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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/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
June 14, 2023 - Book/Report
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.
Citation Text:
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
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psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
May 03, 2023 - Newspaper/Magazine Article
Smart infusion pump investigations after an unexplained over-infusion.
Citation Text:
Smart infusion pump investigations after an unexplained over-infusion. ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3.
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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/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
June 01, 2014 - Special or Theme Issue
Improving patient safety by shifting power from health professionals to patients.
Citation Text:
Improving patient safety by shifting power from health professionals to patients. BMJ. 2023(383):2219, 2278, 2319, 2331.
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psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
June 21, 2017 - Commentary
Thinking fast and slow in medicine.
Citation Text:
Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043.
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psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
January 02, 2017 - Study
The impact of abbreviations on patient safety.
Citation Text:
Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient Saf. 2007;33(9):576-83.
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psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
June 08, 2011 - Commentary
A considerative checklist to ensure safe daily patient review.
Citation Text:
Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023.
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psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
April 22, 2016 - Newspaper/Magazine Article
Hospitals slow to adopt patient apology policies.
Citation Text:
Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
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psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
September 09, 2009 - Commentary
Can you prevent adverse drug events after hospital discharge?
Citation Text:
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-medication-safety
January 19, 2011 - Commentary
Implementing AORN recommended practices for medication safety.
Citation Text:
Hicks RW, Wanzer LJ, Denholm B. Implementing AORN recommended practices for medication safety. AORN J. 2012;96(6):605-22. doi:10.1016/j.aorn.2012.09.012.
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - Study
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Citation Text:
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…
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psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
August 16, 2023 - Study
The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.
Citation Text:
Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - Book/Report
Classic
Reducing Adverse Drug Events.
Citation Text:
Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
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psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
November 03, 2015 - Commentary
Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.
Citation Text:
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…
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psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
February 17, 2011 - Study
Beyond negligence: avoidability and medical injury compensation.
Citation Text:
Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402.
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
May 25, 2022 - Commentary
Tolerance of uncertainty and the practice of emergency medicine.
Citation Text:
Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015.
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psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
January 24, 2024 - Commentary
The iatrogenic-harm cost equation and new technology.
Citation Text:
Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x.
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