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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - Book/Report
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
Citation Text:
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
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psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
July 05, 2017 - Review
Safety of clinical and non-clinical decision makers in telephone triage: a narrative review.
Citation Text:
Wheeler SQ, Greenberg ME, Mahlmeister L, et al. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. J Telemed Telecare. 2015;21(6):3…
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psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
May 25, 2016 - Study
Antibiotic prescribing in ambulatory pediatrics in the United States.
Citation Text:
Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337.
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psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
January 18, 2023 - Commentary
Digital health technology-specific risks for medical malpractice liability.
Citation Text:
Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3.
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psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
August 01, 2018 - Commentary
Changing smart pump vendors: lessons learned.
Citation Text:
Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789.
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psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impact-and-remediation-diagnostic-errors
August 16, 2023 - Book/Report
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors.
Citation Text:
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Schlesinger M, Grob R, Gleason K, et al. Rock…
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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - Government Resource
AHRQ Health Information Technology Research: 2018 Year in Review.
Citation Text:
AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - Newspaper/Magazine Article
FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias.
Citation Text:
Allen A. FDA’s promised guidance on pulse oximeters unlikely to end decades of racial bias. KFF Health News. October 07, 2024;
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psnet.ahrq.gov/issue/medication-errors-overview-clinicians
September 20, 2011 - Review
Medication errors: an overview for clinicians.
Citation Text:
Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007.
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psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Newspaper/Magazine Article
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages.
Citation Text:
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
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psnet.ahrq.gov/issue/nature-adverse-events-dentistry
November 01, 2023 - Study
The nature of adverse events in dentistry.
Citation Text:
Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255.
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psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
December 22, 2021 - Study
Data collection for adverse events reporting by US dental schools.
Citation Text:
Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281.
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psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
May 30, 2019 - Book/Report
Classic
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition.
Citation Text:
Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…
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psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them
February 10, 2015 - Commentary
Why diagnostic errors don't get any respect--and what can be done about them.
Citation Text:
Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513.
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psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
September 06, 2017 - Commentary
From good to better: toward a patient safety initiative in dentistry.
Citation Text:
Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60.
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psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
September 21, 2009 - Commentary
Bringing the equity lens to patient safety event reporting.
Citation Text:
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
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psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
January 19, 2011 - Study
Assessing clinical handover between paramedics and the trauma team.
Citation Text:
Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065.
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psnet.ahrq.gov/issue/liquid-medication-dosing-errors-hispanic-parents-role-health-literacy-and-english-proficiency
December 14, 2016 - Study
Liquid medication dosing errors by Hispanic parents: role of health literacy and English proficiency.
Citation Text:
Harris LM, Dreyer BP, Mendelsohn A, et al. Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency. Acad Pediatr. 2017;1…
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psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
August 24, 2022 - Toolkit
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders.
Citation Text:
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
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psnet.ahrq.gov/issue/problem-medication-reconciliation
May 08, 2017 - Commentary
The problem with medication reconciliation.
Citation Text:
Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734.
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