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psnet.ahrq.gov/issue/safety-strategies-academic-radiation-oncology-department-and-recommendations-action
January 16, 2013 - Commentary
Safety strategies in an academic radiation oncology department and recommendations for action.
Citation Text:
Terezakis SA, Pronovost P, Harris K, et al. Safety strategies in an academic radiation oncology department and recommendations for action. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/basics-fmea-2nd-edition
October 23, 2013 - Book/Report
Classic
The Basics of FMEA. 2nd ed.
Citation Text:
The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773.
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psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words
July 10, 2008 - Commentary
The iatrogenic potential of the physician's words.
Citation Text:
Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216.
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psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
August 27, 2012 - Study
The quality of pharmacologic care for vulnerable older patients.
Citation Text:
Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20.
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psnet.ahrq.gov/issue/communication-operating-theatre
September 29, 2017 - Review
Communication in the operating theatre.
Citation Text:
Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332.
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit
December 05, 2024 - Toolkit
Diagnostic Safety Toolkit.
Citation Text:
Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020.
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psnet.ahrq.gov/issue/errors-and-analysis-errors
August 28, 2019 - Commentary
Errors and analysis of errors.
Citation Text:
Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a.
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psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - Commentary
Medicines-related harm in the elderly post-hospital discharge.
Citation Text:
Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - Commentary
Poor medication history plus slow symptom onset delays a diagnosis.
Citation Text:
Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.
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psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
May 25, 2010 - Study
Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.
Citation Text:
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J P…
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psnet.ahrq.gov/issue/detecting-drug-interactions-using-personal-digital-assistants-out-patient-clinic
March 28, 2011 - Study
Detecting drug interactions using personal digital assistants in an out-patient clinic.
Citation Text:
Dallenbach F, Bovier PA, Desmeules J. Detecting drug interactions using personal digital assistants in an out-patient clinic. QJM. 2007;100(11):691-7.
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - Commentary
Dangerous deception--hiding the evidence of adverse drug events.
Citation Text:
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71.
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psnet.ahrq.gov/issue/record-avoiding-pitfalls-going-electronic
October 25, 2017 - Commentary
Off the record — avoiding the pitfalls of going electronic.
Citation Text:
Hartzband P, Groopman J. Off the record--avoiding the pitfalls of going electronic. N Engl J Med. 2008;358(16):1656-8. doi:10.1056/NEJMp0802221.
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psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
March 28, 2011 - Review
Patient safety: latent risk factors.
Citation Text:
van Beuzekom M, Boer F, Akerboom S, et al. Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135.
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psnet.ahrq.gov/issue/you-make-big-decision
March 05, 2025 - Commentary
Before you make that big decision...
Citation Text:
Kahneman D, Lovallo D, Sibony O. Before you make that big decision.. Harv Bus Rev. 2011;89(6):50-60, 137.
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psnet.ahrq.gov/issue/are-you-using-checklists-check
September 13, 2010 - Commentary
Are you using checklists? Check!
Citation Text:
McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31.
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Review
Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives.
Citation Text:
Becich MJ, Gilbertson JR, Gupta D, et al. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality i…
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psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
September 24, 2010 - Commentary
A serious threat to patient safety: the unintended misuse of FentaNYL patches.
Citation Text:
Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007.
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psnet.ahrq.gov/issue/perinatal-safety-nurse-exemplar-transformational-leadership
August 20, 2018 - Commentary
The perinatal safety nurse: exemplar of transformational leadership.
Citation Text:
Raab CA, Palmer-Byfield R. The perinatal safety nurse: exemplar of transformational leadership. MCN Am J Matern Child Nurs. 2011;36(5):280-7; quiz 288-9. doi:10.1097/NMC.0b013e31822631ec.
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Commentary
Kenneth W. Kizer, MD, MPH: health care quality evangelist.
Citation Text:
Kizer KW. Kenneth W. Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. JAMA. 2001;285(7):869-71.
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