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psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
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psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
August 06, 2016 - Book/Report
Classic
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.
Citation Text:
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Book/Report
Learning Not Blaming.
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Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
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psnet.ahrq.gov/issue/medication-errors
August 21, 2018 - Commentary
Medication errors.
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Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186.
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psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
August 19, 2009 - Commentary
Laboratory results that should be ignored.
Citation Text:
Elston DM. Laboratory results that should be ignored. MedGenMed. 2006;8(4):9.
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psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
November 17, 2009 - Newspaper/Magazine Article
Physician leadership is key to creating a safer, more reliable health care system.
Citation Text:
Physician leadership is key to creating a safer, more reliable health care system. Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
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ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xiii-template-scoping-decision-problem-address-through-decision-modeling
July 01, 2017 - Procedure Manual Appendix XIII. Template for Scoping the “Decision Problem” to Address Through Decision Modeling
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psnet.ahrq.gov/issue/still-failing-frail
March 29, 2010 - Newspaper/Magazine Article
Still Failing the Frail.
Citation Text:
Still Failing the Frail. Simmons-Ritchie D. Penn Live. November 15, 2018.
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psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
February 06, 2018 - Book/Report
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.
Citation Text:
Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
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psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
March 10, 2021 - Commentary
Pharmacy mixes up prescriptions.
Citation Text:
Brushwood DB. Pharmacy error leads to fatal medication mix-up. Pharmacy Today. 2017;23(12):42. doi:10.1016/j.ptdy.2017.11.012.
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psnet.ahrq.gov/issue/procedures-should-promote-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Procedures should promote patient safety.
Citation Text:
Spath P. Procedures should promote patient safety. Hospital peer review. 2006;31(8):113-6.
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psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes
March 01, 2007 - Newspaper/Magazine Article
Fault trees uncover complex causes.
Citation Text:
Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52.
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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - Study
Teamwork and communication in surgical teams: implications for patient safety.
Citation Text:
Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E.
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psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
October 05, 2016 - Newspaper/Magazine Article
Hospitals installed more sinks to stop infections. The sinks can make the problem worse.
Citation Text:
Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Branswell H. STAT. October 25, 2016.
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psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
September 26, 2017 - Commentary
Unlabeled containers lead to patient's death.
Citation Text:
Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.
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psnet.ahrq.gov/issue/health-care-comes-home-human-factors
June 08, 2011 - Book/Report
Health Care Comes Home: The Human Factors.
Citation Text:
Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
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psnet.ahrq.gov/issue/dr-google-meets-its-match-dr-chatgpt
May 24, 2023 - Newspaper/Magazine Article
‘Dr. Google’ meets its match: Dr. ChatGPT.
Citation Text:
‘Dr. Google’ meets its match: Dr. ChatGPT. Leonard A. KFF Health News. September 12, 2023.
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psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
April 24, 2013 - Book/Report
Freedom to Speak Up: A Review of Whistleblowing in the NHS.
Citation Text:
Freedom to Speak Up: A Review of Whistleblowing in the NHS. Francis R. London, UK: Department of Health; February 2015.
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - Book/Report
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.
Citation Text:
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…