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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/implement-strategies-prevent-persistent-medication-errors-and-hazards
March 14, 2023 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - Book/Report
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.
Citation Text:
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
November 30, 2016 - Special or Theme Issue
Improving Quality and Safety in Healthcare.
Citation Text:
Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
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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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psnet.ahrq.gov/issue/behind-human-error-second-edition
April 13, 2018 - Book/Report
Classic
Behind Human Error, Second Edition.
Citation Text:
Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537.
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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/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
October 09, 2013 - Book/Report
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare.
Citation Text:
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients
February 21, 2024 - Award Recipient
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients.
Citation Text:
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum: January 23…
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
October 03, 2018 - Book/Report
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.
Citation Text:
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …
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psnet.ahrq.gov/issue/physician-burnout
May 01, 2017 - Book/Report
Physician Burnout.
Citation Text:
Physician Burnout. Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care
August 07, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…