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psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
March 27, 2024 - Newspaper/Magazine Article
UCSD, doc who overdosed in hospital bathroom face lawsuits.
Citation Text:
UCSD, doc who overdosed in hospital bathroom face lawsuits. Clark C. MedPage Today. February 10, 2020.
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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psnet.ahrq.gov/issue/premature-closure-not-so-fast
September 28, 2022 - Commentary
Premature closure? Not so fast.
Citation Text:
Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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digital.ahrq.gov/dicom
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - Commentary
Emerging Classic
Adaptive expertise in medical decision making.
Citation Text:
Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898.
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psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
October 30, 2019 - Newspaper/Magazine Article
Lessons learned from a death outside a hospital's doorstep.
Citation Text:
Lessons learned from a death outside a hospital's doorstep. Palmer J. Patient Saf Qual Healthc. May/June 2019.
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psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
November 16, 2011 - Course Material/Curriculum
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Citation Text:
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.
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psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
June 24, 2020 - Commentary
Just culture: who gets to draw the line?
Citation Text:
Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7.
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psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
June 24, 2020 - Commentary
Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery.
Citation Text:
Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70.
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psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
June 24, 2020 - Commentary
Criminalization of medical error: who draws the line?
Citation Text:
Dekker SWA. Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7.
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psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review
December 09, 2020 - Book/Report
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review.
Citation Text:
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. Cumberlege J. London, England, Crown Copyright. July 8, 2020.
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psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide
March 23, 2022 - Newspaper/Magazine Article
Could CDC guidelines be driving some opioid patients to suicide?
Citation Text:
Could CDC guidelines be driving some opioid patients to suicide? Dickson EJ. Rolling Stone. March 9, 2019.
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psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
April 10, 2024 - Commentary
War games and diagnostic errors.
Citation Text:
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342.
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psnet.ahrq.gov/issue/risks-prescribing-cascade
December 16, 2020 - Newspaper/Magazine Article
The risks of the prescribing cascade.
Citation Text:
Brody JE. The risks of the prescribing cascade. New York Times. 2020.
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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psnet.ahrq.gov/issue/when-mistakes-happen
May 13, 2020 - Newspaper/Magazine Article
When mistakes happen.
Citation Text:
When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018.
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psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
May 17, 2023 - Book/Report
Clinical Investigation Booking Systems Failures: Written Communications in Community Languages.
Citation Text:
Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
January 01, 2004 - If you could use email to communicate with your doctor, how often would you do this? … In the past 6 months, how many times have you seen a doctor or other health care
professional at a doctor … little of the
time
Some of
the time
Most of the
time
Always
Sure that my doctor … Most of the
time
Always
Told how my visits with other
types of doctors, like an eye
doctor … 3
4
5
6
7
8
9
10
I can make healthy
choices and see the
doctor