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psnet.ahrq.gov/issue/safety-subject-science
January 16, 2017 - Commentary
Is safety a subject for science?
Citation Text:
Hollnagel E. Is safety a subject for science? Safety Sci. 2013;67:21-24. doi:10.1016/j.ssci.2013.07.025.
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psnet.ahrq.gov/issue/california-mans-painful-and-terrifying-road-monkeypox-diagnosis
August 17, 2022 - Newspaper/Magazine Article
A California man’s ‘painful and terrifying’ road to a Monkeypox diagnosis.
Citation Text:
A California man’s ‘painful and terrifying’ road to a Monkeypox diagnosis. Fortiér J. Kaiser Health News. August 4, 2022.
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psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
September 27, 2023 - Special or Theme Issue
Interdisciplinary Perspectives on Medical Error.
Citation Text:
Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33.
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psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
April 22, 2015 - Newspaper/Magazine Article
More than half a million heart surgery patients at risk of a dangerous infection.
Citation Text:
More than half a million heart surgery patients at risk of a dangerous infection. Sun LH.
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psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
September 11, 2019 - Newspaper/Magazine Article
Pain assessment and management standards for hospitals.
Citation Text:
Pain assessment and management standards for hospitals. R3 Report. August 29, 2017;11:1-7.
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psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
December 14, 2010 - Book/Report
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process.
Citation Text:
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. Joseph A, Quan X, Taylor E, Jelen M. Co…
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psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
May 03, 2017 - Newspaper/Magazine Article
The last person you'd expect to die in childbirth.
Citation Text:
The last person you'd expect to die in childbirth. Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
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psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
September 09, 2015 - Newspaper/Magazine Article
Selection of incorrect medication pump leads to chemotherapy overdose.
Citation Text:
Selection of incorrect medication pump leads to chemotherapy overdose. ISMP Canada. August 26, 2015;15:1-4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/cousins_introslides.pdf
October 29, 2013 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
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Using the AHRQ Pharmacy
Survey on Patient Safety Culture
Webinar
October 29, 2013
2:00 – 3:00 pm ET
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Join us by phone: (855) 442-5743
Conference ID #: 64446262
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - Toolkit
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.
Citation Text:
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018.
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psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm
October 19, 2016 - Toolkit
Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm.
Citation Text:
Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016.
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psnet.ahrq.gov/issue/medication-errors
August 21, 2018 - Commentary
Medication errors.
Citation Text:
Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186.
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - Newspaper/Magazine Article
Beware of basal opioid infusions with PCA therapy.
Citation Text:
Beware of basal opioid infusions with PCA therapy. ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
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psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes
March 01, 2007 - Newspaper/Magazine Article
Fault trees uncover complex causes.
Citation Text:
Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52.
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psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
March 14, 2018 - Book/Report
Beyond the Quick Fix: Strategies for Improving Patient Safety.
Citation Text:
Beyond the Quick Fix: Strategies for Improving Patient Safety. Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015.
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psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared
June 10, 2018 - Newspaper/Magazine Article
Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0.
Citation Text:
Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. …
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psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
February 01, 2023 - Newspaper/Magazine Article
Investigators find hospital error caused mother’s death in Brooklyn.
Citation Text:
Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. New York Times. January 14, 2024.
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Book/Report
Learning from Investigations.
Citation Text:
Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636.
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psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - Multi-use Website
WebAIRS Anesthesia Incident Reporting System.
Citation Text:
WebAIRS Anesthesia Incident Reporting System. Australian and New Zealand Tripartite Anaesthetic Data Committee.
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