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psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
June 17, 2020 - Newspaper/Magazine Article
Medical errors kill thousands of people each year. But are hospitals getting any safer?
Citation Text:
Medical errors kill thousands of people each year. But are hospitals getting any safer? Weintraub K. USA Today. May 3, 2023.
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psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns
May 26, 2021 - Newspaper/Magazine Article
COVID-19 dominates annual list of patient safety concerns.
Citation Text:
COVID-19 dominates annual list of patient safety concerns. Brooks M. Medscape Medical News. March 15, 2021.
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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - Press Release/Announcement
FDA public health notification: unretrieved device fragments.
Citation Text:
FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008.
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psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
July 24, 2024 - Newspaper/Magazine Article
How studying human factors improves patient safety.
Citation Text:
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - Newspaper/Magazine Article
Speaking up about patient safety requires an observant questioner and a high index of suspicion.
Citation Text:
Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
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psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-zerbaxa
April 08, 2020 - Government Resource
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam).
Citation Text:
FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam). Food and Drug Admin…
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psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
July 08, 2015 - Newspaper/Magazine Article
The absence of a drug–disease interaction alert leads to a child's death.
Citation Text:
The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - Newspaper/Magazine Article
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error
Citation Text:
Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
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psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-communication
October 19, 2022 - Press Release/Announcement
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication.
Citation Text:
Use duodenoscopes with innovative designs to enhance safety: FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
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psnet.ahrq.gov/issue/patient-centered-approach-improving-prescription-drug-warning-labels
January 05, 2012 - Study
Patient-centered approach for improving prescription drug warning labels.
Citation Text:
Webb J, Davis TC, Bernadella P, et al. Patient-centered approach for improving prescription drug warning labels. Patient Educ Couns. 2008;72(3):443-9. doi:10.1016/j.pec.2008.05.019.
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psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list
November 23, 2016 - Newspaper/Magazine Article
Health tech hazards: at-home medical devices, AI governance on ECRI's new list.
Citation Text:
Health tech hazards: at-home medical devices, AI governance on ECRI's new list. Miliard M. Healthcare IT News. February 1, 2024.
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psnet.ahrq.gov/issue/alternative-clinical-negligence-system
December 08, 2021 - Commentary
An alternative to the clinical negligence system.
Citation Text:
Furniss R, Ormond-Walshe S. An alternative to the clinical negligence system. BMJ. 2007;334(7590):400-2.
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Study
Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Citation Text:
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…
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psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
April 21, 2021 - Organizational Policy/Guidelines
Disclosure of adverse events in pediatrics.
Citation Text:
Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…
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psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
September 27, 2017 - Study
Prescription errors in psychiatry - a multi-centre study.
Citation Text:
Stubbs J, Haw C, Taylor D. Prescription errors in psychiatry - a multi-centre study. J Psychopharmacol. 2006;20(4):553-61.
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psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
August 21, 2024 - Review
The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists?
Citation Text:
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3…
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psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
September 20, 2011 - Commentary
Clinical problem-solving. Lost in transcription.
Citation Text:
Kalus RM, Shojania KG, Amory JK, et al. Clinical problem-solving. Lost in transcription. N Engl J Med. 2006;355(14):1487-91.
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psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
June 21, 2017 - Study
Probability error in diagnosis: the conjunction fallacy among beginning medical students.
Citation Text:
Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5.
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psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
March 19, 2019 - Commentary
Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement?
Citation Text:
Enbom JA. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care sa…
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psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience
February 21, 2024 - Newspaper/Magazine Article
Many COVID-19 survivors will be left traumatized by their ICU experience.
Citation Text:
Many COVID-19 survivors will be left traumatized by their ICU experience. Jee C. MIT Technology Review. April 22, 2020.
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