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psnet.ahrq.gov/issue/doctors-say-im-sorry-see-you-court
February 24, 2010 - Newspaper/Magazine Article
Doctors say 'I'm sorry' before 'See you in court.'
Citation Text:
Doctors say 'I'm sorry' before 'See you in court.' Sack K.
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psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error
July 05, 2006 - Newspaper/Magazine Article
Suit filed over Virginia Mason Medical Center's error.
Citation Text:
Suit filed over Virginia Mason Medical Center's error. Ostrom CM
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - including delayed or missed diagnoses, suboptimal disease management, and avoidable complications and hospitalizations … scores, delayed or missed diagnoses, suboptimal disease management, and avoidable complications and hospitalizations
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psnet.ahrq.gov/node/41471/psn-pdf
June 20, 2012 - Patients taking their own medications while in the
hospital.
June 20, 2012
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
https://psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
Discussing errors related to hospital patients' use of personal medications, this newsletter article provi…
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psnet.ahrq.gov/node/38827/psn-pdf
January 23, 2019 - Making hospitals accountable.
January 23, 2019
Peters PG Jr.
https://psnet.ahrq.gov/issue/making-hospitals-accountable
The author explains how shifting liability from individual physicians to hospitals could deter systems-based
failures and improve working conditions for clinicians.
https://psnet.ahrq.gov/issue/m…
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psnet.ahrq.gov/node/36677/psn-pdf
February 21, 2007 - Hospitals win safety award for simple changes.
February 21, 2007
Sipkoff M. Drug Topics. January 22, 2007.
https://psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
This article spotlights two Philadelphia hospitals recognized for their innovative medication safety initiatives:
use of color-coded sto…
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psnet.ahrq.gov/node/36805/psn-pdf
August 05, 2008 - Some hospitals call 911 to save their patients.
August 5, 2008
Abelson R. New York Times. April 2, 2007.
https://psnet.ahrq.gov/issue/some-hospitals-call-911-save-their-patients
This article reports on physician-owned, mostly surgical specialty, hospitals that lack the ability to care for
their patients who develo…
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psnet.ahrq.gov/node/40703/psn-pdf
August 17, 2011 - Washington Hospital Center safety program seeks to
catch 'near-misses.'
August 17, 2011
Sun LH.
https://psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
This newspaper article reports on one hospital's implementation of an alert system designed to encourage
frontline personne…
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psnet.ahrq.gov/node/37381/psn-pdf
March 28, 2012 - Hospital safety records, CEO pay increasingly linked.
March 28, 2012
Wilson B. American Medical News: November 26, 2007.
https://psnet.ahrq.gov/issue/hospital-safety-records-ceo-pay-increasingly-linked
This article explores the recent trend of hospitals tying senior management compensation and incentives to
mortal…
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psnet.ahrq.gov/node/37229/psn-pdf
November 28, 2007 - Many Mass. hospitals will pay for errors.
November 28, 2007
Kowalczyk L.
https://psnet.ahrq.gov/issue/many-mass-hospitals-will-pay-errors
This article reports on how numerous Massachusetts hospitals have implemented policies to waive charges
for the set of serious errors categorized as never events.
https://psnet…
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
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psnet.ahrq.gov/node/867339/psn-pdf
December 11, 2024 - Hospital nurses and physicians' experiences practicing
patient safety work to recognize deteriorating patients: a
qualitative study.
December 11, 2024
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient
safety work to recognize deteriorating patients: a qualitative…
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - Sleep science, schedules, and safety in hospitals:
challenges and solutions for pediatric providers.
August 1, 2016
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions
for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
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psnet.ahrq.gov/node/37818/psn-pdf
April 30, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2007.
April 30, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2007. Am J Health Syst Pharm. 2008;65(9):827-43.
doi:10.2146/aj…
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psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - Strategies for improving patient safety culture in
hospitals: a systematic review.
December 31, 2012
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a
systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-000582.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - Organisational culture: variation across hospitals and
connection to patient safety climate.
January 5, 2011
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to
patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511.
https:…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…
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psnet.ahrq.gov/node/837795/psn-pdf
August 10, 2022 - Role of the regulator in enabling a just culture: a
qualitative study in mental health and hospital care.
August 10, 2022
Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative
study in mental health and hospital care. BMJ Open. 2022;12(7):e061321. doi:10.1136/b…
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psnet.ahrq.gov/node/42699/psn-pdf
October 30, 2013 - A prospective, observational study of the effects of
implementation strategy on compliance with a surgical
safety checklist.
October 30, 2013
Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation
strategy on compliance with a surgical safety checklist. BMJ Qual Saf.…