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psnet.ahrq.gov/issue/evolution-apology
September 29, 2010 - Commentary
The evolution of the apology.
Citation Text:
Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456.
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psnet.ahrq.gov/issue/profiles-patient-safety-confirmation-bias-emergency-medicine
November 23, 2016 - Commentary
Profiles in patient safety: confirmation bias in emergency medicine.
Citation Text:
Pines JM. Profiles in patient safety: confirmation bias in emergency medicine. Acad Emerg Med. 2006;13(1):90-4.
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psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
April 22, 2016 - Newspaper/Magazine Article
Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls.
Citation Text:
Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20.
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psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
June 21, 2023 - Audiovisual Presentation
The Sunday story: when hospitals don't say sorry.
Citation Text:
The Sunday story: when hospitals don't say sorry. Rascoe A, Gorenstein D. National Public Radio. January 21, 2024.
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - Newspaper/Magazine Article
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?
Citation Text:
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? ISMP Medication Safety Alert! Acute care…
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psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
March 23, 2022 - Book/Report
Quality and Safety of Healthcare in Switzerland.
Citation Text:
Quality and Safety of Healthcare in Switzerland. Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019.
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psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
May 26, 2021 - Multi-use Website
QI Gateway: Quality Improvement for Residents.
Citation Text:
QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare.
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psnet.ahrq.gov/issue/ers-are-swamped-seriously-ill-patients-although-many-dont-have-covid
November 01, 2023 - Newspaper/Magazine Article
ERs are swamped with seriously ill patients, although many don’t have Covid.
Citation Text:
ERs are swamped with seriously ill patients, although many don’t have Covid. Wells K. Health Shots. National Public Radio. October 29, 2021.
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psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
May 05, 2018 - Newspaper/Magazine Article
Oral chemotherapy: not just an ordinary pill.
Citation Text:
Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2.
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psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
March 20, 2024 - Book/Report
Legacy: a Black Physician Reckons with Racism in Medicine.
Citation Text:
Legacy: a Black Physician Reckons with Racism in Medicine. Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
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psnet.ahrq.gov/issue/making-medical-devices-safer-home
July 31, 2013 - Fact Sheet/FAQs
Making Medical Devices Safer at Home.
Citation Text:
Making Medical Devices Safer at Home. Consumer Updates. Silver Spring, MD: US Food and Drug Administration; December 12, 2012.
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Newspaper/Magazine Article
How DeKalb Medical fixed drug safety problems after fatal error.
Citation Text:
How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018.
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psnet.ahrq.gov/issue/battling-hospital-acquired-infections
June 27, 2018 - Audiovisual
Battling hospital-acquired infections.
Citation Text:
Battling hospital-acquired infections. Gross T; Shannon R. NPR. January 9, 2008.
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psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
May 27, 2020 - Newspaper/Magazine Article
Woman works to end Black maternal health crisis after daughter dies after giving birth.
Citation Text:
Woman works to end Black maternal health crisis after daughter dies after giving birth. Kindelan K. ABC News. April 14, 2022.
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psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
May 03, 2023 - Newspaper/Magazine Article
Patients with low health literacy make more errors interpreting instructions and warnings.
Citation Text:
Patients with low health literacy make more errors interpreting instructions and warnings. ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
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psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
January 31, 2018 - Legislation/Case Law
Requires DHSS to make reported information about certain adverse events publicly available.
Citation Text:
Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
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psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - Book/Report
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.
Citation Text:
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368…
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psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
June 02, 2010 - Book/Report
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain.
Citation Text:
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. van Vuuren W. Eindhoven, NL; Eindhoven University of Technology: 1998. ISBN 9038605…