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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Newspaper/Magazine Article
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder.
Citation Text:
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was m…
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care.
Citation Text:
Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
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psnet.ahrq.gov/issue/implementing-rapid-response-team
June 30, 2011 - Commentary
Implementing a rapid response team.
Citation Text:
Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53.
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psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
May 31, 2006 - Special or Theme Issue
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist.
Citation Text:
College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Pra…
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psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
January 04, 2017 - Commentary
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative.
Citation Text:
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Nadzam DM; Atkins PM; Waggoner DM; Shonk R.
Co…
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - Newspaper/Magazine Article
Losing Laura.
Citation Text:
Losing Laura. DeMarco P. Globe Magazine. November 3, 2018.
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psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
October 05, 2016 - Newspaper/Magazine Article
Fail-safe patient ID matching remains just out of reach.
Citation Text:
Fail-safe patient ID matching remains just out of reach. Arndt RZ. Mod Healthc. July 14, 2018.
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - Newspaper/Magazine Article
Hospital drug errors far from uncommon.
Citation Text:
Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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psnet.ahrq.gov/issue/enhancing-prescription-medicine-adherence-national-plan
April 28, 2021 - Book/Report
Enhancing Prescription Medicine Adherence: A National Plan.
Citation Text:
Enhancing Prescription Medicine Adherence: A National Plan. Rockville, MD: National Council on Patient Information and Education; 2007.
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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - Book/Report
Classic
Patient Safety in Anesthetic Practice.
Citation Text:
Patient Safety in Anesthetic Practice. Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824.
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
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psnet.ahrq.gov/issue/dealing-honestly-honest-mistake
March 24, 2019 - Commentary
Dealing honestly with an honest mistake.
Citation Text:
Liang NL, Herring ME, Bush RL. Dealing honestly with an honest mistake. J Vasc Surg. 2010;51(2):494-5. doi:10.1016/j.jvs.2009.11.001.
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psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
September 28, 2016 - Newspaper/Magazine Article
How communications issues between doctors and nurses can affect your health.
Citation Text:
How communications issues between doctors and nurses can affect your health. Howley EK. US News & World Report. September 5, 2018.
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psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
May 20, 2009 - Commentary
AHRQ quality and safety initiatives.
Citation Text:
Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6.
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psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
June 23, 2009 - Commentary
Patient safety in nursing practice.
Citation Text:
Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7.
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
June 28, 2017 - Newspaper/Magazine Article
Despite technology, verbal orders persist, read back is not widespread, and errors continue.
Citation Text:
Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - On the Other Hand
Citation Text:
Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - Pathologic Mistake
Citation Text:
Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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