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psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
August 12, 2020 - Review
Second victim support programs for healthcare organizations.
Citation Text:
Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45.
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psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety
January 12, 2022 - Study
Online consultations in cyberpharmacies: completeness and patient safety.
Citation Text:
Orizio G, Schulz PJ, Domenighini S, et al. Online Consultations in Cyberpharmacies: Completeness and Patient Safety. Telemedicine and e-Health. 2009;15(10). doi:10.1089/tmj.2009.0069.
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psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
January 05, 2017 - Study
Standardization as a mechanism to improve safety in health care.
Citation Text:
Rozich JD, Howard RJ, Justeson JM, et al. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Patient Saf. 2004;30(1):5-14.
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psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
August 07, 2019 - Commentary
Learning and sharing safety lessons to improve patient care.
Citation Text:
Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52.
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study.
Citation Text:
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
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psnet.ahrq.gov/issue/eighth-annual-national-patient-safety-foundation-congress-conference-proceedings
November 29, 2017 - Meeting/Conference Proceedings
Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings.
Citation Text:
Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. Stepnick L, Edgman-Levitan S, Kaplan GS et al. J Patient Saf. 2006;2(2):…
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psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
December 09, 2020 - Multi-use Website
The Canadian Quality and Patient Safety Framework for Health and Social Services.
Citation Text:
The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization.
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - Study
Implementing and validating a comprehensive unit-based safety program.
Citation Text:
Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40.
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psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
February 10, 2021 - Press Release/Announcement
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.
Citation Text:
FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
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psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
April 20, 2022 - Newspaper/Magazine Article
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.
Citation Text:
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…
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psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
June 08, 2022 - Special or Theme Issue
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error.
Citation Text:
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344.
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psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - Book/Report
Classic
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth.
Citation Text:
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…
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psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
July 05, 2006 - Commentary
Systemic failures in health care oversight.
Citation Text:
Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802.
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psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective
January 16, 2019 - Commentary
AI as an ecosystem — ensuring generative AI is safe and effective.
Citation Text:
Coiera E, Fraile-Navarro D. AI as an ecosystem — ensuring generative AI is safe and effective. NEJM AI. 2024;1(9):AIp2400611. doi:10.1056/aip2400611.
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psnet.ahrq.gov/issue/profiles-patient-safety-medication-errors-emergency-department
February 03, 2010 - Study
Profiles in patient safety: medication errors in the emergency department.
Citation Text:
Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med. 2004;11(3):289-99.
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psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
April 17, 2013 - Commentary
Improving patient safety by taking systems seriously.
Citation Text:
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445.
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psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
January 02, 2017 - Study
The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Citation Text:
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…
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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - Newspaper/Magazine Article
Death by handwriting.
Citation Text:
Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.
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psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
December 22, 2008 - Meeting/Conference Proceedings
An Agenda for Research in Ambulatory Patient Safety.
Citation Text:
An Agenda for Research in Ambulatory Patient Safety. Hammons T; Piland NF; Small SD; Hatlie MJ; Burstin HR; Medical Group Management Association; MGMA
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psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
February 27, 2019 - Government Resource
Nonfatal, unintentional medication exposures among young children—United States, 2001–2003.
Citation Text:
Prevention C for DC and. Nonfatal, unintentional medication exposures among young children--United States, 2001-2003. MMWR Morb Mortal Wkly Rep. 2006;55(1):1-5…