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psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
April 18, 2011 - Study
Interdisciplinary communication in the intensive care unit.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52.
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psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - Commentary
Insulin dosing error in a patient with severe hyperkalemia.
Citation Text:
Hewitt B, Barnard C, Bilimoria KY. Insulin Dosing Error in a Patient With Severe Hyperkalemia. JAMA. 2017;318(24):2485-2486. doi:10.1001/jama.2017.7964.
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 22, 2009 - Commentary
Involuntary automaticity: a work-system induced risk to safe health care.
Citation Text:
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6.
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psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
October 27, 2010 - Study
Otolaryngologists' responses to errors and adverse events.
Citation Text:
Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20.
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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/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
July 12, 2010 - Commentary
Internally-developed online adverse drug reaction and medication error reporting systems.
Citation Text:
Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.131…
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psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness
August 28, 2024 - Commentary
New enteral connectors: raising awareness.
Citation Text:
Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330.
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psnet.ahrq.gov/issue/patient-safety-obstetric-and-gynecologic-office-setting
October 02, 2019 - Review
Patient safety in the obstetric and gynecologic office setting.
Citation Text:
Keats JP. Patient safety in the obstetric and gynecologic office setting. Obstet Gynecol Clin North Am. 2013;40(4):611-23. doi:10.1016/j.ogc.2013.08.004.
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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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psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
December 17, 2009 - Commentary
On the trail of quality and safety in health care.
Citation Text:
Grol R, Berwick DM, Wensing M. On the trail of quality and safety in health care. BMJ. 2008;336(7635):74-6. doi:10.1136/bmj.39413.486944.AD.
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psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
September 28, 2010 - Government Resource
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened.
Citation Text:
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…
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psnet.ahrq.gov/issue/language-barriers-prescriptions-patients-limited-english-proficiency-survey-pharmacies
September 23, 2020 - Study
Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.
Citation Text:
Bradshaw M, Tomany-Korman S, Flores G. Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies. Pediatrics. 20…
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psnet.ahrq.gov/issue/objective-structured-clinical-examination-educational-tool-patient-safety
May 01, 2014 - Study
The Objective Structured Clinical Examination as an educational tool in patient safety.
Citation Text:
Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53.
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - Multi-use Website
Patient Safety Movement Foundation.
Citation Text:
Patient Safety Movement Foundation. 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
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psnet.ahrq.gov/issue/availability-spanish-prescription-labels
December 18, 2014 - Study
Availability of Spanish prescription labels.
Citation Text:
Sharif I, Lo S, Ozuah PO. Availability of Spanish prescription labels. J Health Care Poor Underserved. 2006;17(1):65-9.
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psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - Commentary
Improving operating room and perioperative safety: background and specific recommendations.
Citation Text:
Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35.
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care.
Citation Text:
Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203.
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - Commentary
Confronting a colleague who covers up a medical error.
Citation Text:
Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274.
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psnet.ahrq.gov/issue/impact-transparency-patient-safety-and-liability
March 02, 2011 - Commentary
The impact of transparency on patient safety and liability.
Citation Text:
Griffen D. The impact of transparency on patient safety and liability. Bull Am Coll Surg. 2008;93(3):19-23.
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psnet.ahrq.gov/issue/covid-19-reminder-reason
October 24, 2018 - Commentary
COVID-19 — a reminder to reason
Citation Text:
Zagury-Orly I, Schwartzstein RM. COVID-19 — A Reminder to Reason. N Engl J Med. 2020;383(3):e12. doi:10.1056/nejmp2009405.
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