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psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit
May 06, 2009 - Review
Communication skills and error in the intensive care unit.
Citation Text:
Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6.
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psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
June 01, 2022 - Commentary
Patient safety in clinical research articles.
Citation Text:
Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006.
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psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
May 06, 2016 - Book/Report
Classic
Medical Error: What Do We Know? What Do We Do?
Citation Text:
Medical Error: What Do We Know? What Do We Do? Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002.
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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - Newspaper/Magazine Article
Speaking up about patient safety requires an observant questioner and a high index of suspicion.
Citation Text:
Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
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psnet.ahrq.gov/issue/charlie-bourg-was-lookout-veterans-harmed-new-va-computer-system-he-didnt-expect-be-one-them
March 29, 2023 - Newspaper/Magazine Article
Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them.
Citation Text:
Charlie Bourg was on the lookout for veterans harmed by a new VA computer system. He didn’t expect to be one of them. Donovan-Sm…
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psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
May 16, 2019 - Book/Report
Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture.
Citation Text:
Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. Davies JM, Steinke C, Flemons WW. New York, NY: Productivit…
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psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
April 10, 2013 - Study
Patient safety issues in advanced practice nursing students' care settings.
Citation Text:
Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27.
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
November 19, 2014 - Book/Report
Medication Safety for Look-alike, Sound-alike Medicines.
Citation Text:
Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897.
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psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication
April 26, 2023 - Organizational Policy/Guidelines
Standardization of inpatient handoff communication.
Citation Text:
Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681. doi:10.1542/peds.2016-2681.
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - Book/Report
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis.
Citation Text:
Meeting the Moment: Addressing Barriers and Facilitating Clinical Adoption of Artificial Intelligence in Medical Diagnosis. Adler-Milstei…
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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - Newspaper/Magazine Article
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say.
Citation Text:
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. Pradhan R, Wells K. KFF Health News and Morning Edition, Michigan Public Radio: June 19, 2024.…
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - Book/Report
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition.
Citation Text:
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…
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psnet.ahrq.gov/issue/sensemaking-organizations
June 20, 2018 - Book/Report
Classic
Sensemaking in Organizations.
Citation Text:
Sensemaking in Organizations. Weick KE. Thousand Oaks, CA: Sage Publications; 1995. ISBN: 9780803971776.
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psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume: how to prioritize events and analyze error data.
Citation Text:
Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4.
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psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-causes-vaccine-errors
June 18, 2014 - Newspaper/Magazine Article
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors.
Citation Text:
Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
April 05, 2023 - Newspaper/Magazine Article
Drug shortages: national survey reveals high level of frustration, low level of safety.
Citation Text:
Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
February 13, 2019 - Newspaper/Magazine Article
Results of our survey on drug storage, stability, compatibility, and beyond use dating.
Citation Text:
Results of our survey on drug storage, stability, compatibility, and beyond use dating. ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-…