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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - file=pri_onco/7504&type=A&selectedTitle=1~1
http://www.utdol.com/application/topic.asp? … file=pri_onco/7504&type=A&selectedTitle=1~1
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Lost in Transitions of Care: Managing an Opioid-
Dependent Patient with Frequent Hospitalizations
September 29, 2021
Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent
Hospitalizations. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/lost-transitions-care…
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - An Inadvertent Bolus of Norepinephrine.
May 26, 2021
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…
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psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
October 23, 2018 - Commentary
Will saying "I'm sorry" prevent a malpractice lawsuit?
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Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
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psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
October 17, 2018 - Newspaper/Magazine Article
Former pharmacist indicted for manslaughter after med error.
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Former pharmacist indicted for manslaughter after med error. Paul R. Drug Topics. September 17, 2007.
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psnet.ahrq.gov/issue/analysis-malpractice-claims-mammography-complex-issue
October 19, 2022 - Study
Analysis of malpractice claims in mammography: a complex issue.
Citation Text:
Fileni A, Magnavita N, Pescarini L. Analysis of malpractice claims in mammography: a complex issue. Radiol Med. 2009;114(4):636-44. doi:10.1007/s11547-009-0394-6.
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psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
May 02, 2018 - Newspaper/Magazine Article
Heparin errors continue despite prior, high-profile, fatal events.
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Heparin errors continue despite prior, high-profile, fatal events. ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2.
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psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - Newspaper/Magazine Article
"Near injury" alters procedures at Virginia Mason.
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"Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005.
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psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy
September 03, 2014 - Newspaper/Magazine Article
Doctors could learn something about medical handoffs from the Navy.
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Doctors could learn something about medical handoffs from the Navy. Parikh R. Los Angeles Times. April 18, 2011.
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psnet.ahrq.gov/issue/evidence-shows-cost-and-patient-safety-benefits-emergency-pharmacists
November 02, 2005 - Commentary
Evidence shows cost and patient safety benefits of emergency pharmacists.
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Evidence shows cost and patient safety benefits of emergency pharmacists. Clancy CM.
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psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
June 04, 2014 - Newspaper/Magazine Article
Surgical 'black box' could reduce errors.
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Surgical 'black box' could reduce errors. Sathya C. CNN. August 22, 2014.
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psnet.ahrq.gov/issue/their-kids-died-psych-ward-they-were-far-alone-times-investigation-found
July 20, 2011 - Newspaper/Magazine Article
Their kids died on the psych ward. They were far from alone, a Times investigation found.
Citation Text:
Their kids died on the psych ward. They were far from alone, a Times investigation found. Karlamangla S. Los Angeles Times. December 1, 2019.
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psnet.ahrq.gov/issue/limiting-resident-physicians-work-hours-save-lives
May 04, 2011 - Newspaper/Magazine Article
Limiting resident physicians' work hours to save lives.
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Limiting resident physicians' work hours to save lives. Leape L, Haskell H. Los Angeles Times. July 1, 2011.
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psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
May 03, 2017 - Newspaper/Magazine Article
Another fatal failure at King/Drew.
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Another fatal failure at King/Drew. Weber T; Ornstein C.
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
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Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die-waiting
August 05, 2020 - Newspaper/Magazine Article
L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting.
Citation Text:
L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. Dolan J, Mejia B. Los Angeles Times. September 30, 2020.
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psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
September 30, 2020 - Newspaper/Magazine Article
Pharmacy-led medication reconciliation is best practice.
Citation Text:
Pharmacy-led medication reconciliation is best practice. Tanski MC. Pharmacy Times Health Systems edition. September 2023;12(5):34-35.
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - Misplaced Vial: Medication Kit Variability Contributes to
Medication Error During Patient Transport
July 31, 2024
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During
Patient Transport. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/misplaced-vial-medicatio…
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psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
August 30, 2017 - Study
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.
Citation Text:
Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications
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