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psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - Commentary
Studying patient safety in health care organizations: accentuate the qualitative.
Citation Text:
Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15.
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psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
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psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
August 03, 2016 - Review
Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.
Citation Text:
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - competent in performing the procedure, are
permitted to remove CVCs.(15) The Infusion Nurses Society has established
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - The nurse manager is responsible for identifying factors that prevent staff from adhering to established … Communication as a Contributor to Error Inadequate communication is a well-established cause of safety
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psnet.ahrq.gov/node/39099/psn-pdf
November 11, 2009 - African Partnerships for Patient Safety.
November 11, 2009
https://psnet.ahrq.gov/issue/african-partnerships-patient-safety
This Web site establishes a forum for hospitals in Europe and Africa to support partnership development
and share learnings to drive patient safety improvements.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35450/psn-pdf
January 01, 2006 - NHS Redress Act 2006.
November 2, 2005
United Kingdom Parliament, 2006 Chapter 44.
https://psnet.ahrq.gov/issue/nhs-redress-act-2006
This act establishes a process for the National Health Service to handle small claims from medical
mistakes without litigation.
https://psnet.ahrq.gov/issue/nhs-redress-act-20…
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psnet.ahrq.gov/node/38514/psn-pdf
September 29, 2017 - Reportable incidents.
September 29, 2017
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go
wrong. EMS magazine. 2009;38(3):43-7.
https://psnet.ahrq.gov/issue/reportable-incidents
This article explains the elements of preparing policies and procedures for reporta…
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psnet.ahrq.gov/node/34612/psn-pdf
January 21, 2015 - Canadian Patient Safety Dictionary.
January 21, 2015
Royal College of Physicians and Surgeons of Canada
https://psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
Developed by the Systems Issues Working Group of the National Steering Committee on Patient Safety,
the dictionary represents an effort to establis…
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psnet.ahrq.gov/issue/patient-safety-culture-hospital-settings-across-continents-systematic-review
June 13, 2018 - Review
Patient safety culture in hospital settings across continents: a systematic review.
Citation Text:
Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496.
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
August 05, 2015 - Commentary
National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use.
Citation Text:
Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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psnet.ahrq.gov/node/39167/psn-pdf
February 16, 2011 - Quality and Safety in Medicine.
February 16, 2011
Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
https://psnet.ahrq.gov/issue/quality-and-safety-medicine
This collection of articles highlights efforts to improve quality and safety in academic health centers by
establishing teamwork initiat…
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - WHO then established a patient safety program/Alliance, and each year the Alliance team sets out the … people have been harmed, even though the number may be no different than what's well documented and established … produced intermittently until 1952, when the "Confidential Enquiry into Maternal Deaths" was formally established
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - produced intermittently until 1952, when the "Confidential Enquiry into Maternal Deaths" was formally established … WHO then established a patient safety program/Alliance, and each year the Alliance team sets out the … people have been harmed, even though the number may be no different than what's well documented and established
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psnet.ahrq.gov/node/36918/psn-pdf
September 01, 2011 - Developing a culture of safety in ambulatory care
settings.
September 1, 2011
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage.
2007;30(2):105-13.
https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
The author discusses the issues involved in e…
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psnet.ahrq.gov/node/33973/psn-pdf
December 03, 2007 - To err is human; the need for trauma support is, too.
December 3, 2007
Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
https://psnet.ahrq.gov/issue/err-human-need-trauma-support-too
This article relates the story of an adverse event from the perspective of both patient and physicia…
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psnet.ahrq.gov/node/38023/psn-pdf
August 27, 2008 - Fault/no fault: bearing the brunt of medical mishaps.
August 27, 2008
Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11.
doi:10.1503/cmaj.081020.
https://psnet.ahrq.gov/issue/faultno-fault-bearing-brunt-medical-mishaps
Providing an international context, this article exp…
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psnet.ahrq.gov/node/42077/psn-pdf
April 05, 2016 - ASHP statement on the pharmacist's role in medication
reconciliation.
April 5, 2016
ASHP Statement on the Pharmacist’s Role in Medication Reconciliation. Am J Health Syst Pharm.
2013;70(5):453-456. doi:10.2146/sp120009.
https://psnet.ahrq.gov/issue/ashp-statement-pharmacists-role-medication-reconciliation
This st…
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - Study
Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.
Citation Text:
Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…