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psnet.ahrq.gov/issue/have-we-gone-too-far-translating-ideas-aviation-patient-safety
March 06, 2005 - Commentary
Have we gone too far in translating ideas from aviation to patient safety?
Citation Text:
Have we gone too far in translating ideas from aviation to patient safety? Rogers J, Gaba DM. BMJ. 2011;342:c7309-c7310.
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psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects
January 24, 2024 - Newspaper/Magazine Article
Prescription drug overload: critics fighting to curb an epidemic of medication side effects.
Citation Text:
Prescription drug overload: critics fighting to curb an epidemic of medication side effects. Weisman R. Boston Globe. January 13, 2020.
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psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - Book/Report
Harm Caused by Delays in Transferring Patients to the Right Place of Care.
Citation Text:
Harm Caused by Delays in Transferring Patients to the Right Place of Care. Farnborough, UK: Healthcare Safety Investigation Branch; August 2023.
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psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - Newspaper/Magazine Article
Proactive prevention of maternal death from maternal hemorrhage.
Citation Text:
Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3.
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psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
October 10, 2018 - Newspaper/Magazine Article
The optimal use of telehealth to deliver safe patient care.
Citation Text:
The optimal use of telehealth to deliver safe patient care. Quick Safety. October 6, 2020;55:1-4.
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
June 10, 2018 - Newspaper/Magazine Article
Guidelines for timely medication administration: response to the CMS "30-minute rule."
Citation Text:
Guidelines for timely medication administration: response to the CMS "30-minute rule." ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-…
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psnet.ahrq.gov/issue/double-booked-when-surgeons-operate-two-patients-once
March 29, 2017 - Newspaper/Magazine Article
Double-booked: when surgeons operate on two patients at once.
Citation Text:
Double-booked: when surgeons operate on two patients at once. Boodman SG. Kaiser Health News. July 12, 2017.
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psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis
January 18, 2023 - Audiovisual
Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis.
Citation Text:
Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis. CNN. December 15, 2022.
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs. Rockville, MD: Agency for He…
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psnet.ahrq.gov/issue/patient-and-family-centered-care-error-disclosure-and-investigation
July 15, 2009 - Newspaper/Magazine Article
Patient- and family-centered care: error disclosure and investigation.
Citation Text:
Patient- and family-centered care: error disclosure and investigation. Connor M; Wayman KI; Garcia C; Fischer PR; Consortium for Maximizing Family-Centered Care.
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/issue/quality-connection
October 09, 2024 - Newspaper/Magazine Article
The quality connection.
Citation Text:
Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2.
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Manage staff fatigue to improve patient safety.
Citation Text:
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
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psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
February 11, 2015 - Book/Report
Medicare's Oversight of Ambulatory Surgery Centers Report.
Citation Text:
Medicare's Oversight of Ambulatory Surgery Centers Report. Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
September 25, 2013 - Newspaper/Magazine Article
The role of the electronic health record in patient safety events.
Citation Text:
The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21.
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psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
September 30, 2020 - Press Release/Announcement
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
Citation Text:
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. National Alert Net…