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psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
September 27, 2023 - Special or Theme Issue
Interdisciplinary Perspectives on Medical Error.
Citation Text:
Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33.
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psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
September 12, 2016 - Commentary
MRI safety: prepare for new guidance.
Citation Text:
MRI safety: prepare for new guidance. Gilk T. Appl Radiol. 2023;52(6):24-26.
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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/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/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/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/breaking-silence-medical-mistakes
April 15, 2015 - Audiovisual
Breaking the silence on medical mistakes.
Citation Text:
Breaking the silence on medical mistakes. Scott M. The Pulse. New York Public Radio; April 26, 2024.
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psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries
September 02, 2020 - Meeting/Conference Proceedings
The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries.
Citation Text:
The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. Simul Healthc. 2018;13(3S suppl 1):S1-S55.
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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/medicines-shadowside-revisiting-clinical-iatrogenesis
September 08, 2021 - Special or Theme Issue
Medicine's Shadowside: Revisiting Clinical Iatrogenesis.
Citation Text:
Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.
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psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
February 06, 2018 - Newspaper/Magazine Article
Managing risk at the point-of-care: preventing errors.
Citation Text:
Managing risk at the point-of-care: preventing errors. Njoroge S; Nichols JH.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/battling-hospital-acquired-infections
June 27, 2018 - Audiovisual
Battling hospital-acquired infections.
Citation Text:
Battling hospital-acquired infections. Gross T; Shannon R. NPR. January 9, 2008.
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psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
September 07, 2011 - Commentary
Whither Challenger, wither Columbia: management decision making and the knowledge analytic.
Citation Text:
Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Garrett TM.
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - Newspaper/Magazine Article
Hospital drug errors far from uncommon.
Citation Text:
Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - Image/Poster
Suicidal patient slips through the cracks.
Citation Text:
Suicidal patient slips through the cracks. Oakbrook Terrace, IL: Joint Commission: October 2019.
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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/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - Book/Report
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events.
Citation Text:
Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Book/Report
Learning Not Blaming.
Citation Text:
Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
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psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
June 21, 2016 - Commentary
Our stubborn quest for diagnostic certainty.
Citation Text:
Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.
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