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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes
August 23, 2017 - Commentary
Reporting medication errors: residents with diabetes.
Citation Text:
Milligan F, Gadsby R, Ghaleb MA, et al. Reporting medication errors: residents with diabetes. Nursing and Residential Care. 2014;16(11). doi:10.12968/nrec.2014.16.11.617.
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psnet.ahrq.gov/node/33649/psn-pdf
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
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - PowerPoint Presentation
Spotlight
A Stroke of Error
This presentation is based on the December 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Kevin M. Barrett, MD, MSc, Consultant, Associate Professor of Neurology, Director, Neurohospitalist F…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Nor have many AMCs
established partnerships with other organizations such as community hospitals and
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psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
September 27, 2010 - Commentary
The role for leaders of health care organizations in patient safety.
Citation Text:
Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8.
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psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit
September 29, 2010 - Study
Sensemaking, safety, and cooperative work in the intensive care unit.
Citation Text:
Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5.
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psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
October 12, 2011 - Commentary
Does the concept of safety culture help or hinder systems thinking in safety?
Citation Text:
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
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psnet.ahrq.gov/issue/re-examining-high-reliability-actively-organising-safety
October 13, 2018 - Commentary
Re-examining high reliability: actively organising for safety.
Citation Text:
Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698.
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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/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/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/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/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/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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