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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - In fact, most of the discussions were about all of the other kinds of things that can go wrong.
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - In fact, most of the discussions were about all of the other kinds of things that can go wrong.
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - EC: I've had the opportunity to have these discussions, in Washington with health staffers for Congress
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - Speak Up campaign, we need folks to report to us when they don't understand these essentially critical discussions
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - SPOTLIGHT CASE
Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care
Citation Text:
Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - SPOTLIGHT CASE
The Pains of Chronic Opioid Usage
Citation Text:
Manchikanti L, Hirsch JA. The Pains of Chronic Opioid Usage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
Citation Text:
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - On O.R. Off?
Citation Text:
Leonard M. On O.R. Off?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/issue/your-diagnosis-was-wrong-could-doctor-bias-have-been-factor
December 22, 2021 - Newspaper/Magazine Article
Your diagnosis was wrong. Could doctor bias have been a factor?
Citation Text:
Your diagnosis was wrong. Could doctor bias have been a factor? Glicksman E. Washington Post. November 17, 2019.
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psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
April 06, 2022 - Meeting/Conference Proceedings
Driving Learning and Improvement After RCA2 Event Reviews.
Citation Text:
Driving Learning and Improvement After RCA2 Event Reviews. Collaborative for Accountability and Improvement. January 26, 2023.
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psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems
April 01, 2020 - Book/Report
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems.
Citation Text:
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. Philadelphia, PA: Pew Charitable Trusts; July 21, 2020.
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psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
December 07, 2022 - Special or Theme Issue
Eliminating Unintentionally Retained Surgical Items - Special Report.
Citation Text:
Eliminating Unintentionally Retained Surgical Items - Special Report. Saver C. AORN J. 2022;116(2):111-132.
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psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
July 01, 2020 - Book/Report
Coding for Success: Simple Technology for Safer Patient Care.
Citation Text:
Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Newspaper/Magazine Article
When the water breaks.
Citation Text:
When the water breaks. Jones LA. The Philadelphia Inquirer. July 17, 2022.
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psnet.ahrq.gov/issue/world-patient-safety-day
September 30, 2020 - Multi-use Website
World Patient Safety Day.
Citation Text:
World Patient Safety Day. World Health Organization. September 17, 2025.
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psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm
December 05, 2018 - Newspaper/Magazine Article
Stranded in the ER, seniors await hospital care and suffer avoidable harm.
Citation Text:
Stranded in the ER, seniors await hospital care and suffer avoidable harm. Graham J. KFF Health News. May 6, 2024.
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psnet.ahrq.gov/issue/should-doctors-apologize-mistakes
December 18, 2019 - Newspaper/Magazine Article
Should doctors apologize for mistakes?
Citation Text:
Should doctors apologize for mistakes? Bendix J. Medical Economics. November 10, 2019;96(21):17.
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psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
April 15, 2021 - Toolkit
Stem the Tide: Addressing the Opioid Epidemic.
Citation Text:
Stem the Tide: Addressing the Opioid Epidemic. Chicago, IL: American Hospital Association; 2017.
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psnet.ahrq.gov/issue/patient-safety-19
August 14, 2019 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Tingle J. Br J Nurs. 2001-2024.
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