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psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
June 14, 2017 - Book/Report
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar.
Citation Text:
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…
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psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue
October 19, 2022 - Commentary
Error disclosure and apology in radiology: the case for further dialogue.
Citation Text:
Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126.
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psnet.ahrq.gov/issue/confronting-medical-errors-oncology-and-disclosing-them-cancer-patients
September 01, 2018 - Commentary
Confronting medical errors in oncology and disclosing them to cancer patients.
Citation Text:
Surbone A, Rowe M, Gallagher TH. Confronting medical errors in oncology and disclosing them to cancer patients. J Clin Oncol. 2007;25(12):1463-7.
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psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
June 12, 2013 - Commentary
Patient safety: is it just another bandwagon?
Citation Text:
Storch JL. Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55.
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psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
June 07, 2017 - Commentary
Retained lumbar catheter tip.
Citation Text:
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713.
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - Study
Medication error reduction and the use of PDA technology.
Citation Text:
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07.
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psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
March 11, 2009 - Study
Quantifying distraction and interruption in urological surgery.
Citation Text:
Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9.
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psnet.ahrq.gov/issue/disclosure-through-our-eyes
July 02, 2009 - Commentary
Disclosure through our eyes.
Citation Text:
Sheridan S, Conrad N, King S, et al. Disclosure Through Our Eyes. J Patient Saf. 2008;4(1):18-26. doi:10.1097/pts.0b013e31816543cc.
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psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
February 28, 2011 - Commentary
Instrument count sheets and set reviews as patient safety tools.
Citation Text:
Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007.
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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - Study
A human factors subsystems approach to trauma care.
Citation Text:
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8.
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - Review
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Citation Text:
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
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psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - Study
Factors influencing doctors' ability to calculate drug doses correctly.
Citation Text:
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94.
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psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - Commentary
Designing a strategy to promote safe, innovative off-label use of medications.
Citation Text:
Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261.
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psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
June 18, 2014 - Newspaper/Magazine Article
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk.
Citation Text:
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…
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psnet.ahrq.gov/issue/nurses-role-medication-safety-0
September 18, 2019 - Commentary
The nurse's role in medication safety.
Citation Text:
Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4). doi:10.1097/01.NURSE.0000461850.24153.8b.
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psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
December 12, 2012 - Commentary
Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes.
Citation Text:
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):27…
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psnet.ahrq.gov/issue/morning-briefing-setting-stage-clinically-and-operationally-good-day
June 28, 2010 - Tools/Toolkit
A morning briefing: setting the stage for a clinically and operationally good day.
Citation Text:
Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9.
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psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
June 15, 2011 - Commentary
Cultural diversity: what role does it play in patient safety?
Citation Text:
Ardoin KB, Wilson KB. Cultural diversity: what role does it play in patient safety? Nurs Womens Health. 2010;14(4):322-6. doi:10.1111/j.1751-486X.2010.01563.x.
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psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
August 02, 2015 - Commentary
Staying safe: simple tools for safe surgery.
Citation Text:
Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22.
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psnet.ahrq.gov/issue/performing-wrong-procedure
April 24, 2018 - Commentary
Performing the wrong procedure.
Citation Text:
Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134.
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