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psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
July 22, 2020 - Special or Theme Issue
Heart Failure: The Decline of a Historic Transplant Program.
Citation Text:
Heart Failure: The Decline of a Historic Transplant Program. Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica. May 2018-May 2019.
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - Commentary
The science and economics of improving clinical communication.
Citation Text:
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication. Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - Review
Patient safety and medical liability: current status and an agenda for the future.
Citation Text:
Abuhamad A, Grobman WA. Patient safety and medical liability: current status and an agenda for the future. Obstet Gynecol. 2010;116(3):570-7. doi:10.1097/AOG.0b013e3181eeb785.
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psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need-know
December 22, 2008 - Review
Techniques to improve patient safety in hospitals: what nurse administrators need to know.
Citation Text:
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system.
Citation Text:
Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70.
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - Study
Audit of handover in an ENT unit.
Citation Text:
Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880.
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - Book/Report
Legislative Report to the General Assembly: Adverse Event Reporting.
Citation Text:
Legislative Report to the General Assembly: Adverse Event Reporting. Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016.
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - Study
Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service?
Citation Text:
Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…
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psnet.ahrq.gov/issue/when-my-father-died
July 01, 2011 - Commentary
When my father died.
Citation Text:
Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894.
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psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations
February 08, 2023 - Study
On the relationship between safety climate and occupational burnout in healthcare organizations.
Citation Text:
Zarei E, Khakzad N, Reniers G, et al. On the relationship between safety climate and occupational burnout in healthcare organizations. Saf Sci. 2016;89:1-10. doi:10.1016/…
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psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
December 23, 2020 - Commentary
A systemic methodology for risk management in healthcare sector.
Citation Text:
Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006.
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
October 19, 2022 - Commentary
Medication bar coding: to scan or not to scan?
Citation Text:
Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92.
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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - Book/Report
Classic
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition.
Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 978147…
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psnet.ahrq.gov/issue/behind-human-error-second-edition
April 13, 2018 - Book/Report
Classic
Behind Human Error, Second Edition.
Citation Text:
Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537.
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psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system.
Citation Text:
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
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psnet.ahrq.gov/issue/handbook-human-factors-and-ergonomics-health-care-and-patient-safety-2nd-ed
March 09, 2018 - Book/Report
Classic
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed.
Citation Text:
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. Carayon P, ed. Boca Raton, FL: CRC Press; 2017. ISBN: 97814…