harm than good.
Citation Text:
Emergency lights and sirens on ambulances may do more harm than good. Renault M. Stat. July 7, 2023.
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - Newspaper/Magazine Article
Follow-up tips for a safe, efficient practice.
Citation Text:
Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9.
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - Book/Report
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief.
Citation Text:
Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The…
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psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training
September 24, 2010 - Commentary
Influencing leadership perceptions of patient safety through just culture training.
Citation Text:
Vogelsmeier A, Scott-Cawiezell J, Miller B, et al. Influencing leadership perceptions of patient safety through just culture training. J Nurs Care Qual. 2010;25(4):288-94. doi:…
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psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
May 06, 2009 - Study
Assessing and monitoring override medications in automated dispensing devices.
Citation Text:
Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17.
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psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
May 01, 2003 - Study
Unintended exposure in radiotherapy: identification of prominent causes.
Citation Text:
Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044.
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psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
September 24, 2010 - Commentary
Detection of patient risk by nurses: a theoretical framework.
Citation Text:
Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. J Adv Nurs. 2010;66(2). doi:10.1111/j.1365-2648.2009.05215.x.
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psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - Sentinel Event Alerts
Preventing falls and fall-related injuries in health care facilities.
Citation Text:
Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. September 28, 2015;(55):1-5.
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
June 15, 2022 - Newspaper/Magazine Article
Education is “predictably disappointing” and should never be relied upon alone to improve safety.
Citation Text:
Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/preventing-home-medication-errors
September 15, 2021 - Audiovisual Presentation
Preventing home medication errors.
Citation Text:
Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023.
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psnet.ahrq.gov/issue/systemic-error-radiology
August 01, 2018 - Commentary
Systemic error in radiology.
Citation Text:
Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719.
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psnet.ahrq.gov/issue/medical-errors-where-are-we-now
September 30, 2020 - Commentary
Medical errors: where are we now?
Citation Text:
Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50-54.
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psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
July 29, 2009 - Newspaper/Magazine Article
Addressing electronic health record contributions to diagnostic error.
Citation Text:
Addressing electronic health record contributions to diagnostic error. Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024.
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - Newspaper/Magazine Article
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths.
Citation Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Ellis B, Hicken M. CNN. May 14, 2020.
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psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
August 03, 2022 - Commentary
Guidelines in Practice: prevention of unintentionally retained surgical items.
Citation Text:
Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804.
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - Commentary
Developing a medication patient safety program — infrastructure and strategy.
Citation Text:
Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149.
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - details around the communication in the case described are unknown, below is a suggested list of
communications … Improving transitions of care: hand-off communications.