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psnet.ahrq.gov/issue/2004-john-m-eisenberg-patient-safety-and-quality-awards
January 05, 2017 - Special or Theme Issue
The 2004 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2004 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Saf. 2004;30(12):653-680.
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psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
November 18, 2020 - Newspaper/Magazine Article
Nowhere is safe: record number of patients contracted Covid in the hospital in January.
Citation Text:
Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022.
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
Citation Text:
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7.
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - Commentary
Verbal medication orders in the OR.
Citation Text:
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
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psnet.ahrq.gov/issue/medical-emergency-team-review-literature
March 02, 2011 - Review
Medical emergency team: a review of the literature.
Citation Text:
Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85. doi:10.1111/j.1478-5153.2007.00258.x.
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psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
April 21, 2010 - Commentary
Using standardised patients in an objective structured clinical examination as a patient safety tool.
Citation Text:
Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …
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psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
May 21, 2019 - Commentary
Evidence under judgment: can we oversee our own decision making?
Citation Text:
Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355.
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psnet.ahrq.gov/issue/disclosing-errors-affect-multiple-patients
April 19, 2017 - Commentary
Disclosing errors that affect multiple patients.
Citation Text:
Chafe R, Levinson W, Sullivan T. Disclosing errors that affect multiple patients. CMAJ. 2009;180(11):1125-7. doi:10.1503/cmaj.081016.
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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/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/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
May 11, 2019 - Commentary
Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing.
Citation Text:
Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…
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psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
June 19, 2019 - Commentary
Checklists, safety, my culture and me.
Citation Text:
Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20. doi:10.1136/bmjqs-2011-000608.
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psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
March 10, 2021 - Newspaper/Magazine Article
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems.
Citation Text:
Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
March 05, 2013 - Government Resource
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs.
Citation Text:
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001. AHRQ …
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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psnet.ahrq.gov/issue/piece-my-mind-im-sorry
November 22, 2017 - Commentary
A piece of my mind. I'm sorry.
Citation Text:
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
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psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
September 06, 2023 - Newspaper/Magazine Article
EU to tackle issue of patient safety.
Citation Text:
Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866.
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about/annual-summary/2010
January 01, 2010 - An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children - 2010
Project Name
An Evaluation of an Interactive Social Media Web site for Parents who are Concerned about Immunizing their Children
Principal Investigator
Glanz, Jason …