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psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
November 28, 2018 - Newspaper/Magazine Article
Hospitals collaborate to prevent wrong-site surgery.
Citation Text:
Hospitals collaborate to prevent wrong-site surgery. Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.
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psnet.ahrq.gov/issue/peggy-lillis-foundation
February 05, 2020 - Multi-use Website
Peggy Lillis Foundation.
Citation Text:
Peggy Lillis Foundation. 266 12th Street #6, Brooklyn, NY 11215.
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psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
October 02, 2013 - Multi-use Website
Do no harm: hospital care in Las Vegas.
Citation Text:
Do no harm: hospital care in Las Vegas. Allen M; Richards A.
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - Newspaper/Magazine Article
Hospital trustees shift their focus to medical safety.
Citation Text:
Hospital trustees shift their focus to medical safety. Rowland C. Boston Globe. March 5, 2007.
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psnet.ahrq.gov/issue/medical-culture-about-errors-may-be-changing
September 19, 2018 - Newspaper/Magazine Article
Medical culture about errors may be changing.
Citation Text:
Medical culture about errors may be changing. Gulliver D. Herald Tribune. September 3, 2007.
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psnet.ahrq.gov/issue/after-medical-error-patients-could-become-hospital-insiders
October 01, 2014 - Newspaper/Magazine Article
After a medical error, patients could become hospital insiders.
Citation Text:
After a medical error, patients could become hospital insiders. Clark C. HealthLeaders Media. May 22, 2014.
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psnet.ahrq.gov/issue/aviations-gift-health-care
December 19, 2018 - Newspaper/Magazine Article
Aviation's gift to health care.
Citation Text:
Aviation's gift to health care. Nance JJ.
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psnet.ahrq.gov/issue/dead-mistake
August 10, 2016 - Multi-use Website
Dead by Mistake.
Citation Text:
Dead by Mistake. Crowley CF, Nalder E. New York, NY: Hearst Digital News; August 2009.
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psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
May 31, 2023 - Commentary
The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis.
Citation Text:
Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018…
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psnet.ahrq.gov/issue/special-issue-health-information-technology
August 22, 2007 - Special or Theme Issue
Special Issue on Health Information Technology.
Citation Text:
Special Issue on Health Information Technology. J Gen Intern Med. 2008;23:353-507.
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
September 25, 2019 - Commentary
Poetry and Medicine. Mistakes.
Citation Text:
Poetry and Medicine. Mistakes. Kittleson M. JAMA. 2019;322:984.
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psnet.ahrq.gov/issue/hospital-tells-surgery-wrong-side
July 02, 2008 - Newspaper/Magazine Article
Hospital tells of surgery on wrong side.
Citation Text:
Hospital tells of surgery on wrong side. Smith S.
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psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths
August 10, 2016 - Special or Theme Issue
Lost Mothers: Maternal Care and Preventable Deaths.
Citation Text:
Lost Mothers: Maternal Care and Preventable Deaths. New York, NY: ProPublica, Inc; 2017-2020.
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psnet.ahrq.gov/issue/men-its-parkinsons-women-its-hysteria
March 03, 2021 - Newspaper/Magazine Article
In men, it's Parkinson's. In women, it's hysteria.
Citation Text:
In men, it's Parkinson's. In women, it's hysteria. Armstrong D. ProPublica. August 23, 2019.
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psnet.ahrq.gov/issue/standardizing-patient-safety-taxonomy
September 06, 2011 - Organizational Policy/Guidelines
Standardizing a Patient Safety Taxonomy.
Citation Text:
Standardizing a Patient Safety Taxonomy. Washington, DC: National Quality Forum; 2006.
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an
Answer?
June 1, 2010
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
Case Objectives
Describe the just culture approach to in…
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - lung cancers or acute myocardial infarction.( 4 ) This might suggest a set of cognitive errors (i.e., doctors … RW: When we look at why hospitals or doctors have not computerized, the argument always is economic—that … wanted to focus on this particular issue of getting computers into every doctor's office, would you get doctors
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - effect-bar-code-technology-safety-medication-administration
https://psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - our practice or the guy down the hall, with the right methods I could fix things for 100, then 300 doctors … historically grown up where the administration and the board look at finances and facilities, and the doctors … RW: What can boards do to help engage the doctors?
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … And I did start to challenge these doctors' colleagues, who were usually protecting their associates. … Most doctors, at least in my country, are not assessed once they've gone into autonomous practicefor