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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Safety Improvement
Curated Library
Foundations
Improving Diagnosis in Health Care.
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and
Medicine. Washington, DC: National Academies Press; …
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman was se…
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - SPOTLIGHT CASE
Cognitive Overload in the ICU
Citation Text:
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - And then, of course, there are tools that community pharmacies use to continue enhancing that safety
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - Newspaper/Magazine Article
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals
Citation Text:
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked repor…
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psnet.ahrq.gov/issue/using-simulation-improve-systems-0
July 22, 2020 - Review
Using simulation to improve systems.
Citation Text:
Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011.
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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - Commentary
Studying organisational cultures and their effects on safety.
Citation Text:
Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005.
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psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - Commentary
Kaiser Permanente's innovation on the front lines.
Citation Text:
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
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psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
May 11, 2014 - Study
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida.
Citation Text:
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - Newspaper/Magazine Article
Point-of-care medication error prevention: best practices in action.
Citation Text:
Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007.
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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/building-safety-culture
December 21, 2014 - Commentary
Building a safety culture.
Citation Text:
Milligan F, Dennis S. Building a safety culture. Nurs Stand. 2005;20(11):48-52.
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psnet.ahrq.gov/issue/patient-safety-organizations-ready-action
May 20, 2009 - Commentary
Patient safety organizations ready for action.
Citation Text:
Clancy CM. Patient Safety Organizations ready for action. AORN J. 2009;89(2):385-7. doi:10.1016/j.aorn.2009.01.017.
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psnet.ahrq.gov/issue/7-ways-prevent-medical-errors
January 19, 2022 - Newspaper/Magazine Article
7 ways to prevent medical errors.
Citation Text:
7 ways to prevent medical errors. Caceres V. US News World Report. March 1, 2021.
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psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
January 26, 2023 - Press Release/Announcement
FDA/ISMP Safe Medication Management Fellowship Program.
Citation Text:
FDA/ISMP Safe Medication Management Fellowship Program. Food and Drug Administration, Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Commentary
White blood cell left shift in a neonate: a case of mistaken identity.
Citation Text:
White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S.
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psnet.ahrq.gov/issue/ismp-2007-survey-high-alert-medications-differences-between-nursing-and-pharmacy-perspectives
February 13, 2019 - Newspaper/Magazine Article
ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent.
Citation Text:
ISMP 2007 survey on high-alert medications. Differences between nursing and pharmacy perspectives still prevalent. ISMP Medication …
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
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