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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evidence-based-practices-optimize-prescriber-use
September 19, 2018 - Book/Report
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use.
Citation Text:
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, …
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psnet.ahrq.gov/issue/business-case-patient-safety
September 28, 2010 - Review
The business case for patient safety.
Citation Text:
Hwang RW, Herndon JH. The business case for patient safety. Clin Orthop Relat Res. 2007;457:21-34.
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Commentary
Surgical 'never events': how common are adverse occurrences?
Citation Text:
West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.
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psnet.ahrq.gov/issue/poor-medication-history-plus-slow-symptom-onset-delays-diagnosis
October 12, 2022 - Commentary
Poor medication history plus slow symptom onset delays a diagnosis.
Citation Text:
Poor medication history plus slow symptom onset delays a diagnosis. Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.
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psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care
March 24, 2019 - Commentary
Communicative competence of international nurses and patient safety and quality of care.
Citation Text:
Xu Y. Communicative Competence of International Nurses and Patient Safety and Quality of Care. Home Health Care Manag Pract. 2008;20(5). doi:10.1177/1084822308316162.
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - Study
Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital?
Citation Text:
Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…
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psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
March 01, 2023 - Commentary
Non-Luer connectors: are we nearly there yet?
Citation Text:
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x.
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psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
April 16, 2008 - Study
What causes near-misses and how are they mitigated?
Citation Text:
Speroni KG, Fisher J, Dennis M, et al. What causes near-misses and how are they mitigated? Nursing (Brux). 2013;43(4):19-24. doi:10.1097/01.NURSE.0000427995.92553.ef.
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psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
June 09, 2011 - Commentary
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Citation Text:
Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…
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psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
June 21, 2015 - Commentary
Applying the Toyota Production System: using a patient safety alert system to reduce error.
Citation Text:
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
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psnet.ahrq.gov/issue/accelerating-adoption-safety-culture
July 12, 2023 - Newspaper/Magazine Article
Accelerating the adoption of a safety culture.
Citation Text:
Birk S. Accelerating the Adoption of a Safety Culture. Healthcare Executive. 2015;30(2):18-20, 22-24, 26.
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psnet.ahrq.gov/issue/finding-patient-patient-safety
November 17, 2014 - Commentary
Finding the patient in patient safety.
Citation Text:
Hor S-Y, Godbold N, Collier A, et al. Finding the patient in patient safety. Health (London). 2013;17(6):567-83. doi:10.1177/1363459312472082.
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psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
August 30, 2017 - Study
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.
Citation Text:
Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…
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psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review
June 08, 2010 - Review
Quality and safety indicators in anesthesia: a systematic review.
Citation Text:
Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b.
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psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
January 20, 2021 - Book/Report
Mistakes, Errors and Failures across Cultures.
Citation Text:
Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739
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psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
October 12, 2005 - Study
Emerging Classic
Disclosure after adverse medical outcomes: a multidimensional challenge.
Citation Text:
Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218.
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psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-anaesthesia-care-enough
June 08, 2010 - Review
Improving patient safety in medicine: is the model of anaesthesia care enough?
Citation Text:
Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770.
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psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
January 02, 2017 - Commentary
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).
Citation Text:
Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29.
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