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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
December 24, 2008 - Government Resource
Patient Safety Improvement Corps: An AHRQ/VA partnership.
Citation Text:
Patient Safety Improvement Corps: An AHRQ/VA partnership. AHRQ; Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/positive-patient-identification
June 19, 2024 - Book/Report
Positive Patient Identification.
Citation Text:
Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety Investigations Body; February 2024.
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psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors
August 17, 2022 - Study
Hospital internet site content on patient safety and medical errors.
Citation Text:
Hospital internet site content on patient safety and medical errors. Heffner JE, Webster L, Ellis R. J Patient Saf. 2006;2(2):72-77.
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psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
April 17, 2025 - Meeting/Conference Proceedings
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.
Citation Text:
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Armstrong Institute for Patient Safety and Quality…
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psnet.ahrq.gov/issue/ahrq-2012-annual-conference
August 01, 2012 - Meeting/Conference Proceedings
AHRQ 2012 Annual Conference.
Citation Text:
AHRQ 2012 Annual Conference. Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD.
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psnet.ahrq.gov/issue/when-i-follow-i-dont-give
May 15, 2024 - Newspaper/Magazine Article
When I follow up, I don't give up.
Citation Text:
Roy PJ. When I follow up, I don't give up. Medical economics. 2006;83(15):68-9.
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psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
September 04, 2013 - Newspaper/Magazine Article
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy.
Citation Text:
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Wright L. New Yorker. January 4, 2021;96(463):20-59.
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk.
Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
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psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
March 15, 2022 - Newspaper/Magazine Article
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
Citation Text:
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
March 30, 2022 - Newspaper/Magazine Article
At US hospitals, a drug mix-up is just a few keystrokes away.
Citation Text:
At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022.
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psnet.ahrq.gov/issue/encouraging-patients-ask-questions-how-overcome-white-coat-silence
April 17, 2019 - Commentary
Encouraging patients to ask questions: how to overcome "white-coat silence."
Citation Text:
Judson TJ, Detsky AS, Press MJ. Encouraging patients to ask questions: how to overcome "white-coat silence". JAMA. 2013;309(22):2325-6. doi:10.1001/jama.2013.5797.
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Newspaper/Magazine Article
She was headed to a locked psych ward. Then an ER doctor made a startling discovery.
Citation Text:
She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022.
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psnet.ahrq.gov/issue/case-investing-patient-safety-canada
October 05, 2021 - Book/Report
The Case for Investing in Patient Safety in Canada.
Citation Text:
The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
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psnet.ahrq.gov/issue/will-my-patient-fall
March 13, 2013 - Review
Will my patient fall?
Citation Text:
Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86.
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
December 14, 2022 - Newspaper/Magazine Article
Medical Error Reporting System Could Boost Patient Safety.
Citation Text:
Medical Error Reporting System Could Boost Patient Safety. Ebright PR; Rapala K. Indianapolis, IN: Center for Urban Policy and the Environment, School of Public and Environmental Affa…
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Press Release/Announcement
2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission.
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