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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Newspaper/Magazine Article
Start the year off right by preventing these top 10 medication errors and hazards from 2020.
Citation Text:
Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…
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psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
February 11, 2015 - Book/Report
Patient Safety Organizations: Hospital Participation, Value, and Challenges.
Citation Text:
Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…
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psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
May 20, 2009 - Book/Report
Legislative Report to the General Assembly: Adverse Event Reporting.
Citation Text:
Legislative Report to the General Assembly: Adverse Event Reporting. Pino R, Furniss WH, Mueller L, Olson JC. Hartford, CT: Connecticut Department of Public Health; October 2016.
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psnet.ahrq.gov/issue/overdiagnosis-coronary-artery-disease-detected-coronary-computed-tomography-angiography
March 03, 2011 - Commentary
Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment.
Citation Text:
Schmidt T, Maag R, Foy AJ. Overdiagnosis of Coronary Artery Disease Detected by Coronary Computed Tomography Angiography: A Teachable Moment. JAMA …
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psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
January 19, 2011 - Review
Cardiac arrest during anesthesia.
Citation Text:
Zuercher M, Ummenhofer W. Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. doi:10.1097/MCC.0b013e3282f948cd.
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psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
June 29, 2011 - Commentary
Measuring patient safety in the emergency department.
Citation Text:
Pham JC, Alblaihed L, Cheung DS, et al. Measuring patient safety in the emergency department. Am J Med Qual. 2014;29(2):99-104. doi:10.1177/1062860613489846.
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psnet.ahrq.gov/issue/when-my-father-died
July 01, 2011 - Commentary
When my father died.
Citation Text:
Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894.
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psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge.
Citation Text:
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4.
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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - Newspaper/Magazine Article
Students have a key role in a culture of safety: analysis of student-associated medication incidents.
Citation Text:
Students have a key role in a culture of safety: analysis of student-associated medication incidents. ISMP Medication Safety Alert! Acute care e…
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psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
January 19, 2022 - Organizational Policy/Guidelines
Standardising wristbands improves patient safety.
Citation Text:
Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2.
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
July 19, 2018 - Newspaper/Magazine Article
High reliability: excellent care every time.
Citation Text:
Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6.
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - Newspaper/Magazine Article
South Carolina medication error bill is dangerously off target.
Citation Text:
South Carolina medication error bill is dangerously off target. ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4.
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psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
April 18, 2011 - Study
Identifying violation-provoking conditions in a healthcare setting.
Citation Text:
Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617.
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
December 10, 2024 - Book/Report
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.
Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025.
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psnet.ahrq.gov/issue/systems-science-primer-high-reliability
March 23, 2022 - Review
Systems science: a primer on high reliability.
Citation Text:
Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001.
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psnet.ahrq.gov/issue/human-factors-healthcare
May 01, 2013 - Special or Theme Issue
Human Factors In Healthcare.
Citation Text:
Human Factors In Healthcare. Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258.
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - Commentary
Beyond FMEA: the structured what-if technique (SWIFT).
Citation Text:
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
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