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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/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/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/science-improvement
August 04, 2021 - Commentary
Classic
The science of improvement.
Citation Text:
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
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psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
May 22, 2019 - Commentary
Patient safety: listen to whistleblowers.
Citation Text:
Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972.
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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/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
February 18, 2017 - Study
The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.
Citation Text:
Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…
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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting.
Citation Text:
Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014.
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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/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/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/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
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psnet.ahrq.gov/issue/misery-doctors-first-days
December 02, 2015 - Newspaper/Magazine Article
The misery of a doctor's first days.
Citation Text:
The misery of a doctor's first days. Hester JL. The Atlantic. October 1, 2015.
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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/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/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
July 22, 2020 - Commentary
Health care management during Covid-19: insights from complexity science.
Citation Text:
Health care management during Covid-19: insights from complexity science. Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020.
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psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
April 12, 2006 - Book/Report
Framework for a High Performance Health System for the United States.
Citation Text:
Framework for a High Performance Health System for the United States. Mongan JJ. New York, NY; The Commonwealth Fund: 2006.
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psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and-medication-safety
April 13, 2022 - Meeting/Conference Proceedings
At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety.
Citation Text:
At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. J Med Toxicol.…
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psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
October 11, 2023 - Review
The effect of nurse staffing patterns on medical errors and nurse burnout.
Citation Text:
Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022.
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