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psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
December 02, 2020 - Study
Risk models to improve safety of dispensing high-alert medications in community pharmacies.
Citation Text:
Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-6…
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - Review
Surgical simulation: a systematic review.
Citation Text:
Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300.
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psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
July 02, 2014 - Study
Ambiguities of chronic illness management and challenges to the medical error paradigm.
Citation Text:
Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25.
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psnet.ahrq.gov/issue/special-section-iea-health-care-2021
August 02, 2010 - Special or Theme Issue
Special Section: IEA Health Care 2021.
Citation Text:
Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769.
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psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
September 21, 2022 - Newspaper/Magazine Article
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane.
Citation Text:
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Donovan-Smith O. Spokesman Review. March 15,…
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psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
July 21, 2009 - Newspaper/Magazine Article
Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety.
Citation Text:
Luther K, Resar RK. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. Healthcare executive. 2013;28(1):84-…
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psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
April 11, 2011 - Commentary
The meaning of justice in safety incident reporting.
Citation Text:
Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13.
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psnet.ahrq.gov/issue/overlooked-condition
October 03, 2018 - Newspaper/Magazine Article
An overlooked condition.
Citation Text:
Nicholas L. An overlooked condition. For diabetics, the hospital can be a dangerous place. Modern healthcare. 2005;35(46):24.
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psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - Book/Report
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed.
Citation Text:
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - Commentary
Integrating simulation in surgery as a teaching tool and credentialing standard.
Citation Text:
Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33.
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psnet.ahrq.gov/issue/patient-safety-and-office-based-anesthesia
August 13, 2014 - Review
Patient safety and office-based anesthesia.
Citation Text:
Urman RD, Punwani N, Shapiro FE. Patient safety and office-based anesthesia. Curr Opin Anaesthesiol. 2012;25(6):648-53. doi:10.1097/ACO.0b013e3283593094.
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psnet.ahrq.gov/issue/are-you-using-checklists-check
September 13, 2010 - Commentary
Are you using checklists? Check!
Citation Text:
McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31.
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psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
January 06, 2018 - Commentary
Safe medication prescribing and monitoring in the outpatient setting.
Citation Text:
Shojania KG. Safe medication prescribing and monitoring in the outpatient setting. Can Med Assoc J. 2006;174(9). doi:10.1503/cmaj.050984.
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psnet.ahrq.gov/issue/caution-coloured-medication-and-colour-blind
April 24, 2018 - Image/Poster
Caution: coloured medication and the colour blind.
Citation Text:
Cole BL, Harris RW. Caution: coloured medication and the colour blind. Lancet. 2009;374(9691):720. doi:10.1016/S0140-6736(09)60313-5.
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Citation Text:
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7.
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psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
October 19, 2022 - Study
Risk of mistaken DNR orders.
Citation Text:
Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z.
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psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
September 23, 2020 - Commentary
Iatrogenic delirium and coma: a "near miss."
Citation Text:
Dunn WF, Adams SC, Adams RW. Iatrogenic delirium and coma: a "near miss". Chest. 2008;133(5):1217-20. doi:10.1378/chest.08-0471.
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psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
May 13, 2020 - Newspaper/Magazine Article
Toward the eradication of medical diagnostic errors.
Citation Text:
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602.
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psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
July 19, 2023 - Commentary
Decreasing patient misidentification before chemotherapy administration.
Citation Text:
Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717.
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psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2007 Guide to State Adverse Event Reporting Systems.
Citation Text:
2007 Guide to State Adverse Event Reporting Systems. Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007. Publication No. 2007-301.
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