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Showing results for "failures".
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psnet.ahrq.gov/issue/organizational-silence-and-hidden-threats-patient-safetySeptember 27, 2010 - Commentary Organizational silence and hidden threats to patient safety. Citation Text: Henriksen K, Dayton E. Organizational Silence and Hidden Threats to Patient Safety. Health Serv Res. 2006;41(4p2). doi:10.1111/j.1475-6773.2006.00564.x. Copy Citation Format: DOI Google…
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-targetOctober 14, 2015 - Newspaper/Magazine Article South Carolina medication error bill is dangerously off target. Citation Text: South Carolina medication error bill is dangerously off target. ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4. Copy Citation Save Sav…
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psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-orNovember 08, 2017 - Commentary Time-out: the professional and organizational ethics of speaking up in the OR. Citation Text: Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609.…
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psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmareDecember 19, 2017 - Commentary Injury to research volunteers—the clinical-research nightmare. Citation Text: Wood AJJ, Darbyshire J. Injury to research volunteers--the clinical-research nightmare. N Engl J Med. 2006;354(18):1869-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
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psnet.ahrq.gov/issue/patient-safety-clinical-research-articlesJune 01, 2022 - Commentary Patient safety in clinical research articles. Citation Text: Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006. Copy Citation Format: DOI Google…
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psnet.ahrq.gov/issue/patient-safety-honoring-advanced-directivesJune 23, 2009 - Commentary Patient safety: honoring advanced directives. Citation Text: Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-errorSeptember 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…
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psnet.ahrq.gov/issue/patient-safety-listen-whistleblowersMay 22, 2019 - Commentary Patient safety: listen to whistleblowers. Citation Text: Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypoApril 18, 2018 - Commentary Commonly used, easily confused: let's eliminate hyper and hypo. Citation Text: Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867. Copy Citation Format: DOI Google Scholar PubMed BibT…
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psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinicalNovember 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
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psnet.ahrq.gov/issue/detecting-medication-administration-errorsAugust 17, 2022 - Commentary Detecting medication administration errors. Citation Text: Durham ML, Jankiewicz A. Detecting Medication Administration Errors. J Patient Saf. 2019;15(3):181-183. doi:10.1097/PTS.0000000000000384. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …
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psnet.ahrq.gov/issue/drug-shortage-affecting-patient-care-your-critical-care-unitNovember 22, 2017 - Commentary Is the drug shortage affecting patient care in your critical care unit? Citation Text: Alspach JAG. Is the drug shortage affecting patient care in your critical care unit? Crit Care Nurse. 2012;32(1):8-13. doi:10.4037/ccn2012810. Copy Citation Format: DOI Google …
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psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixonNovember 16, 2022 - Commentary Surgical accountability in the 1880s: the death of Susan Nixon. Citation Text: Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg. 2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x. Copy Citation Format: DOI Google …
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psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-managementMay 10, 2014 - Commentary (Mis)understanding safety culture and its relationship to safety management. Citation Text: Guldenmund FW. (Mis)understanding Safety Culture and Its Relationship to Safety Management. Risk Anal. 2010;30(10):1466-80. doi:10.1111/j.1539-6924.2010.01452.x. Copy Citation F…
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuitsOctober 16, 2024 - Study Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? Citation Text: Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…
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psnet.ahrq.gov/issue/multilayered-approach-patient-safety-cultureMarch 14, 2016 - Commentary Multilayered approach to patient safety culture. Citation Text: Reiman T, Pietikäinen E, Oedewald P. Multilayered approach to patient safety culture. Qual Saf Health Care. 2010;19(5):e20. doi:10.1136/qshc.2008.029793. Copy Citation Format: DOI Google Scholar Pu…
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psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribingJanuary 26, 2022 - Commentary Opioids for pain management in older adults: strategies for safe prescribing. Citation Text: Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. Copy Citation Format: DOI Google Scholar BibTeX E…
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-errorJune 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …
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psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospitalJuly 02, 2019 - Commentary Benefits of a rapid response system at a community hospital. Citation Text: Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. Copy Citation Fo…
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psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safetyDecember 12, 2014 - Commentary Perinatal clinical decision support system: a documentation tool for patient safety. Citation Text: Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10. Copy Citation Format: …
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