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psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - Commentary
The paradoxes of defensive medicine.
Citation Text:
The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84.
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psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
June 19, 2024 - Commentary
Building accountability through patient safety organizations.
Citation Text:
Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8.
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psnet.ahrq.gov/issue/patient-safety-outcomes-importance-understanding-organizational-culture-and-safety-climate
June 19, 2024 - Commentary
Patient safety outcomes: the importance of understanding the organizational culture and safety climate.
Citation Text:
Ross J. Patient safety outcomes: the importance of understanding the organizational culture and safety climate. J Perianesth Nurs. 2011;26(5):347-8. doi:10.…
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psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - Newspaper/Magazine Article
Proactive prevention of maternal death from maternal hemorrhage.
Citation Text:
Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3.
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psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
July 31, 2019 - Book/Report
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality.
Citation Text:
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare.
Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
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psnet.ahrq.gov/issue/health-literacy-and-its-influence-patient-safety
June 19, 2024 - Commentary
Health literacy and its influence on patient safety.
Citation Text:
Ross J. Health Literacy and Its Influence on Patient Safety. Journal of PeriAnesthesia Nursing. 2007;22(3). doi:10.1016/j.jopan.2007.03.005.
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
July 08, 2015 - Newspaper/Magazine Article
Technology and error-prevention strategies: why are we still overlooking the IV room?
Citation Text:
Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…
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psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
January 05, 2017 - Newspaper/Magazine Article
Technological methods used to prevent errors aren't infallible.
Citation Text:
Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30.
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psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
June 10, 2018 - Newspaper/Magazine Article
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors.
Citation Text:
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…
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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - Webinar
Diversion is a Threat to Patient Safety: Adopting Best Practices.
Citation Text:
Diversion is a Threat to Patient Safety: Adopting Best Practices. Institute for Safe Medication Practices. April 6, 2022.
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psnet.ahrq.gov/issue/improving-patient-safety-office-institute-safety-office-based-surgery
August 13, 2014 - Newspaper/Magazine Article
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery.
Citation Text:
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.
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psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
October 20, 2021 - Newspaper/Magazine Article
Challenges with requiring five characters during ADC drug searches via override.
Citation Text:
Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3.
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psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
May 07, 2018 - Newspaper/Magazine Article
Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
Citation Text:
Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
November 30, 2022 - Newspaper/Magazine Article
Strategies for optimizing OR drug safety.
Citation Text:
Strategies for optimizing OR drug safety. Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
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psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
May 07, 2018 - Newspaper/Magazine Article
Eric Cropp weighs in on the error that sent him to prison.
Citation Text:
Eric Cropp weighs in on the error that sent him to prison. ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3.
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psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
January 27, 2021 - Book/Report
Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm.
Citation Text:
Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Saks M, Landsman S. New York, NY: Oxford University Press; 2021. ISBN: 9780190667986.
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psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
August 03, 2016 - Commentary
Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach.
Citation Text:
Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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