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psnet.ahrq.gov/issue/mistakes-we-make-dialysis
April 04, 2018 - Special or Theme Issue
Mistakes We Make in Dialysis.
Citation Text:
Mistakes We Make in Dialysis. Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328.
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psnet.ahrq.gov/issue/case-shook-medicine
October 24, 2012 - Newspaper/Magazine Article
A case that shook medicine.
Citation Text:
A case that shook medicine. Lerner BH.
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psnet.ahrq.gov/issue/after-error-speaking-out-about-patient-safety-save-lives
February 04, 2009 - Book/Report
After the Error: Speaking Out About Patient Safety to Save Lives.
Citation Text:
After the Error: Speaking Out About Patient Safety to Save Lives. McIver SB, Wyndham R. Toronto, Canada: ECW Press; 2013. ISBN: 9781770411104.
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psnet.ahrq.gov/issue/national-training-survey-2013-concerns-about-patient-safety
July 15, 2015 - Book/Report
National Training Survey 2013: Concerns about Patient Safety.
Citation Text:
National Training Survey 2013: Concerns about Patient Safety. London, UK: General Medical Council; November 2013.
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psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
March 27, 2017 - Book/Report
Patient Safety and Managing Risk in Nursing.
Citation Text:
Patient Safety and Managing Risk in Nursing. Fisher MA, Scott M. London, UK: Sage Publishing; 2013. ISBN: 9781446266878.
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psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety
June 08, 2011 - Newspaper/Magazine Article
Hospital tones down alarms to reduce fatigue, enhance safety.
Citation Text:
Hospital tones down alarms to reduce fatigue, enhance safety. Olson J.
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psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-safety
January 29, 2020 - Newspaper/Magazine Article
Shining a glaring light on surgery: technology that records every move aims to improve safety.
Citation Text:
Shining a glaring light on surgery: technology that records every move aims to improve safety. Freyer FJ. Boston Globe. January 13, 2024.
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psnet.ahrq.gov/issue/patient-safety-dialysis-access
September 29, 2017 - Book/Report
Patient Safety in Dialysis Access.
Citation Text:
Patient Safety in Dialysis Access. Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051.
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psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
June 10, 2015 - Book/Report
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us.
Citation Text:
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
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psnet.ahrq.gov/issue/health-literacy-research-current-status-and-future-directions
October 07, 2015 - Special or Theme Issue
Health Literacy Research: Current Status and Future Directions.
Citation Text:
Health Literacy Research: Current Status and Future Directions. Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.
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psnet.ahrq.gov/issue/patient-safety-15
February 17, 2021 - Multi-use Website
Patient Safety.
Citation Text:
Patient Safety. National Pharmacy Association; NPA.
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May 22,…
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - Course Material/Curriculum
Safety Quality and Informatics Leadership Program.
Citation Text:
Safety Quality and Informatics Leadership Program. Harvard Medical School, Boston, MA
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psnet.ahrq.gov/issue/medical-residents-angered-extended-work-hours
April 27, 2016 - Newspaper/Magazine Article
Medical residents angered at extended work hours.
Citation Text:
Medical residents angered at extended work hours. Hurt J.
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psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
May 03, 2023 - United States Meeting/Conference
Annual Communication, Apology, and Resolution (CARe) Forum.
Citation Text:
Annual Communication, Apology, and Resolution (CARe) Forum. Betsy Lehman Center for Patient Safety.
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psnet.ahrq.gov/issue/world-patient-safety-day
September 30, 2020 - Multi-use Website
World Patient Safety Day.
Citation Text:
World Patient Safety Day. World Health Organization. September 17, 2025.
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psnet.ahrq.gov/issue/quality-and-safety-medicine
February 15, 2023 - Special or Theme Issue
Quality and Safety in Medicine.
Citation Text:
Quality and Safety in Medicine. Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
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psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
May 21, 2016 - Book/Report
Exploring the Potential Use of Safety Cases in Health Care.
Citation Text:
Exploring the Potential Use of Safety Cases in Health Care. Safety Cases Working Group. London, UK: Health Foundation; 2015.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - Newspaper/Magazine Article
That’s the way we do things around here!
Citation Text:
That’s the way we do things around here! ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2.
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psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - Charcoal Lavage of the Lungs
October 1, 2003
Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
The Case
A 47-year-old man presented to an emergency department (ED) with altered mental status, and was
believed to have a probable overdose. He receiv…
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - Perspective
Video to Improve Patient Safety: Clinical and Educational