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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-unprotected
May 07, 2018 - Newspaper/Magazine Article
Administering just the diluent or one of two vaccine components leaves patients unprotected.
Citation Text:
Administering just the diluent or one of two vaccine components leaves patients unprotected. ISMP Medication Safety Alert! Acute care edition. May 22, 20…
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psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - Newspaper/Magazine Article
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
Citation Text:
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - Study
Interruptions and multitasking in nursing care.
Citation Text:
Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - Newspaper/Magazine Article
Audit of missed or delayed antimicrobial drugs.
Citation Text:
Audit of missed or delayed antimicrobial drugs. Wright J.
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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/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
April 02, 2014 - Meeting/Conference Proceedings
When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"?
Citation Text:
When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? National Health Policy Forum. Washington, DC: George Washington University. March 11…
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psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
September 14, 2022 - Newspaper/Magazine Article
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout.
Citation Text:
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023.
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psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
February 08, 2017 - Meeting/Conference Proceedings
Addressing the Loss of Trust in Safety Culture.
Citation Text:
Addressing the Loss of Trust in Safety Culture. Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.
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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/disruptive-behavior-affects-hospital-financial-health
February 03, 2010 - Newspaper/Magazine Article
Disruptive behavior affects hospital financial health.
Citation Text:
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital. Journal of healthcare risk management : the journal of the American Society for Healthcare…
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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/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
March 15, 2022 - Newspaper/Magazine Article
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
Citation Text:
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
October 21, 2021 - Newspaper/Magazine Article
CMS 30-minute rule for drug administration needs revision.
Citation Text:
CMS 30-minute rule for drug administration needs revision. ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
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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/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/finding-and-preventing-patient-safety-incidents
October 25, 2013 - Book/Report
Finding and Preventing Patient Safety Incidents.
Citation Text:
Finding and Preventing Patient Safety Incidents. Golden, CO: HealthGrades, Inc.; June 9, 2014.
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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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