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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/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/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/repair-project
March 27, 2005 - Multi-use Website
The REPAIR Project.
Citation Text:
The REPAIR Project. University of California San Francisco, San Francisco, CA.
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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/how-administrative-burdens-can-harm-health
February 10, 2021 - Book/Report
How administrative burdens can harm health.
Citation Text:
How administrative burdens can harm health. Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
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psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
August 05, 2009 - Newspaper/Magazine Article
Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia.
Citation Text:
Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia.…
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psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
March 20, 2024 - Book/Report
Legacy: a Black Physician Reckons with Racism in Medicine.
Citation Text:
Legacy: a Black Physician Reckons with Racism in Medicine. Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - Newspaper/Magazine Article
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths.
Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. Andrews M. Kaiser News Network. May 19, 2020.
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psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
March 04, 2010 - Book/Report
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.
Citation Text:
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022.
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
January 14, 2011 - Review
A review of organizational culture instruments for nurse executives.
Citation Text:
King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31.
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psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
September 13, 2006 - Newspaper/Magazine Article
To be sued less, doctors should consider talking to patients more.
Citation Text:
To be sued less, doctors should consider talking to patients more. Carroll AE.
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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/battling-obstetric-malpractice-crisis-improving-patient-safety-part-1
July 05, 2013 - Commentary
Battling the obstetric malpractice crisis: improving patient safety, part 1.
Citation Text:
Battling the obstetric malpractice crisis: improving patient safety, part 1. Bernstein PS. Medscape Ob/Gyn. October 31, 2005.
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
Citation Text:
Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
November 17, 2009 - Newspaper/Magazine Article
Physician leadership is key to creating a safer, more reliable health care system.
Citation Text:
Physician leadership is key to creating a safer, more reliable health care system. Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16.
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psnet.ahrq.gov/issue/ai-may-be-its-way-your-doctors-office-its-not-ready-see-patients
September 20, 2023 - Newspaper/Magazine Article
AI may be on its way to your doctor’s office, but it’s not ready to see patients.
Citation Text:
AI may be on its way to your doctor’s office, but it’s not ready to see patients. Tahir D. KFF Health News. May 12, 2023.
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psnet.ahrq.gov/issue/dying-care
January 18, 2023 - Special or Theme Issue
Dying for Care.
Citation Text:
Dying for Care. Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022.
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psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
June 27, 2016 - Government Resource
Measurement of diagnostic errors is a key first step to their reduction.
Citation Text:
Measurement of diagnostic errors is a key first step to their reduction. Singh H. National Quality Measures Expert Commentaries. November 23, 2015.
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