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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
January 01, 2019 - Toolkit
Diagnostic Safety Toolkit.
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Diagnostic Safety Toolkit.
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psnet.ahrq.gov/issue/err-human-delay-deadly
July 11, 2017 - Book/Report
To Err Is Human — To Delay Is Deadly.
Citation Text:
To Err Is Human — To Delay Is Deadly. Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
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psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
July 31, 2019 - Book/Report
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality.
Citation Text:
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…
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psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
September 14, 2016 - Newspaper/Magazine Article
Accidental IV infusion of heparinized irrigation in the OR.
Citation Text:
Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
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psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
June 10, 2018 - Newspaper/Magazine Article
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.
Citation Text:
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - Newspaper/Magazine Article
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
Citation Text:
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
May 07, 2018 - Newspaper/Magazine Article
Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
Citation Text:
Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
February 13, 2019 - Newspaper/Magazine Article
Raising the index of suspicion: red flags that represent credible threats to patient safety.
Citation Text:
Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…
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psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
April 01, 2024 - Commentary
Ordering of continuous renal replacement therapy in a computerized provider order entry system.
Citation Text:
Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR.
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psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
May 02, 2018 - Newspaper/Magazine Article
FDA Advise-ERR: medication errors associated with Cerebyx.
Citation Text:
FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2.
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psnet.ahrq.gov/issue/people-color-long-covid-face-uphill-battle-be-heard
August 24, 2022 - Newspaper/Magazine Article
People of color with long COVID face uphill battle to be heard.
Citation Text:
People of color with long COVID face uphill battle to be heard. Farah T. Scientific American. September 22, 2022.
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Special or Theme Issue
Patient Safety: Committing to Learn and Acting to Improve.
Citation Text:
Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.
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psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
October 23, 2019 - Newspaper/Magazine Article
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases.
Citation Text:
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Rein L. Washington Post. August 30, 2019.
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psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
December 11, 2019 - Newspaper/Magazine Article
To eliminate bias, some seek out doctors of their own race or ethnicity.
Citation Text:
To eliminate bias, some seek out doctors of their own race or ethnicity. Glicksman E. Washington Post. December 11, 2021.
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psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world
March 20, 2019 - Book/Report
Unwell Women: Misdiagnosis and Myth in a Man-Made World.
Citation Text:
Unwell Women: Misdiagnosis and Myth in a Man-Made World. Cleghorn E. New York, NY: Dutton; 2021. ISBN: 9780593182956.
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psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
July 15, 2020 - Newspaper/Magazine Article
Artificial intelligence is rushing into patient care - and could raise risks.
Citation Text:
Artificial intelligence is rushing into patient care - and could raise risks. Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
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psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
December 24, 2008 - Newspaper/Magazine Article
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
Citation Text:
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…
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psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
March 09, 2018 - Book/Report
Field Guide to Collaborative Care: Implementing the Future of Health Care.
Citation Text:
Field Guide to Collaborative Care: Implementing the Future of Health Care. Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290.
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