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psnet.ahrq.gov/issue/towards-international-classification-patient-safety
March 11, 2020 - Special or Theme Issue
Towards an International Classification for Patient Safety.
Citation Text:
Towards an International Classification for Patient Safety. Int J Qual Health Care. 2009;21:1-75.
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psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-mothers
May 19, 2021 - Newspaper/Magazine Article
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers.
Citation Text:
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. Eldeib D. ProPublica. November 13, 2022.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - Book/Report
Situational Awareness and Patient Safety: A Learning Package.
Citation Text:
Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…
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psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
May 01, 2019 - Commentary
Lessons from health care leaders: rethinking and reinvesting in patient safety.
Citation Text:
doi:10.1056/CAT.23.0090.
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psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief
September 20, 2017 - Meeting/Conference Proceedings
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief.
Citation Text:
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academie…
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psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
July 15, 2009 - Book/Report
Case Studies in Patient Safety: Foundations for Core Competencies.
Citation Text:
Case Studies in Patient Safety: Foundations for Core Competencies. Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548.
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report.
Citation Text:
Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
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psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
September 14, 2022 - Newspaper/Magazine Article
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout.
Citation Text:
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023.
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psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-improvement
November 30, 2016 - Book/Report
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches.
Citation Text:
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Edmonton, Alberta; Canadian Patient Safety Inst…
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
June 05, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part II: where we're going.
Citation Text:
Our long journey towards a safety-minded just culture. Part II: where we're going. ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2.
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psnet.ahrq.gov/issue/patient-safety-tool-kit
February 14, 2024 - Toolkit
Patient Safety Tool Kit.
Citation Text:
Patient Safety Tool Kit. WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596.
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psnet.ahrq.gov/issue/transformational-effort-patient-safety
October 05, 2022 - Book/Report
A Transformational Effort on Patient Safety.
Citation Text:
A Transformational Effort on Patient Safety. Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023.
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psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - Commentary
Emerging Classic
Adaptive expertise in medical decision making.
Citation Text:
Croskerry P. Adaptive expertise in medical decision making. Med Teach. 2018;40(8):803-808. doi:10.1080/0142159X.2018.1484898.
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psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
December 07, 2022 - Commentary
Safe Site Invasive Procedure—Non-Operating Room.
Citation Text:
Safe Site Invasive Procedure—Non-Operating Room. Institute for Clinical Systems Improvement.
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psnet.ahrq.gov/issue/how-common-mental-shortcuts-can-cause-major-physician-errors
August 15, 2018 - Newspaper/Magazine Article
How common mental shortcuts can cause major physician errors.
Citation Text:
How common mental shortcuts can cause major physician errors. Jena AB, Olenski AR. New York Times. February 20, 2020.
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psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - Newspaper/Magazine Article
At the hospital, better responses to those beeping alarms.
Citation Text:
At the hospital, better responses to those beeping alarms. Landro L. Wall Street Journal. January 4, 2016.
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psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
May 20, 2015 - Review
Fostering rational regulation of patient safety.
Citation Text:
Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426.
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psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital
November 17, 2010 - Tools/Toolkit
Taking Care of Myself: A Guide for When I Leave the Hospital.
Citation Text:
Taking Care of Myself: A Guide for When I Leave the Hospital. Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059.
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psnet.ahrq.gov/issue/science-and-patient-safety
July 19, 2019 - Commentary
Science and patient safety.
Citation Text:
Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792.
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psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
March 13, 2013 - Newspaper/Magazine Article
Electronic medicine can send you test results quickly. But what if they're scary?
Citation Text:
Electronic medicine can send you test results quickly. But what if they're scary? Boodman SG. Washington Post. March 26, 2018.
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