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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Newspaper/Magazine Article
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death.
Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. Mills M. The Guardian. September 3, 2022.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
December 14, 2022 - Newspaper/Magazine Article
Medical Error Reporting System Could Boost Patient Safety.
Citation Text:
Medical Error Reporting System Could Boost Patient Safety. Ebright PR; Rapala K. Indianapolis, IN: Center for Urban Policy and the Environment, School of Public and Environmental Affa…
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psnet.ahrq.gov/issue/consent-required-publication-medical-errors
March 18, 2011 - Commentary
Is consent required for publication of medical errors?
Citation Text:
Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9.
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - Commentary
Balancing just culture with regulatory standards.
Citation Text:
Gorzeman J. Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. doi:10.1097/01.NAQ.0000336728.72501.c6.
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psnet.ahrq.gov/issue/constitutional-arguments-favor-modifying-hcqia-allow-dissemination-physician-information
March 20, 2024 - Commentary
Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.
Citation Text:
Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare con…
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psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
August 11, 2008 - Book/Report
The Ethics of Using QI Methods to Improve Health Care Quality and Safety.
Citation Text:
The Ethics of Using QI Methods to Improve Health Care Quality and Safety. Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40.
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
June 14, 2023 - Study
The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units.
Citation Text:
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
February 19, 2020 - Newspaper/Magazine Article
Doctors were alarmed: would I have my children have surgery here?
Citation Text:
Doctors were alarmed: would I have my children have surgery here? Gabler E. New York Times. May 31, 2019.
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops.
Citation Text:
Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2.
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psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
April 11, 2018 - Newspaper/Magazine Article
Keeping patients on track with preventative care during pandemic.
Citation Text:
Keeping patients on track with preventative care during pandemic. Quick Safety. March 2021;58:1-2.
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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/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - Newspaper/Magazine Article
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's.
Citation Text:
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Clark C. MedPage Today. June 2, 2022
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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psnet.ahrq.gov/issue/implementing-rapid-response-team
June 30, 2011 - Commentary
Implementing a rapid response team.
Citation Text:
Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53.
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