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psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-issues
July 24, 2013 - Newspaper/Magazine Article
Federal speech rulings may embolden health care workers to call out safety issues.
Citation Text:
Federal speech rulings may embolden health care workers to call out safety issues. Meyer H. Kaiser Health News. July 9, 2021.
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Newspaper/Magazine Article
How DeKalb Medical fixed drug safety problems after fatal error.
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How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018.
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
June 07, 2017 - Newsletter/Journal
ISMP Long-Term Care Advise-ERR.
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ISMP Long-Term Care Advise-ERR. Horsham, PA; Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
August 10, 2016 - Newspaper/Magazine Article
Correct use of inhalers: help patients breathe easier.
Citation Text:
Correct use of inhalers: help patients breathe easier. ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
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psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
March 23, 2011 - Commentary
A tragic death: a time to blame or a time to learn?
Citation Text:
Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.
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psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
May 12, 2021 - Newspaper/Magazine Article
'America's other drug problem': copious prescriptions for hospitalized elderly.
Citation Text:
'America's other drug problem': copious prescriptions for hospitalized elderly. Gorman A. Kaiser Health News. August 30, 2016.
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psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - Newspaper/Magazine Article
Eliminating insulin errors: RPhs share tricks.
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Eliminating insulin errors: RPhs share tricks. Cassell D. Drug Topics. March 20, 2006.
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psnet.ahrq.gov/issue/rudeness-work
May 29, 2014 - Commentary
Rudeness at work.
Citation Text:
Flin R. Rudeness at work. BMJ. 2010;340:c2480. doi:10.1136/bmj.c2480.
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psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols
March 26, 2014 - Newspaper/Magazine Article
Misidentification of alphanumeric symbols.
Citation Text:
Misidentification of alphanumeric symbols. ISMP Medication Safety Alert! Acute care edition. June 5, 2014;19:1-2,4-5.
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
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Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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psnet.ahrq.gov/issue/how-low-can-they-go-rural-hospitals-weigh-keeping-obstetric-units-when-births-decline
November 17, 2021 - Newspaper/Magazine Article
How low can they go? Rural hospitals weigh keeping obstetric units when births decline.
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How low can they go? Rural hospitals weigh keeping obstetric units when births decline. Huff C. Kaiser Health News. November 12, 2021.
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psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
March 13, 2024 - Commentary
Exploring the role of patients in promoting safety: policy to practice.
Citation Text:
Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5.
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psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
February 01, 2014 - Commentary
Noise: a distraction, interruption, and safety hazard.
Citation Text:
Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5.
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psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
February 01, 2014 - Commentary
Distractions, interruptions, and patient safety.
Citation Text:
Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12.
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psnet.ahrq.gov/classics
August 01, 2023 - Classics and Emerging Classics
To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - In Conversation With… Jeffrey Starke, MD
October 1, 2017
Citation Text:
In Conversation With… Jeffrey Starke, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - Challenges of Diabetes Management and Medication Reconciliation
Citation Text:
Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - SPOTLIGHT CASE
The Lost Start Date: an Unknown Risk of E-prescribing
Citation Text:
Wright A, Schiff G. The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - SPOTLIGHT CASE
The Pains of Chronic Opioid Usage
Citation Text:
Manchikanti L, Hirsch JA. The Pains of Chronic Opioid Usage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - SPOTLIGHT CASE
Suicidal Ideation in the Family Medicine Clinic
Citation Text:
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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