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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Fact Sheet/FAQs
The Uneven Burden of Maternal Mortality in the U.S.
Citation Text:
The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022.
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Commentary
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Citation Text:
Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D.
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psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
March 10, 2021 - Book/Report
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.
Citation Text:
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety
October 23, 2013 - Special or Theme Issue
Defining the Role of Social Sciences in Patient Safety.
Citation Text:
Defining the Role of Social Sciences in Patient Safety. Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394.
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psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - Book/Report
Adverse Health Care Events Reporting System: What Have We Learned?
Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned? St. Paul, MN: Minnesota Department of Health; January 2009.
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psnet.ahrq.gov/issue/error-reporting-organizations
May 24, 2006 - Commentary
Error reporting in organizations.
Citation Text:
Error reporting in organizations. Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030.
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psnet.ahrq.gov/issue/behaving-safely-under-pressure-effects-job-demands-resources-and-safety-climate-employee
February 03, 2018 - Study
Behaving safely under pressure: the effects of job demands, resources, and safety climate on employee physical and psychosocial safety behavior.
Citation Text:
Bronkhorst B. Behaving safely under pressure: The effects of job demands, resources, and safety climate on employee physic…
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
January 26, 2023 - Press Release/Announcement
FDA/ISMP Safe Medication Management Fellowship Program.
Citation Text:
FDA/ISMP Safe Medication Management Fellowship Program. Food and Drug Administration, Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
June 18, 2013 - Book/Report
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management.
Citation Text:
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. European Commission Information Society and Media. October 2007
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psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
May 07, 2018 - Newspaper/Magazine Article
Remote CPOE error—a situation that's more than remotely possible.
Citation Text:
Remote CPOE error—a situation that's more than remotely possible. ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3.
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - Book/Report
Classic
Human Error.
Citation Text:
Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690.
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psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
January 31, 2018 - Audiovisual Presentation
Just a Cup of Tea – an Introduction to the SEIPS Framework.
Citation Text:
Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023.
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psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
August 01, 2012 - Book/Report
Classic
Advances in Patient Safety: New Directions and Alternative Approaches.
Citation Text:
Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…
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psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
July 22, 2019 - Special or Theme Issue
Special Issue on Resilience Engineering and High Reliability Organizations.
Citation Text:
Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
May 28, 2014 - Book/Report
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
Citation Text:
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…
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psnet.ahrq.gov/issue/progress-achieved-2021-john-m-eisenberg-patient-safety-and-quality-award-winners
November 27, 2018 - Award Recipient
Progress achieved: The 2021 John M. Eisenberg Patient Safety and Quality Award Winners.
Citation Text:
Progress achieved: The 2021 John M. Eisenberg Patient Safety and Quality Award Winners. Oakbrook Terrace, IL: Joint Commission: April 19, 2022.
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psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
January 31, 2018 - Legislation/Case Law
Requires DHSS to make reported information about certain adverse events publicly available.
Citation Text:
Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
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psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - Book/Report
Classic
Judgment under Uncertainty: Heuristics and Biases.
Citation Text:
Judgment under Uncertainty: Heuristics and Biases. Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147.
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - Book/Report
Classic
Resilience Engineering in Practice: a Guidebook.
Citation Text:
Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749
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