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psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
June 21, 2023 - Audiovisual Presentation
The Sunday story: when hospitals don't say sorry.
Citation Text:
The Sunday story: when hospitals don't say sorry. Rascoe A, Gorenstein D. National Public Radio. January 21, 2024.
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psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
March 01, 2010 - Government Resource
Serious medication errors from intravenous administration of nimodipine oral capsules.
Citation Text:
Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA.
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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/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/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/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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/updating-framework-disposition-comments.pdf
July 11, 2025 - Updating the Framework for Agency for Healthcare Research and Quality’s National Healthcare Quality and Disparities Report
Technical Brief Disposition of Comments Report
Title: Updating the Framework for Agency for Healthcare Research and Quality’s National
Healthcare Quality and Disparities Report
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psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
March 23, 2012 - Book/Report
Advancing Anticoagulation Stewardship: A Playbook.
Citation Text:
Advancing Anticoagulation Stewardship: A Playbook. Washington DC; National Quality Forum and Anticoagulation Forum; 2022.
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psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
January 10, 2018 - Commentary
What cannot be said on television about health care.
Citation Text:
Emanuel EJ. What Cannot Be Said on Television About Health Care. JAMA. 2007;297(19). doi:10.1001/jama.297.19.2131.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
Classic
ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
May 02, 2018 - Newspaper/Magazine Article
Potassium may no longer be stocked on patient care units, but serious threats still exist!
Citation Text:
Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
July 18, 2018 - Book/Report
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report.
Citation Text:
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017.
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psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
January 31, 2018 - Legislation/Case Law
Requires DHSS to make reported information about certain adverse events publicly available.
Citation Text:
Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
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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/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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hcup-us.ahrq.gov/reports/natstats/rn5.htm
November 01, 1998 - Descriptive Statistics by Insurance Status for Most Frequent Hospital Diagnoses and Procedures
Descriptive Statistics by Insurance Status for Most Frequent Hospital
Diagnoses and Procedures
Below is a summary of HCUP-3 Research Note 5 (AHCPR Pub. No. 97-0009),
which is available from the AHCPR Pub…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_644-03-07-2013.pdf
January 01, 2013 - Topic 0545 Behav Health Int for Dementia NSD FINAL SJ
Behavioral Health Interventions for Depression,
Anxiety, and Agitation in persons with Dementia
Nomination Summary Document
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