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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - Newspaper/Magazine Article
Analysis of reported drug interactions: a recipe for harm to patients.
Citation Text:
Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
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psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
February 18, 2009 - Book/Report
Trends in Nursing Home Deficiencies and Complaints.
Citation Text:
Trends in Nursing Home Deficiencies and Complaints. Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140.
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psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
May 08, 2019 - Book/Report
Harm to Healing - Partnering with Patients Who Have Been Harmed.
Citation Text:
Harm to Healing - Partnering with Patients Who Have Been Harmed. Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012.
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - Book/Report
Solutions from Professional Regulation and Beyond.
Citation Text:
Solutions from Professional Regulation and Beyond. Safer Care for All. London, England: Professional Standards Authority for Health and Social Care; 2022.
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psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
March 27, 2018 - Newspaper/Magazine Article
Medication errors attributed to health information technology.
Citation Text:
Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
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psnet.ahrq.gov/issue/improving-safety-information-technology
July 25, 2011 - Commentary
Classic
Improving safety with information technology.
Citation Text:
Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-34.
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - Book/Report
Mistake-Proofing the Design of Health Care Processes.
Citation Text:
Mistake-Proofing the Design of Health Care Processes. Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-0020.
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psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
February 11, 2015 - Book/Report
Medicare's Oversight of Ambulatory Surgery Centers Report.
Citation Text:
Medicare's Oversight of Ambulatory Surgery Centers Report. Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
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psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
March 10, 2021 - Book/Report
Safe Practices for Drug Allergies—Using CDS and Health IT.
Citation Text:
Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - Newspaper/Magazine Article
Nursing homes fined for COVID infection control lapses.
Citation Text:
Nursing homes fined for COVID infection control lapses. Jaffe S. Medpage Today. November 25, 2020.
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psnet.ahrq.gov/issue/caring-those-who-care-guide-development-and-implementation-occupational-health-and-safety
June 27, 2018 - Book/Report
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Health Workers.
Citation Text:
Caring for Those Who Care: Guide for the Development and Implementation of Occupational Health and Safety Programmes for Hea…
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
October 23, 2019 - Newspaper/Magazine Article
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases.
Citation Text:
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Rein L. Washington Post. August 30, 2019.
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Newspaper/Magazine Article
Algorithm that detects sepsis cut deaths by nearly 20 percent.
Citation Text:
Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022.
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psnet.ahrq.gov/issue/patient-safety-cataract-surgery
September 23, 2020 - Review
Patient safety in cataract surgery.
Citation Text:
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
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psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
August 05, 2009 - Newspaper/Magazine Article
Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia.
Citation Text:
Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia.…
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
September 15, 2021 - Special or Theme Issue
Human Factors and Ergonomics in Healthcare.
Citation Text:
Human Factors and Ergonomics in Healthcare. Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.
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psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis
May 11, 2022 - Meeting/Conference Proceedings
Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief.
Citation Text:
Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The …
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psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
May 31, 2023 - Book/Report
Non-accidental Injuries in Infants Attending the Emergency Department.
Citation Text:
Non-accidental Injuries in Infants Attending the Emergency Department. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
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psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
September 12, 2016 - Commentary
MRI safety: prepare for new guidance.
Citation Text:
MRI safety: prepare for new guidance. Gilk T. Appl Radiol. 2023;52(6):24-26.
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