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psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
November 01, 2023 - Newspaper/Magazine Article
Patient death tied to lack of proper escalation process for barcode scanning failures.
Citation Text:
Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3.
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psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and-consequences
July 14, 2010 - Study
Identifying medical errors: developing consensus on classifications and consequences.
Citation Text:
Identifying medical errors: developing consensus on classifications and consequences. Hobgood C; Eaton J; Weiner BJ.
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psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
July 18, 2018 - Newspaper/Magazine Article
Rapid response team activation by patients can mitigate errors.
Citation Text:
Rapid response team activation by patients can mitigate errors. ISMP Medication Safety Alert! Acute care edition. June 1, 2006.
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psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment
December 19, 2012 - Newspaper/Magazine Article
Navigating risks in breast cancer diagnosis and treatment.
Citation Text:
Navigating risks in breast cancer diagnosis and treatment. Greenberg P, Ranum D, Siegal D. Patient Saf Qual Healthc. October 2015;12:18-20,22-24.
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psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
June 05, 2018 - Newspaper/Magazine Article
Unverified patient-reported error: a false alarm can have real consequences.
Citation Text:
Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3.
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psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
July 27, 2005 - Newspaper/Magazine Article
USP drug safety review: medication errors involving NMBAs.
Citation Text:
USP drug safety review: medication errors involving NMBAs. Santell JP. Drug Topics. May 22, 2006.
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psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
June 01, 2023 - Book/Report
Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care
Citation Text:
Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020.
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psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
October 05, 2016 - Newspaper/Magazine Article
Hospitals installed more sinks to stop infections. The sinks can make the problem worse.
Citation Text:
Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Branswell H. STAT. October 25, 2016.
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…
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psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
April 11, 2018 - Newspaper/Magazine Article
Keeping patients on track with preventative care during pandemic.
Citation Text:
Keeping patients on track with preventative care during pandemic. Quick Safety. March 2021;58:1-2.
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/covid-blindness
August 19, 2020 - Commentary
COVID blindness.
Citation Text:
Brown L. COVID blindness. Diagnosis (Berl). 2020;7(2):83-84. doi:10.1515/dx-2020-0042.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - Study
Teamwork and communication in surgical teams: implications for patient safety.
Citation Text:
Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E.
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psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses
October 07, 2015 - Newspaper/Magazine Article
Can AI help doctors come up with better diagnoses?
Citation Text:
Can AI help doctors come up with better diagnoses? Landro L. Wall Street Journal. September 24, 2023.
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - Book/Report
Patient Safety Culture Report: Focusing on Indicators.
Citation Text:
Patient Safety Culture Report: Focusing on Indicators. Utrecht, Netherlands: European Network for Patient Safety; 2010.
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psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
September 07, 2022 - Audiovisual Presentation
First, Do No Harm Part 1: A Case Study of Systems Failure.
Citation Text:
First, Do No Harm Part 1: A Case Study of Systems Failure. Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000.
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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Newspaper/Magazine Article
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder.
Citation Text:
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was m…
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www.ahrq.gov/news/newsroom/case-studies/201515.html
January 01, 2018 - Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials
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June 2015
Sutter Health's Center for Integrated Care (SCIC), a division of Sutter Health, is using the AHRQ publication, Taking Care of Myself: A Guide for When I Leave the Hospital , to help patients rec…
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - Commentary
Clinician mindfulness and patient safety.
Citation Text:
Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817.
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www.ahrq.gov/news/newsroom/case-studies/cquips0702.html
October 01, 2014 - University of Pittsburgh Uses AHRQ's Patient Safety Culture Survey to Help Improve Nursing Home Care
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December 2006
The University of Pittsburgh School of Medicine adapted AHRQ's Hospital Survey on Patient Safety Culture to survey nursing home staff as part of ongoing researc…