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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Book/Report
Unintended Consequences: New Problems and New Solutions.
Citation Text:
Unintended Consequences: New Problems and New Solutions. Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
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psnet.ahrq.gov/issue/health-care-safety-what-needs-be-done
December 01, 2011 - Commentary
Health care safety: what needs to be done?
Citation Text:
Rubin GL, Leeder SR. Health care safety: what needs to be done? Med J Aust. 2005;183(10):529-31.
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psnet.ahrq.gov/issue/our-story
December 04, 2016 - Commentary
Our story.
Citation Text:
King S. Our story. Pediatr Radiol. 2006;36(4):284-6.
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psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
May 20, 2015 - Review
Fostering rational regulation of patient safety.
Citation Text:
Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426.
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psnet.ahrq.gov/issue/science-and-patient-safety
July 19, 2019 - Commentary
Science and patient safety.
Citation Text:
Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792.
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - Newspaper/Magazine Article
The rise of patient safety organizations.
Citation Text:
The rise of patient safety organizations. Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
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www.ahrq.gov/news/newsroom/case-studies/201503.html
March 01, 2015 - Gulf Breeze Hospital in Florida Shows Consistent Improvement in Hospital Survey of Consumers
Search All Impact Case Studies
March 2015
Gulf Breeze Hospital (GBH), a 65-bed, acute-care facility near Pensacola, FL, has improved patient experiences by using AHRQ's Hospital Consumer Assessment of Healthcare Pr…
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psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
February 05, 2014 - Multi-use Website
PACT Collaborative: Pathway to Accountability, Compassion and Transparency.
Citation Text:
PACT Collaborative: Pathway to Accountability, Compassion and Transparency. Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
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psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - Commentary
Perinatal patient safety from the perspective of nurse executives: a round table discussion.
Citation Text:
Perinatal patient safety from the perspective of nurse executives: a round table discussion. Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
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psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
June 10, 2018 - Newspaper/Magazine Article
Telling true stories is an ISMP hallmark: here's why you should tell stories, too.
Citation Text:
Telling true stories is an ISMP hallmark: here's why you should tell stories, too. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3.
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psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective
February 05, 2025 - Newspaper/Magazine Article
The impact of language barriers on patient care: a pharmacy perspective.
Citation Text:
The impact of language barriers on patient care: a pharmacy perspective. Patel J. PM Healthcare Journal. Spring 2023(4):5-18.
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psnet.ahrq.gov/issue/teamwork-and-quality-during-neonatal-care-delivery-room
July 20, 2016 - Study
Teamwork and quality during neonatal care in the delivery room.
Citation Text:
Teamwork and quality during neonatal care in the delivery room. Thomas EJ; Sexton JB; Lasky RE; Helmreich RL; Crandell DS; Tyson J.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/improving-insulin-distribution-and-administration-safety-using-lean-six-sigma-methodologies
March 19, 2019 - Study
Improving insulin distribution and administration safety using Lean Six Sigma methodologies.
Citation Text:
Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj…
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psnet.ahrq.gov/issue/error-reporting-preventive-force
June 11, 2014 - Commentary
Error reporting as a preventive force.
Citation Text:
Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56.
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Commentary
A piece of my mind. Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
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psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
June 05, 2018 - Newspaper/Magazine Article
Unverified patient-reported error: a false alarm can have real consequences.
Citation Text:
Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3.
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psnet.ahrq.gov/issue/encouraging-patients-ask-questions-how-overcome-white-coat-silence
April 17, 2019 - Commentary
Encouraging patients to ask questions: how to overcome "white-coat silence."
Citation Text:
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
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psnet.ahrq.gov/issue/symposium-simulation-science-health-and-medicine
April 03, 2017 - Special or Theme Issue
Symposium on Simulation Science in Health and Medicine.
Citation Text:
Symposium on Simulation Science in Health and Medicine. J Emerg Trauma Shock. 2010;3:348-394.
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…