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psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - Commentary
Disclosure of medical errors involving gametes and embryos.
Citation Text:
Disclosure of medical errors involving gametes and embryos. Ethics Committee of the American Society for Reproductive Medicine. Fertil Steril. 2016;106:59-63.
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - Newspaper/Magazine Article
Getting beyond blame in your practice.
Citation Text:
Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34.
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psnet.ahrq.gov/issue/lost-voice
March 21, 2007 - Newspaper/Magazine Article
A lost voice.
Citation Text:
A lost voice. Baker M. Seattle Times. February 10, 2017.
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psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
January 20, 2021 - Study
Blame culture and defensive medicine.
Citation Text:
Catino M. Blame culture and defensive medicine. Cognition, Technology & Work. 2009;11(4). doi:10.1007/s10111-009-0130-y.
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psnet.ahrq.gov/issue/knowledge-power-averting-safety-compromising-events-or
July 13, 2010 - Commentary
Knowledge is power: averting safety-compromising events in the OR.
Citation Text:
Catalano K. Knowledge is power: averting safety-compromising events in the OR. AORN J. 2008;88(6):987-95. doi:10.1016/j.aorn.2008.06.002.
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psnet.ahrq.gov/issue/conversations-withlucian-leape-md
March 13, 2024 - Audiovisual
Conversations with...Lucian Leape, MD.
Citation Text:
Conversations with...Lucian Leape, MD. Lundberg G. MedPage Today. July 5, 2013.
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psnet.ahrq.gov/issue/health-care-professionals-tools
January 30, 2003 - Multi-use Website
Health Care Professionals Tools.
Citation Text:
Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008.
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psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
June 10, 2018 - Newspaper/Magazine Article
Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps.
Citation Text:
Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.…
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Toolkit
Toolkit To Improve Safety in Ambulatory Surgery Centers.
Citation Text:
Toolkit To Improve Safety in Ambulatory Surgery Centers. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/ethical-aspects-limiting-residents-work-hours
November 17, 2021 - Commentary
Ethical aspects of limiting residents' work hours.
Citation Text:
Wiesing U. Ethical aspects of limiting residents' work hours. Bioethics. 2007;21(7):398-405.
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psnet.ahrq.gov/issue/safer-sign-out
April 22, 2020 - Tools/Toolkit
Safer Sign Out.
Citation Text:
Safer Sign Out. Emergency Medicine Patient Safety Foundation.
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psnet.ahrq.gov/issue/antifatness-surgical-setting
October 12, 2022 - Newspaper/Magazine Article
Antifatness in the surgical setting.
Citation Text:
Antifatness in the surgical setting. Andreou A. Scientific American. May 26, 2022.
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psnet.ahrq.gov/issue/preventing-adverse-drug-events
June 15, 2011 - Course Material/Curriculum
Preventing adverse drug events.
Citation Text:
Preventing adverse drug events. Manno MS.
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psnet.ahrq.gov/issue/dangerous-doses
April 27, 2005 - Newspaper/Magazine Article
Dangerous doses.
Citation Text:
Dangerous doses. Roe S, King K. Chicago Tribune. February 10–13, 2016.
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psnet.ahrq.gov/issue/abstracts-7th-annual-international-meeting-simulation-healthcare
August 01, 2018 - Special or Theme Issue
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare.
Citation Text:
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare. Simul Healthc. 2007;1(suppl 1):34-138.
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psnet.ahrq.gov/issue/pharmacy-education-and-practice
September 27, 2016 - Special or Theme Issue
Pharmacy Education and Practice.
Citation Text:
Pharmacy Education and Practice. Cohen M, Degnan D, McDonnell P, eds. Patient Saf. 2022;4(s1):1-45
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psnet.ahrq.gov/issue/human-error-cause-prediction-and-reduction
July 13, 2016 - Book/Report
Classic
Human Error: Cause, Prediction and Reduction.
Citation Text:
Human Error: Cause, Prediction and Reduction. Senders JW, Morey NP. Hillsdale NJ: L. Erlbaum Associates; 1991. ISBN: 9780898595987.
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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