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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/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/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
October 25, 2023 - Newspaper/Magazine Article
Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology.
Citation Text:
Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,…
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-1-3
January 13, 2016 - Book/Report
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3).
Citation Text:
Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). Chicago, IL; American Society of Healthcare Risk Ma…
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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/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
June 10, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4.
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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/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/serious-reportable-events
March 21, 2018 - Government Resource
Serious Reportable Events.
Citation Text:
Serious Reportable Events. Nova Scotia Department of Health and Wellness.
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - Book/Report
Patient Safety Culture Report: Focusing on Indicators.
Citation Text:
Patient Safety Culture Report: Focusing on Indicators. Utrecht, Netherlands: European Network for Patient Safety; 2010.
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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/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety
November 27, 2018 - Book/Report
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Citation Text:
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/issue/ismp-medication-safety-intensive
February 05, 2025 - International Meeting/Conference
ISMP Medication Safety Intensive.
Citation Text:
ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern).
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psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
May 08, 2019 - Organizational Policy/Guidelines
Communicating After Harm in Healthcare.
Citation Text:
Communicating After Harm in Healthcare. Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266
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psnet.ahrq.gov/issue/medication-errors-nursing-experience
May 26, 2011 - Book/Report
Classic
Medication Errors: The Nursing Experience.
Citation Text:
Medication Errors: The Nursing Experience. Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628.
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - Newspaper/Magazine Article
Hospital drug errors far from uncommon.
Citation Text:
Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - Book/Report
Classic
Patient Safety in Anesthetic Practice.
Citation Text:
Patient Safety in Anesthetic Practice. Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824.
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psnet.ahrq.gov/issue/listening-learning-responding-concerns
June 12, 2024 - Book/Report
Listening, Learning, Responding to Concerns.
Citation Text:
Listening, Learning, Responding to Concerns. Newcastle Upon Tyne, UK: Care Quality Commission; March 2023.
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psnet.ahrq.gov/issue/medical-error
August 07, 2018 - Book/Report
Medical Error.
Citation Text:
Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005.
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