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psnet.ahrq.gov/issue/mail-service-and-community-pharmacies-must-work-tandem
December 07, 2022 - Newspaper/Magazine Article
Mail service and community pharmacies must work in tandem.
Citation Text:
Mail service and community pharmacies must work in tandem. ISMP Safe Medication Alert! Acute care edition. November 17, 2005.
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psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
February 10, 2021 - Book/Report
How administrative burdens can harm health.
Citation Text:
How administrative burdens can harm health. Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Newspaper/Magazine Article
Overreaction.
Citation Text:
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
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psnet.ahrq.gov/issue/drug-shortages-amid-covid-19-pandemic
July 10, 2019 - Newspaper/Magazine Article
Drug shortages amid the COVID-19 pandemic.
Citation Text:
Drug shortages amid the COVID-19 pandemic. Bookwalter CM. US Pharmacist. 2021;46(2):25-28.
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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/widows-mission-change-nc-dental-sedation-rules
March 10, 2021 - Newspaper/Magazine Article
A widow’s mission to change NC dental sedation rules.
Citation Text:
A widow’s mission to change NC dental sedation rules. Blythe A. NC Health News. March 10, 2022
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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/review-organizational-culture-instruments-nurse-executives
January 14, 2011 - Review
A review of organizational culture instruments for nurse executives.
Citation Text:
King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31.
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psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
September 09, 2015 - Newspaper/Magazine Article
Selection of incorrect medication pump leads to chemotherapy overdose.
Citation Text:
Selection of incorrect medication pump leads to chemotherapy overdose. ISMP Canada. August 26, 2015;15:1-4.
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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
Citation Text:
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
May 06, 2015 - Book/Report
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.
Citation Text:
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011.
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psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
September 07, 2016 - Commentary
Necessity of a good surgical history: detection of a gossypiboma.
Citation Text:
Coleman JA, Wolfgang CL. Necessity of a Good Surgical History: Detection of a Gossypiboma. The Journal for Nurse Practitioners. 2013;9(5). doi:10.1016/j.nurpra.2013.02.021.
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psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
October 12, 2022 - Review
Classification of antecedents towards safety use of health information technology: a systematic review.
Citation Text:
Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…
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psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
March 28, 2012 - Newspaper/Magazine Article
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.
Citation Text:
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. Wilson L.
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psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
April 17, 2025 - Meeting/Conference Proceedings
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.
Citation Text:
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Armstrong Institute for Patient Safety and Quality…
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psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
December 18, 2013 - Book/Report
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Citation Text:
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…
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psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
March 10, 2021 - Book/Report
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.
Citation Text:
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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psnet.ahrq.gov/issue/state-va-health-care
May 01, 2015 - Congressional Testimony
The State of VA Health Care.
Citation Text:
The State of VA Health Care. Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014).
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.