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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - Commentary
Alarm fatigue: use of an evidence-based alarm management strategy.
Citation Text:
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223.
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psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
October 07, 2020 - Book/Report
Broken Trust: Making Patient Safety More than Just a Promise.
Citation Text:
Broken Trust: Making Patient Safety More than Just a Promise. Manchester, UK: Parliamentary and Health Service Ombudsman; June 2023. ISBN: 9781528642446.
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psnet.ahrq.gov/issue/ignored-threatened-berated-after-difficult-childbirth-experiences-new-parents-seek-healing
December 04, 2019 - Newspaper/Magazine Article
Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up.
Citation Text:
Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up. Preseton E. STAT. Novemb…
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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - Press Release/Announcement
FDA public health notification: unretrieved device fragments.
Citation Text:
FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008.
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psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
October 14, 2020 - Book/Report
Addressing Problematic Opioid Use in OECD Countries.
Citation Text:
Addressing Problematic Opioid Use in OECD Countries. Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260.
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psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
July 02, 2019 - Commentary
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Citation Text:
Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926.
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psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
May 05, 2021 - Newspaper/Magazine Article
Laura Levis' death outside ER has changed hospital signage, lighting in Mass.
Citation Text:
Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Mullins L, Menard F. WBUR. April 27, 2023.
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psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
October 07, 2020 - Book/Report
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS.
Citation Text:
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
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psnet.ahrq.gov/issue/public-health-notification-fda-vail-products-enclosed-bed-systems
December 16, 2020 - Press Release/Announcement
Public Health Notification from FDA: Vail Products Enclosed Bed Systems.
Citation Text:
Public Health Notification from FDA: Vail Products Enclosed Bed Systems. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; December 4, 2007.
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psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
October 07, 2020 - Book/Report
Discharge from Mental Health Care: Making it Safe and Patient-centred.
Citation Text:
Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024.
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - , substance misuse, and post-traumatic stress disorder. 2 Mental health problems and substance use disorders
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psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - Newspaper/Magazine Article
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications.
Citation Text:
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. Brodwin E. STAT. April 14, 2020.
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psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
March 28, 2018 - Book/Report
Managing the Costs of Clinical Negligence in Trusts.
Citation Text:
Managing the Costs of Clinical Negligence in Trusts. Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395.
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psnet.ahrq.gov/issue/safety-problems-your-childs-medical-device
January 09, 2013 - Fact Sheet/FAQs
Safety Problems With Your Child's Medical Device?
Citation Text:
Safety Problems With Your Child's Medical Device? Consumer Updates. Silver Spring, MD: US Food and Drug Administration; July 16, 2013.
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psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
June 18, 2013 - Book/Report
Patient Safety in Private Hospitals: the Known and the Unknown Risk.
Citation Text:
Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014.
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - Book/Report
Learning From Mistakes.
Citation Text:
Learning From Mistakes. London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - Book/Report
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.
Citation Text:
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - Book/Report
Classic
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed.
Citation Text:
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure.
Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34.
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psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
October 04, 2017 - Book/Report
Openness and Honesty When Things Go Wrong: the Professional Duty of Candour.
Citation Text:
Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015.
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