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psnet.ahrq.gov/issue/cutting-out-human-error
February 25, 2009 - Commentary
Cutting out human error.
Citation Text:
Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370.
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psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected-predator-more-20-years
May 31, 2023 - Newspaper/Magazine Article
How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years.
Citation Text:
How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years. Fortis B, Bell L. Pro Publica. September 12, 2…
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psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
September 13, 2010 - Commentary
Disclosure of medical errors: the right thing to do.
Citation Text:
Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9.
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
November 16, 2022 - Study
Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping.
Citation Text:
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
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psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
August 09, 2023 - Newspaper/Magazine Article
A national safety board made transportation safer and could do the same for health care, advocates say.
Citation Text:
A national safety board made transportation safer and could do the same for health care, advocates say. Jaklevic MC. CNN. May 30, 2023.
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Newspaper/Magazine Article
Start the year off right by preventing these top 10 medication errors and hazards from 2020.
Citation Text:
Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
June 10, 2018 - Newspaper/Magazine Article
High-reliability organizations (HROs): what they know that we don't (Part II).
Citation Text:
High-reliability organizations (HROs): what they know that we don't (Part II). ISMP Medication Safety Alert! Acute Care Edition. July 28, 2005;10:1-3.
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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - Review
Patient safety in surgery: non-technical aspects of safe surgical performance.
Citation Text:
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - Newspaper/Magazine Article
Students have a key role in a culture of safety: analysis of student-associated medication incidents.
Citation Text:
Students have a key role in a culture of safety: analysis of student-associated medication incidents. ISMP Medication Safety Alert! Acute care e…
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - Newspaper/Magazine Article
South Carolina medication error bill is dangerously off target.
Citation Text:
South Carolina medication error bill is dangerously off target. ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
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psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
April 18, 2011 - Study
Identifying violation-provoking conditions in a healthcare setting.
Citation Text:
Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617.
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psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
August 01, 2012 - Government Resource
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative.
Citation Text:
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13…
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psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
September 12, 2018 - Book/Report
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop.
Citation Text:
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC; The …
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psnet.ahrq.gov/issue/effectively-leading-quality
November 25, 2020 - Commentary
Effectively leading for quality.
Citation Text:
Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705.
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psnet.ahrq.gov/issue/patient-safety-8
October 18, 2017 - Special or Theme Issue
Patient Safety.
Citation Text:
Bagian JP. Health care and patient safety: The failure of traditional approaches - how human factors and ergonomics can and MUST help. Human Factors and Ergonomics in Manufacturing & Service Industries. 2011;22(1). doi:10.1002/hfm.2…
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psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
March 11, 2009 - Study
Quantifying distraction and interruption in urological surgery.
Citation Text:
Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9.
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psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
September 24, 2016 - Study
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Citation Text:
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…
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psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse-them
January 24, 2024 - Newspaper/Magazine Article
How a major public hospital is protecting doctors by silencing the patients who accuse them.
Citation Text:
How a major public hospital is protecting doctors by silencing the patients who accuse them. Kamb L. NBC News. June 14, 2024,
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