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psnet.ahrq.gov/node/842432/psn-pdf
January 11, 2023 - Medication errors: the year in review: January through
December 2021.
January 11, 2023
Pharmacy Practice News Special Edition. December 13, 2022: 43-54.
https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
Medication errors continue to occur despite long-standing efforts to redu…
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psnet.ahrq.gov/node/40567/psn-pdf
July 06, 2012 - Patients' and health care professionals' attitudes towards
the PINK patient safety video.
July 6, 2012
Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK
patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.1111/j.1365-2753.2011.01688.x.
https://p…
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psnet.ahrq.gov/node/45637/psn-pdf
February 17, 2017 - Opportunities to enhance laboratory professionals' role
on the diagnostic team.
February 17, 2017
Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the
diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/863764/psn-pdf
March 06, 2024 - Medication errors 2023: the year in review: January
through December.
March 6, 2024
Pharmacy Practice News; February 2024: Suppl 1-12.
https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december
The medication process has multiple steps in it that can open the door to mistakes. This ar…
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psnet.ahrq.gov/node/43778/psn-pdf
April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph,
but call him Joe.
April 22, 2015
Sun LH.
https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe
This newspaper article reports on a pilot program which involved redesigning intensive care unit processes
to enhance staff knowled…
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psnet.ahrq.gov/node/46613/psn-pdf
May 17, 2018 - Dynamics of dignity and safety: a discussion.
May 17, 2018
Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf.
2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159.
https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
Patient engagement is predicated on re…
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psnet.ahrq.gov/node/859352/psn-pdf
December 20, 2023 - More hospitals move to confront medical errors head on.
December 20, 2023
Gorenstein D. Tradeoffs. November 16, 2023.
https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
Amid governmental guidance to improve safety, front-line perspectives remain an important source for
insight to make im…
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psnet.ahrq.gov/node/39619/psn-pdf
September 26, 2010 - Devastatingly human: an analysis of registered nurses'
medication error accounts.
September 26, 2010
Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts.
Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228.
https://psnet.ahrq.gov/issue/devastatingly…
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psnet.ahrq.gov/node/43373/psn-pdf
July 23, 2014 - From harm to hope and purposeful action: what could we
do after Francis?
July 23, 2014
Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do
after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581.
https://psnet.ahrq.gov/issue/harm-hope-and-purpo…
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psnet.ahrq.gov/node/45285/psn-pdf
September 14, 2016 - Improving pathologists' communication skills.
September 14, 2016
Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8.
doi:10.1001/journalofethics.2016.18.8.medu1-1608.
https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills
Despite increasing recognition that e…
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psnet.ahrq.gov/node/44733/psn-pdf
December 07, 2018 - Patient Safety in Ambulatory Settings: Technical Brief.
December 7, 2018
Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19,
2016.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief
The primary focus on patient safety research has been…
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psnet.ahrq.gov/node/865491/psn-pdf
April 03, 2024 - Support and recovery strategies for second victims.
April 3, 2024
Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10.
doi:10.1002/aorn.14089.
https://psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
Clinicians involved in medical errors can be psychologically a…
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - known reported harm at that time: 400 people known to have died or been seriously injured from events involving … For example, seeing how physicians talked to patients or indeed talked about patients without involving
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - For example, seeing how physicians talked to patients or indeed talked about patients without involving … known reported harm at that time: 400 people known to have died or been seriously injured from events involving
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Surgical Count Processes
Surgical
Count
A process involving two people who look at items together
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Involving a patient’s family members, if permitted by
the patient, helps them to understand the patient
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - Lethal Vertigo
June 1, 2004
Furman JM. Lethal Vertigo. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-vertigo
The Case
A 64-year-old woman, with no prior medical history, complained of sudden onset of severe vertigo and
vomiting, without headache. Her initial blood pressure in the emergency departme…
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psnet.ahrq.gov/web-mm/little-shuteye
December 22, 2018 - A Little Shuteye
Citation Text:
Farion KJ. A Little Shuteye. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient
Safety
November 27, 2023
Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
Introduction
Nurses are a li…
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…