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psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
May 17, 2023 - Commentary
The art of apology: when and how to seek forgiveness.
Citation Text:
The art of apology: when and how to seek forgiveness. Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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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/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/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/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
July 24, 2018 - Commentary
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases.
Citation Text:
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases…
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psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
June 18, 2013 - Book/Report
Patient Safety in Private Hospitals: the Known and the Unknown Risk.
Citation Text:
Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014.
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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/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/another-tragic-parenteral-nutrition-compounding-error
June 10, 2018 - Newspaper/Magazine Article
Another tragic parenteral nutrition compounding error.
Citation Text:
Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
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psnet.ahrq.gov/issue/health-care-comes-home-human-factors
June 08, 2011 - Book/Report
Health Care Comes Home: The Human Factors.
Citation Text:
Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
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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/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/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/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/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/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/ismp-medication-safety-self-assessment-high-alert-medications
June 07, 2017 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for High-Alert Medications.
Citation Text:
ISMP Medication Safety Self Assessment for High-Alert Medications. Horsham, PA: Institute for Safe Medication Practices; 2017.
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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/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…