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psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare-delivery-special-issue-health-information-technology
June 02, 2010 - Special or Theme Issue
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Medication Administration Safety.
Citation Text:
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Med…
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psnet.ahrq.gov/issue/bar-code-label-requirements-blood-and-blood-components
May 04, 2015 - Fact Sheet/FAQs
Bar Code Label Requirements for Blood and Blood Components.
Citation Text:
Bar Code Label Requirements for Blood and Blood Components. FDA; Food and Drug Administration; CBER; Center for Biologics Evaluation and Research.
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psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or
October 28, 2020 - Special or Theme Issue
SafetyNet: Lessons Learned from Close Calls in the OR.
Citation Text:
SafetyNet: Lessons Learned from Close Calls in the OR. AORN J. 2006;84(1S1):CO1-CO2,s6-s12.
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psnet.ahrq.gov/issue/counting-patient-safety
June 11, 2014 - Commentary
Counting for patient safety.
Citation Text:
Watson DS. Counting for patient safety. AORN J. 2006;84(2):273-5.
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psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
September 27, 2016 - Newspaper/Magazine Article
Distractions and their impact on patient safety.
Citation Text:
Distractions and their impact on patient safety. Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10.
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psnet.ahrq.gov/issue/mothers-face-broken-addiction-treatment-system
January 25, 2023 - Newspaper/Magazine Article
Mothers face broken addiction treatment system.
Citation Text:
Mothers face broken addiction treatment system. D'Ambrosio A. MedPage Today. March 31, 2023.
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psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence
March 13, 2024 - Newspaper/Magazine Article
Will prosecuting medical errors lead to a culture of silence?
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Will prosecuting medical errors lead to a culture of silence? Fiore K. MedPage Today. March 28, 2022.
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psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
October 24, 2018 - Newspaper/Magazine Article
A surgeon so bad it was criminal.
Citation Text:
A surgeon so bad it was criminal. Beil L. ProPublica. October 2, 2018.
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psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals
June 22, 2011 - Newspaper/Magazine Article
The overlooked danger of delirium in hospitals.
Citation Text:
The overlooked danger of delirium in hospitals. Boodman SG. The Atlantic. June 7, 2015.
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psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
December 14, 2016 - Newspaper/Magazine Article
When doctors get the wrong patient.
Citation Text:
When doctors get the wrong patient. Whitman E. Mod Healthc. September 25, 2016.
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psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
January 10, 2018 - Book/Report
Enhancing Surgical Performance: A Primer in Non-technical Skills.
Citation Text:
Enhancing Surgical Performance: A Primer in Non-technical Skills. Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322.
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psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
November 28, 2018 - Newspaper/Magazine Article
The star of the diagnostic journey: assessing patient perspectives.
Citation Text:
The star of the diagnostic journey: assessing patient perspectives. Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45.
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psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
March 06, 2005 - Newspaper/Magazine Article
Entire UPMC transplant team missed hepatitis alert.
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Entire UPMC transplant team missed hepatitis alert. Hamill SD.
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psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare
June 08, 2011 - Newspaper/Magazine Article
Preventing infections: how Portland hospitals compare.
Citation Text:
Preventing infections: how Portland hospitals compare. Rojas-Burke J. The Oregonian. May 8, 2010.
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psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
March 14, 2012 - Newspaper/Magazine Article
Patients taking their own medications while in the hospital.
Citation Text:
Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.
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psnet.ahrq.gov/issue/improvement-pennsylvania-healthcare-consumers-awareness-patient-safety
March 30, 2016 - Newspaper/Magazine Article
Improvement of Pennsylvania healthcare consumers' awareness of patient safety.
Citation Text:
Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Munn J. PA-PSRS Patient Saf Advis. March 2014;11:23-29.
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psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-polsts
July 18, 2018 - Newspaper/Magazine Article
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.
Citation Text:
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - even between providers for treatment purposes
Development of these unintended practices in day-to-day operations … to do so, and it helps ensure that misinterpretations of the law do not get embedded into day-to-day operations
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psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations
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psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
June 09, 2010 - June 9, 2010
Improving patient safety by identifying latent failures in successful operations