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psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
March 01, 2010 - Government Resource
Serious medication errors from intravenous administration of nimodipine oral capsules.
Citation Text:
Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
April 10, 2024 - Commentary
War games and diagnostic errors.
Citation Text:
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342.
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psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-program-improving
September 16, 2020 - Grant Announcement
Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults.
Citation Text:
Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. Boston, MA: In…
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psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
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psnet.ahrq.gov/issue/california-pharmacies-are-making-millions-mistakes-theyre-fighting-keep-secret
October 14, 2020 - Newspaper/Magazine Article
California pharmacies are making millions of mistakes. They’re fighting to keep that secret.
Citation Text:
California pharmacies are making millions of mistakes. They’re fighting to keep that secret. Peterson M. Los Angeles Times. September 5, 2023.
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psnet.ahrq.gov/issue/blame-what-does-it-look
February 02, 2022 - Commentary
Blame: what does it look like?
Citation Text:
Duthie EA. Blame: What does it look like? Nurs Manage. 2018;49(11):18-21. doi:10.1097/01.NUMA.0000547256.76967.9e.
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psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
March 06, 2024 - Book/Report
All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today.
Citation Text:
All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. New York, NY: Harper Wave; 2024. ISBN: 978006…
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psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
March 13, 2024 - Commentary
Exploring the role of patients in promoting safety: policy to practice.
Citation Text:
Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5.
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psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-mothers
May 19, 2021 - Newspaper/Magazine Article
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers.
Citation Text:
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. Eldeib D. ProPublica. November 13, 2022.
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psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
January 11, 2023 - Meeting/Conference Proceedings
A Conversation Among Stakeholders on Medical Malpractice.
Citation Text:
A Conversation Among Stakeholders on Medical Malpractice. Collaborative for Accountability and Improvement. April 26, 2022.
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psnet.ahrq.gov/issue/national-center-patient-safety-ncps
March 27, 2005 - Multi-use Website
National Center for Patient Safety (NCPS).
Citation Text:
National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890.
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psnet.ahrq.gov/issue/improving-heparin-safety-multidisciplinary-invited-conference
July 10, 2019 - Meeting/Conference Proceedings
Improving heparin safety: a multidisciplinary invited conference.
Citation Text:
Peterson C, Ham CW, Vanderveen T. Improving Heparin Safety: A Multidisciplinary Invited Conference. doi:10.1310/hpj4306-491.
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psnet.ahrq.gov/issue/care-delivery-within-community-mental-health-teams
April 26, 2023 - Book/Report
Care Delivery within Community Mental Health Teams.
Citation Text:
Care Delivery within Community Mental Health Teams. Farnborough, UK: Healthcare Safety Investigation Branch; March 2023.
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psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - Newspaper/Magazine Article
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
Citation Text:
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/guidelines-design-and-construction
April 29, 2020 - Book/Report
Guidelines for Design and Construction.
Citation Text:
Guidelines for Design and Construction. St Louis, Missouri; Facilities Guidelines Institute; 2018.
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digital.ahrq.gov/principal-investigator/gandhi-tejal
January 01, 2023 - Gandhi, Tejal
Primary care clinician attitudes towards ambulatory computerized physician order entry.
Citation
Gandhi TK, Poon EG, Sequist TD, et al. Primary care clinician attitudes towards ambulatory computerized physician order entry. AMIA Annu Symp Proc 2005:961.
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psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
May 22, 2009 - Newspaper/Magazine Article
What pilots can teach hospitals about patient safety.
Citation Text:
What pilots can teach hospitals about patient safety. Murphy K
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - Newspaper/Magazine Article
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs.
Citation Text:
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Chisholm P. Health Shots. National Public Radio. February 27, 2019.
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psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
March 05, 2008 - Book/Report
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07.
Citation Text:
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…