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psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - Newspaper/Magazine Article
Report focuses on risk to patients from ED errors.
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Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019.
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psnet.ahrq.gov/issue/medication-error-prevention-school-setting-closer-look
March 01, 2023 - Commentary
Medication error prevention in the school setting: a closer look.
Citation Text:
Richmond SL. Medication error prevention in the school setting: a closer look. NASN Sch Nurse. 2011;26(5):304-8.
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psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
June 17, 2010 - Study
Communication patterns in a UK emergency department.
Citation Text:
Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13.
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psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
November 16, 2022 - Study
Error detection and recovery in dialysis nursing.
Citation Text:
Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf. 2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20.
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
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psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
September 01, 2010 - Newspaper/Magazine Article
Hospital bosses ignored months of doctors' warnings about Lucy Letby.
Citation Text:
Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023.
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psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
April 04, 2011 - Review
Ethical and practical aspects of disclosing adverse events in the emergency department.
Citation Text:
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
July 10, 2008 - Review
Disclosing harmful medical errors to patients.
Citation Text:
Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9.
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psnet.ahrq.gov/issue/speaking-reduce-noise-or
July 26, 2023 - Commentary
Speaking up to reduce noise in the OR.
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Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019.
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psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - Study
Classic
Health plan members' views about disclosure of medical errors.
Citation Text:
Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18.
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psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
June 12, 2013 - Commentary
Patient safety: is it just another bandwagon?
Citation Text:
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
May 03, 2017 - Review
Quality and safety in pediatric hematology/oncology.
Citation Text:
Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946.
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psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
June 07, 2017 - Commentary
Retained lumbar catheter tip.
Citation Text:
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713.
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psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
March 11, 2009 - Study
Quantifying distraction and interruption in urological surgery.
Citation Text:
Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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psnet.ahrq.gov/issue/color-coding-reduce-errors
June 22, 2009 - Commentary
Color coding to reduce errors.
Citation Text:
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
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psnet.ahrq.gov/issue/patient-safety-systems-case-management
December 22, 2008 - Review
Patient safety systems for case management.
Citation Text:
Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004.
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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - Newspaper/Magazine Article
Sounding the alarm. Nurses, organizations work to address alarm fatigue.
Citation Text:
Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7.
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psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Special or Theme Issue
2022 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450.
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psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
June 24, 2009 - Commentary
Recognizing the importance of whistleblowers in healthcare.
Citation Text:
O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56. doi:10.1097/01.nurse.0000736912.14380.65.
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