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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Review
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Citation Text:
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. Copeland AW. UpToDate. April 10, 2023.
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psnet.ahrq.gov/issue/insulin-pens-devices
August 31, 2016 - Special or Theme Issue
Insulin Pens Devices.
Citation Text:
Insulin Pens Devices. Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
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psnet.ahrq.gov/issue/world-patient-safety-day
September 30, 2020 - Multi-use Website
World Patient Safety Day.
Citation Text:
World Patient Safety Day. World Health Organization. September 17, 2025.
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psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary
October 08, 2014 - Book/Report
The Safe Use Initiative and Health Literacy: Workshop Summary.
Citation Text:
The Safe Use Initiative and Health Literacy: Workshop Summary. Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies Press; 2010. ISBN-10: 03091593…
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psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
May 02, 2018 - Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams.
Citation Text:
Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
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psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
July 02, 2009 - Newspaper/Magazine Article
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
Citation Text:
Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. Salt Lake Tribune. June 26, 2009.
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psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
February 21, 2018 - Commentary
Achieving zero inequity: lessons learned from patient safety.
Citation Text:
Achieving zero inequity: lessons learned from patient safety. Gandhi TK. NEJM Catalyst. May 27, 2021.
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psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
August 19, 2020 - Newspaper/Magazine Article
Lyme disease is baffling, even to experts, but new insights are at last accumulating.
Citation Text:
Lyme disease is baffling, even to experts, but new insights are at last accumulating. O'Rourke M. The Atlantic. September 2019.
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psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
May 18, 2016 - Book/Report
Using Human Factors Engineering to Improve Patient Safety, Second edition.
Citation Text:
Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110.
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psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
March 27, 2005 - Newspaper/Magazine Article
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Citation Text:
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Collins TR. The Hospitalist. July 2011.
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psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
July 05, 2016 - Award Announcement
Best Practices for Safe Medication Administration During Anesthesia Care.
Citation Text:
Best Practices for Safe Medication Administration During Anesthesia Care. APSF Committee on Technology. Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/macarthur-fellows-program-michael-cohen
June 11, 2013 - Grant Recipient
The MacArthur Fellows Program: Michael Cohen.
Citation Text:
The MacArthur Fellows Program: Michael Cohen. The John D. and Catherine T. MacArthur Foundation.
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psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
April 06, 2022 - Multi-use Website
Center for Innovations in Quality, Effectiveness and Safety. IQuESt!
Citation Text:
Center for Innovations in Quality, Effectiveness and Safety. IQuESt! Houston, TX: Baylor College of Medicine.
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psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work
June 26, 2019 - Book/Report
Classic
Unity of Mistakes: A Phenomenological Interpretation of Medical Work.
Citation Text:
Unity of Mistakes: A Phenomenological Interpretation of Medical Work. Paget MA. Philadelphia: Temple University Press; 2004.
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psnet.ahrq.gov/issue/distinct-newborn-identification-requirement
September 11, 2019 - Newspaper/Magazine Article
Distinct newborn identification requirement.
Citation Text:
Distinct newborn identification requirement. R3 Report. June 25, 2018;7:1-2.
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psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
May 29, 2019 - Special or Theme Issue
Complications and Errors in Periodontal and Implant Therapy.
Citation Text:
Complications and Errors in Periodontal and Implant Therapy. Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
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psnet.ahrq.gov/issue/current-assessment-patient-safety-education
May 28, 2014 - Review
Current assessment of patient safety education.
Citation Text:
Mansour M. Current assessment of patient safety education. Br J Nurs. 2012;21(9):536-43.
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - Study
Use of dimensional analysis to reduce medication errors.
Citation Text:
Use of dimensional analysis to reduce medication errors. Greenfield S; Whelan B; Cohn E.
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psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
May 02, 2018 - Newspaper/Magazine Article
Heparin errors continue despite prior, high-profile, fatal events.
Citation Text:
Heparin errors continue despite prior, high-profile, fatal events. ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2.
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psnet.ahrq.gov/issue/are-new-safety-paradigms-only-about-safety-and-sufficient-ensure-it-overview-and-critical
October 26, 2022 - Commentary
Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary.
Citation Text:
Karanikas N, Zerguine H. Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary. Safety …