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psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Disrespectful behaviors—part 1 and part 2.
Citation Text:
Disrespectful behaviors—part 1 and part 2. ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
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psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
February 17, 2021 - Press Release/Announcement
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.
Citation Text:
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Adm…
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psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - Book/Report
Classic
Diffusion of Innovations. 5th ed.
Citation Text:
Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005.
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psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
April 05, 2023 - Book/Report
Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.
Citation Text:
Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. Farnborough, UK: Healthcare Safety Investigation Branch. …
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psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
May 11, 2022 - Newspaper/Magazine Article
As a nurse faces prison for a deadly error, her colleagues worry: could I be next?
Citation Text:
As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Kelman B. Kaiser Health News. March 22, 2022
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psnet.ahrq.gov/issue/apsf-stoelting-conference
September 19, 2024 - Audiovisual Presentation
APSF Stoelting Conference.
Citation Text:
APSF Stoelting Conference. Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024.
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psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
July 26, 2011 - Newspaper/Magazine Article
Hazards tied to medical records rush.
Citation Text:
Hazards tied to medical records rush. Rowland C.
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psnet.ahrq.gov/issue/growth-rapid-response-systems
April 24, 2018 - Meeting/Conference Proceedings
The growth of rapid response systems.
Citation Text:
Steel AC, Reynolds SF. The growth of rapid response systems.
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psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
September 25, 2013 - Newspaper/Magazine Article
The role of the electronic health record in patient safety events.
Citation Text:
The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21.
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psnet.ahrq.gov/issue/serious-reportable-events-massachusetts
May 03, 2023 - Book/Report
Serious Reportable Events in Massachusetts.
Citation Text:
Serious Reportable Events in Massachusetts. Fillo KT, Saunders K. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; 2023.
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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - Tools/Toolkit
A check-up for safety culture in "my patient care area."
Citation Text:
Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x.
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psnet.ahrq.gov/issue/sops-nursing-home-survey-what-you-need-know
May 29, 2013 - Meeting/Conference Proceedings
SOPS Nursing Home Survey: What You Need to Know.
Citation Text:
SOPS Nursing Home Survey: What You Need to Know. Agency for Healthcare Research and Quality. May 3, 2022.
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psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
September 30, 2020 - Press Release/Announcement
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
Citation Text:
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. National Alert Net…
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psnet.ahrq.gov/issue/piece-my-mind-how-many-have-you-done
December 01, 2004 - Commentary
A piece of my mind. How many have you done?
Citation Text:
Reisman A. A PIECE OF MY MIND. How Many Have You Done? JAMA. 2016;316(5):491. doi:10.1001/jama.2016.1996.
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psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
January 01, 2021 - Special or Theme Issue
COVID-19 Content. ISMP Medication Safety Alert!
Citation Text:
COVID-19 Content. ISMP Medication Safety Alert! March 2020--January 2021.
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psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed
September 14, 2011 - Newspaper/Magazine Article
Why are so many women being misdiagnosed?
Citation Text:
Why are so many women being misdiagnosed? Mickle K. Glamour. August 11, 2017.
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psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors
August 17, 2022 - Study
Hospital internet site content on patient safety and medical errors.
Citation Text:
Hospital internet site content on patient safety and medical errors. Heffner JE, Webster L, Ellis R. J Patient Saf. 2006;2(2):72-77.
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psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare
June 21, 2016 - Commentary
Reducing prognostic errors: a new imperative in quality healthcare.
Citation Text:
Khullar D, Jena AB. Reducing prognostic errors: a new imperative in quality healthcare. BMJ. 2016;352:i1417. doi:10.1136/bmj.i1417.
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - An estimated 40,000 to 80,000 preventable hospital deaths attributed to medical errors occur annually
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Duty Hours and Patient Safety
Citation Text:
Duty Hours and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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