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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - Commentary
To err is human, to apologize is hard.
Citation Text:
Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840.
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psnet.ahrq.gov/issue/patient-safety-crossroads
March 18, 2019 - Commentary
Patient safety at the crossroads.
Citation Text:
Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759.
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psnet.ahrq.gov/issue/learning-others-legal-aspects-sharing-patient-safety-data-using-provider-consortia
May 04, 2019 - Commentary
Learning from others: legal aspects of sharing patient safety data using provider consortia.
Citation Text:
Learning from others: legal aspects of sharing patient safety data using provider consortia. Liang BA; Weinger MB; Suydam S. J Patient Saf 2005;1:83–89
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psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center
April 10, 2024 - Commentary
Safety lessons from the NIH Clinical Center.
Citation Text:
Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707.
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - Newspaper/Magazine Article
Start the new year off right by preventing these top 10 medication errors and hazards.
Citation Text:
Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…
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psnet.ahrq.gov/issue/circle-training
February 22, 2023 - Multi-use Website
Circle Up Training.
Citation Text:
Circle Up Training. Center for Medical Simulation.
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psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
May 21, 2014 - Book/Report
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.
Citation Text:
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557…
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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/serious-reportable-events-healthcare-2011-update
March 23, 2012 - Book/Report
Classic
Serious Reportable Events in Healthcare—2011 Update.
Citation Text:
Serious Reportable Events in Healthcare—2011 Update. Washington DC: National Quality Forum; December 2011.
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psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
June 30, 2021 - Study
Classic
Costs of medical injuries in Utah and Colorado.
Citation Text:
Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA
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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/perceptions-radiation-safety-culture-medical-imaging-role
September 27, 2023 - Study
Perceptions of radiation safety culture in medical imaging by role.
Citation Text:
Perceptions of radiation safety culture in medical imaging by role. Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347.
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psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
October 19, 2022 - Study
From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.
Citation Text:
Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety report…
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psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
July 29, 2020 - Commentary
The role of apology laws in medical malpractice.
Citation Text:
The role of apology laws in medical malpractice. Ross NE, Newman WJ. J Am Acad Psychiatry Law. 2021;49(3):406-414.
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psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - Sentinel Event Alerts
Safely implementing health information and converging technologies.
Citation Text:
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
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psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
May 02, 2018 - Newspaper/Magazine Article
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
Citation Text:
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. ISMP Medication Safety Alert! …
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - Commentary
Remembering to learn: the overlooked role of remembrance in safety improvement.
Citation Text:
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
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psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
July 24, 2019 - Book/Report
Talking with Patients and Families about Medical Error: A Guide for Education and Practice.
Citation Text:
Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…
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psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
March 30, 2022 - Study
Emergency department crowding: the canary in the health care system.
Citation Text:
doi:10.1056/CAT.21.0217.
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