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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Commentary
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Citation Text:
Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D.
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psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
June 24, 2020 - Commentary
Just culture: who gets to draw the line?
Citation Text:
Dekker SWA. Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). doi:10.1007/s10111-008-0110-7.
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psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
June 24, 2020 - Commentary
Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery.
Citation Text:
Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70.
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
February 12, 2020 - Commentary
Improving patient safety with team coordination: challenges and strategies of implementation.
Citation Text:
Improving patient safety with team coordination: challenges and strategies of implementation. Harris KT; Treanor CM; Salisbury ML.
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psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
March 29, 2023 - Commentary
Development of a patient safety web-based education curriculum for physicians, nurses, and patients.
Citation Text:
Development of a patient safety web-based education curriculum for physicians, nurses, and patients. Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf.…
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psnet.ahrq.gov/issue/err-human-delay-deadly
July 11, 2017 - Book/Report
To Err Is Human — To Delay Is Deadly.
Citation Text:
To Err Is Human — To Delay Is Deadly. Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
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psnet.ahrq.gov/issue/new-frontier-patient-safety
February 03, 2011 - Commentary
A new frontier in patient safety.
Citation Text:
McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742.
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psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
November 30, 2022 - Newspaper/Magazine Article
Strategies for optimizing OR drug safety.
Citation Text:
Strategies for optimizing OR drug safety. Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - Book/Report
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.
Citation Text:
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.
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psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations
October 10, 2018 - Commentary
Bringing diagnosis into the quality and safety equations.
Citation Text:
Graber ML, Wachter R, Cassel C. Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2.
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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psnet.ahrq.gov/issue/heartbroken
January 17, 2024 - Newspaper/Magazine Article
Heartbroken.
Citation Text:
Heartbroken. McGrory K, Bedi N. Tampa Bay Times. November 28, 2018.
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psnet.ahrq.gov/issue/francis-report-one-year
April 02, 2014 - Book/Report
The Francis Report: One Year On.
Citation Text:
The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.
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psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Book/Report
Findings of Two Inaugural Leapfrog Surveys 2019.
Citation Text:
Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019.
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psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
January 28, 2015 - Press Release/Announcement
2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. January 27, 2014.
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psnet.ahrq.gov/issue/how-safe-your-hospital
December 03, 2014 - Book/Report
How Safe Is Your Hospital?
Citation Text:
How Safe Is Your Hospital? Dr Foster Intelligence Unit. London, UK: Imperial College London; 2009.
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - Review
Hospital discharge and readmission.
Citation Text:
Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
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psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
June 27, 2018 - Book/Report
Measuring the Success of the Regional Medication Safety Program for Hospitals.
Citation Text:
Measuring the Success of the Regional Medication Safety Program for Hospitals. Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
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psnet.ahrq.gov/issue/disrespectful-behavior-healthcarehave-we-made-any-progress-last-decade
March 15, 2022 - Newspaper/Magazine Article
Disrespectful behavior in healthcare...have we made any progress in the last decade?
Citation Text:
Disrespectful behavior in healthcare...have we made any progress in the last decade? ISMP Medication Safety Alert! Acute Care Edition. June 27, 2013.
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