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psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety
July 18, 2018 - Book/Report
Patient Safety: Global Action on Patient Safety.
Citation Text:
Patient Safety: Global Action on Patient Safety. Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018.
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psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency-can-save-lives
December 11, 2019 - Press Release/Announcement
20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives.
Citation Text:
20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. Washington DC; National Quality Forum: 2019.…
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psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
May 25, 2022 - Newspaper/Magazine Article
Anesthesia outside of the OR: cause for patient safety concerns?
Citation Text:
Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023.
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psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
February 14, 2018 - Book/Report
Surgical Patient Safety: A Case-Based Approach.
Citation Text:
Surgical Patient Safety: A Case-Based Approach. Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
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psnet.ahrq.gov/issue/making-fmea-work-you
July 01, 2019 - Commentary
Making FMEA work for you.
Citation Text:
Reams J. Making FMEA work for you. Nurs Manage. 2011;42(5):18-20. doi:10.1097/01.NUMA.0000396500.05462.6e.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - Multi-use Website
WebAIRS Anesthesia Incident Reporting System.
Citation Text:
WebAIRS Anesthesia Incident Reporting System. Australian and New Zealand Tripartite Anaesthetic Data Committee.
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psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - Book/Report
Classic
Diffusion of Innovations. 5th ed.
Citation Text:
Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005.
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psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
June 30, 2019 - Commentary
Measuring shared mental models in healthcare.
Citation Text:
Measuring shared mental models in healthcare. Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219.
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - Book/Report
Classic
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed.
Citation Text:
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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psnet.ahrq.gov/issue/risks-prescribing-cascade
December 16, 2020 - Newspaper/Magazine Article
The risks of the prescribing cascade.
Citation Text:
Brody JE. The risks of the prescribing cascade. New York Times. 2020.
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psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Commentary
The partnership with patients: a call to action for leaders.
Citation Text:
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121. doi:10.1097/PTS.0b013e31822d6f2a.
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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psnet.ahrq.gov/issue/organizing-reliability-guide-research-and-practice
April 01, 2020 - Book/Report
Organizing for Reliability: A Guide for Research and Practice.
Citation Text:
Organizing for Reliability: A Guide for Research and Practice. Ramanujam R, Roberts KH, eds. Stanford, CA: Stanford University Press; 2018. ISBN: 9780804793612.
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare.
Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
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psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
June 09, 2011 - Commentary
Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.
Citation Text:
Hughes RG, Clancy CM. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. J Nurs Care Qual. 2009;24(3):180-18…
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure.
Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34.
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psnet.ahrq.gov/issue/2009-older-adults-knowledge-about-medications-can-impact-driving
July 12, 2016 - Book/Report
2009 Older Adults' Knowledge About Medications That Can Impact Driving.
Citation Text:
2009 Older Adults' Knowledge About Medications That Can Impact Driving. MacLennan PA, Owsley C, Rue LW III, McGwin G Jr. Washington, DC: American Automobile Association Foundation for…
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psnet.ahrq.gov/issue/five-rights-destination-without-map
September 14, 2016 - Newspaper/Magazine Article
The five rights: a destination without a map.
Citation Text:
The five rights: a destination without a map. ISMP Medication Safety Alert! Acute care edition. January 25, 2007.
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