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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - SPOTLIGHT CASE
Do Not Disturb!
Citation Text:
Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - SPOTLIGHT CASE
One Toxic Drug Is Not Like Another
Citation Text:
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - SPOTLIGHT CASE
Anchoring Bias With Critical Implications
Citation Text:
Etchells E. Anchoring Bias With Critical Implications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
November 19, 2014 - Audiovisual
AJR Podcast Series on Diagnostic Excellence and Error.
Citation Text:
AJR Podcast Series on Diagnostic Excellence and Error. Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025.
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psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - Toolkit
Patient Safety Incident Response Framework.
Citation Text:
Patient Safety Incident Response Framework. London, England: NHS England; August 2022.
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children.
Citation Text:
Weight-based Medication Errors in Children. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/decontamination-surgical-instruments
September 21, 2022 - Book/Report
Decontamination of Surgical Instruments.
Citation Text:
Decontamination of Surgical Instruments. Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - Newspaper/Magazine Article
A deadly epidural, delivered by a doctor with a history of mistakes.
Citation Text:
A deadly epidural, delivered by a doctor with a history of mistakes. Goldstein J. New York Times. January 23, 2023.
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psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
July 08, 2009 - Newspaper/Magazine Article
Never events: Utah hospitals saw nearly 60 serious errors in 2007.
Citation Text:
Never events: Utah hospitals saw nearly 60 serious errors in 2007. May H. Salt Lake Tribune. August 18, 2008.
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - Newspaper/Magazine Article
Fatal drug mix-up exposes hospital flaws.
Citation Text:
Fatal drug mix-up exposes hospital flaws. Davies T.
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psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm
September 20, 2017 - Special or Theme Issue
Inequity and Iatrogenic Harm.
Citation Text:
Inequity and Iatrogenic Harm. AMA J Ethics. 2022;24(8):e715-e816.
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psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
May 08, 2013 - Book/Report
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.
Citation Text:
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. O'Hara J, Isden R. London, UK: Health Foundation; October 2013.
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Newspaper/Magazine Article
When the water breaks.
Citation Text:
When the water breaks. Jones LA. The Philadelphia Inquirer. July 17, 2022.
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psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
December 16, 2020 - Newspaper/Magazine Article
Prevent administration of ear drops into the eyes.
Citation Text:
Prevent administration of ear drops into the eyes. ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
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psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
January 17, 2017 - Government Resource
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging.
Citation Text:
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/interference-between-ct-and-electronic-medical-devices
May 04, 2015 - Government Resource
Interference between CT and Electronic Medical Devices.
Citation Text:
Interference between CT and Electronic Medical Devices. Center for Devices and Radiological Health; CDER; Food and Drug Administration; FDA.
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