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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Newspaper/Magazine Article
Overreaction.
Citation Text:
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
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psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
August 03, 2016 - Commentary
Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach.
Citation Text:
Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…
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psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
April 12, 2006 - Newspaper/Magazine Article
JCAHO tightens leash on medication reconciliation.
Citation Text:
JCAHO tightens leash on medication reconciliation. Perry LE. Drug Topics. March 20, 2006.
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
March 10, 2021 - Book/Report
Implementing Closing the Loop. Safe Practices for Diagnostic Results
Citation Text:
Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020.
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psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
February 12, 2020 - Commentary
Improving patient safety with team coordination: challenges and strategies of implementation.
Citation Text:
Improving patient safety with team coordination: challenges and strategies of implementation. Harris KT; Treanor CM; Salisbury ML.
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psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
July 01, 2022 - Book/Report
Report on the Medical Insurance Feasibility Study.
Citation Text:
Report on the Medical Insurance Feasibility Study. Mills DH. San Francisco, CA: California Medical Association; 1977.
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psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
November 11, 2020 - Book/Report
Factors Affecting the Delivery of Safe Care in Midwifery Units.
Citation Text:
Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024.
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
January 01, 2019 - Toolkit
Diagnostic Safety Toolkit.
Citation Text:
Diagnostic Safety Toolkit.
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psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
March 29, 2023 - Commentary
Development of a patient safety web-based education curriculum for physicians, nurses, and patients.
Citation Text:
Development of a patient safety web-based education curriculum for physicians, nurses, and patients. Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf.…
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psnet.ahrq.gov/issue/piece-my-mind-trials-and-tribulations
October 19, 2022 - Commentary
A piece of my mind. Trials and tribulations.
Citation Text:
Brown JL. Trials and Tribulations. JAMA. 2017;318(7). doi:10.1001/jama.2017.7106.
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psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
November 11, 2015 - Study
Neurologic patient safety: an in-depth study of malpractice claims.
Citation Text:
Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6.
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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/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/new-frontier-patient-safety
February 03, 2011 - Commentary
A new frontier in patient safety.
Citation Text:
McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742.
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psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
July 10, 2008 - Review
Assessing patient safety culture: a review and synthesis of the measurement tools.
Citation Text:
Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - Newspaper/Magazine Article
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
Citation Text:
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …
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psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
February 13, 2019 - Newspaper/Magazine Article
A shortage of everything except errors: harm associated with drug shortages.
Citation Text:
A shortage of everything except errors: harm associated with drug shortages. ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3.
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