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psnet.ahrq.gov/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization.
Citation Text:
Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12.
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psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
January 18, 2023 - Newspaper/Magazine Article
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers.
Citation Text:
Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. Westwood R. Kaiser Health News. January 12, 2023.
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psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
May 20, 2020 - Newspaper/Magazine Article
How safe are compounded drugs?
Citation Text:
How safe are compounded drugs? Beyzarov E. Drug Topics. September 18, 2006.
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psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
August 10, 2022 - Congressional Testimony
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network.
Citation Text:
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…
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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/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
December 07, 2016 - Book/Report
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.
Citation Text:
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting.
Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4).
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - Newspaper/Magazine Article
Point-of-care medication error prevention: best practices in action.
Citation Text:
Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007.
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psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
March 02, 2016 - Special or Theme Issue
The Sociology of Healthcare Safety and Quality.
Citation Text:
The Sociology of Healthcare Safety and Quality. Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339.
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
Citation Text:
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
December 21, 2022 - Newspaper/Magazine Article
Reduce medication errors through following metrics.
Citation Text:
Reduce medication errors through following metrics. Drug Formulary Review. June 1, 2009.
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psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
March 06, 2005 - Newspaper/Magazine Article
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety.
Citation Text:
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J.
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psnet.ahrq.gov/issue/quality-and-safety-1
September 21, 2022 - Special or Theme Issue
Quality and Safety.
Citation Text:
Quality and Safety. Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272.
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psnet.ahrq.gov/issue/should-we-disclose-harmful-medical-errors-patients-if-so-how
November 23, 2016 - Review
Should we disclose harmful medical errors to patients? If so, how?
Citation Text:
Should we disclose harmful medical errors to patients? If so, how? Gallagher TH, Lucas MH. J Clin Outcomes Manag. 2005;2(5):253-259.
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psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
August 11, 2021 - Newspaper/Magazine Article
Generic drug names: fertile ground for errors?
Citation Text:
Generic drug names: fertile ground for errors? Wynn P. Drug Topics. August 8, 2005.
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - Newspaper/Magazine Article
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals
Citation Text:
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked repor…
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psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
April 22, 2016 - Newspaper/Magazine Article
Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls.
Citation Text:
Rice S. Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. Modern healthcare. 2015;45(3):18-20.
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psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back
September 21, 2016 - Newspaper/Magazine Article
Soaring numbers of 111 callers forced to wait for a call back.
Citation Text:
Soaring numbers of 111 callers forced to wait for a call back. Donnelly L. The Telegraph. January 31, 2016.
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psnet.ahrq.gov/issue/scarce-access-interpreters-immigrants-struggle-understand-doctors-orders
April 27, 2016 - Newspaper/Magazine Article
With scarce access to interpreters, immigrants struggle to understand doctors' orders.
Citation Text:
With scarce access to interpreters, immigrants struggle to understand doctors' orders. Eldred SM. Health Shots. National Public Radio. August 15, 2018.
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - linked to dementia and falls
HOW TO SAFELY REDUCE OR STOP A BZRA:
• Ask your health care provider to find