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psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
October 26, 2022 - Newspaper/Magazine Article
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death.
Citation Text:
'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. Mills M. The Guardian. September 3, 2022.
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psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
September 08, 2010 - Book/Report
Clinical ICT Systems in the Victorian Public Health Sector.
Citation Text:
Clinical ICT Systems in the Victorian Public Health Sector. Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013.
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psnet.ahrq.gov/issue/10-derm-mistakes-you-dont-want-make
March 26, 2008 - Commentary
10 derm mistakes you don't want to make.
Citation Text:
Fox GN. 10 derm mistakes you don't want to make. J Fam Pract. 2008;57(3):162-9.
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psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
April 17, 2009 - Study
The association between hospital characteristics and rates of preventable complications and adverse events.
Citation Text:
The association between hospital characteristics and rates of preventable complications and adverse events. Thornlow DK; Stukenborg GJ.
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psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
February 19, 2020 - Newspaper/Magazine Article
Doctors were alarmed: would I have my children have surgery here?
Citation Text:
Doctors were alarmed: would I have my children have surgery here? Gabler E. New York Times. May 31, 2019.
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psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - Image/Poster
Suicidal patient slips through the cracks.
Citation Text:
Suicidal patient slips through the cracks. Oakbrook Terrace, IL: Joint Commission: October 2019.
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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - Study
Teamwork and communication in surgical teams: implications for patient safety.
Citation Text:
Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E.
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Commentary
Medication errors in outpatient pediatrics.
Citation Text:
Berrier K. Medication Errors in Outpatient Pediatrics. MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261.
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psnet.ahrq.gov/issue/case-investing-patient-safety-canada
October 05, 2021 - Book/Report
The Case for Investing in Patient Safety in Canada.
Citation Text:
The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
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psnet.ahrq.gov/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization.
Citation Text:
Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12.
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psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
June 02, 2021 - Commentary
Using patient safety science to explore strategies for improving safety in intravenous medication administration.
Citation Text:
Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…
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psnet.ahrq.gov/issue/they-cant-ignore-us-any-more-five-women-long-covid-and-medical-misogyny
September 14, 2022 - Newspaper/Magazine Article
‘They can’t ignore us any more’: five women on long Covid and medical misogyny.
Citation Text:
‘They can’t ignore us any more’: five women on long Covid and medical misogyny. Lu D. The Guardian. October 18, 2022.
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety
June 21, 2017 - Newspaper/Magazine Article
Ebola case raises concern about everyday hospital safety.
Citation Text:
Ebola case raises concern about everyday hospital safety. Rodricks D. Baltimore Sun. October 14, 2014.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/people-color-long-covid-face-uphill-battle-be-heard
August 24, 2022 - Newspaper/Magazine Article
People of color with long COVID face uphill battle to be heard.
Citation Text:
People of color with long COVID face uphill battle to be heard. Farah T. Scientific American. September 22, 2022.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Analysis of why the event occurred.
Focus on what should be done differently next time.
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hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_8.jsp
January 01, 2008 - Three of the top 15 principal conditions that occurred with a secondary MH diagnosis in 2008 were MH … A secondary MH diagnosis also occurred often with many of the top 15 most frequent medical conditions
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - The second error occurred during the patient transfer, when only the records, but not the imaging, accompanied … The third error occurred as the patient was posted for the surgical suite without preoperative imaging … These three errors occurred before the patient was rolled into the surgical suite. … The fourth error occurred once in the operating room—implementation of the Universal Protocol could have
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hcup-us.ahrq.gov/reports/statbriefs/sb4.jsp
May 01, 2006 - In 2003, nearly three out of four hospital stays for alcohol abuse occurred in men, making it one of … almost half of all hospitalizations for alcohol abuse, while another 42 percent of these hospital stays occurred … Less than 8 percent of alcohol-related stays occurred among patients 65 and older. … More than 90 percent of hospitalizations for alcohol abuse occurred among adult patients under 64, with