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psnet.ahrq.gov/issue/health-care-comes-home-human-factors
June 08, 2011 - Book/Report
Health Care Comes Home: The Human Factors.
Citation Text:
Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
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psnet.ahrq.gov/issue/making-fmea-work-you
July 01, 2019 - Commentary
Making FMEA work for you.
Citation Text:
Reams J. Making FMEA work for you. Nurs Manage. 2011;42(5):18-20. doi:10.1097/01.NUMA.0000396500.05462.6e.
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psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - Multi-use Website
WebAIRS Anesthesia Incident Reporting System.
Citation Text:
WebAIRS Anesthesia Incident Reporting System. Australian and New Zealand Tripartite Anaesthetic Data Committee.
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psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient-care
July 13, 2011 - Book/Report
Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care.
Citation Text:
Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. Zheng K, Westbrook J, Kannampallil TG, Patel VL, eds. Springer International Publ…
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psnet.ahrq.gov/issue/positive-patient-identification
June 19, 2024 - Book/Report
Positive Patient Identification.
Citation Text:
Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety Investigations Body; February 2024.
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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/strategic-plan-preventing-and-mitigating-drug-shortages
October 09, 2013 - Book/Report
Strategic Plan for Preventing and Mitigating Drug Shortages.
Citation Text:
Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013.
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psnet.ahrq.gov/issue/final-report-commission-care
September 29, 2017 - Book/Report
Final Report of the Commission on Care.
Citation Text:
Final Report of the Commission on Care. Washington, DC: Commission on Care; June 2016.
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psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - Commentary
The paradoxes of defensive medicine.
Citation Text:
The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84.
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psnet.ahrq.gov/issue/organizing-reliability-guide-research-and-practice
April 01, 2020 - Book/Report
Organizing for Reliability: A Guide for Research and Practice.
Citation Text:
Organizing for Reliability: A Guide for Research and Practice. Ramanujam R, Roberts KH, eds. Stanford, CA: Stanford University Press; 2018. ISBN: 9780804793612.
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psnet.ahrq.gov/issue/addressing-harms-financialization-healthcare-research-inform-advocacy-and-action-and-expand
April 04, 2018 - Grant Announcement
Addressing the Harms of Financialization in Healthcare. Research to Inform Advocacy and Action and Expand the Evidence Base.
Citation Text:
Addressing the Harms of Financialization in Healthcare. Research to Inform Advocacy and Action and Expand the Evidence Base. Pr…
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare.
Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
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psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
June 09, 2011 - Commentary
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Citation Text:
Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-18…
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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/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
June 10, 2018 - Newspaper/Magazine Article
Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.
Citation Text:
Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. ISMP Medication Safety…
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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/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
December 05, 2018 - Newspaper/Magazine Article
‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias.
Citation Text:
‘They treat me like I’m old and stupid’: seniors decry health providers’ age bias. Graham J. Kaiser Health News. October 20, 2021.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - Newspaper/Magazine Article
Audit of missed or delayed antimicrobial drugs.
Citation Text:
Audit of missed or delayed antimicrobial drugs. Wright J.
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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…