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psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
March 13, 2024 - Commentary
Exploring the role of patients in promoting safety: policy to practice.
Citation Text:
Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5.
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psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
January 14, 2019 - Special or Theme Issue
Themed Issue on the Opioid Epidemic.
Citation Text:
Themed Issue on the Opioid Epidemic. Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778.
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psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
June 23, 2009 - Commentary
Patient safety in nursing practice.
Citation Text:
Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting
August 13, 2008 - Newspaper/Magazine Article
Management of drug shortages in the perioperative setting.
Citation Text:
Management of drug shortages in the perioperative setting. Murray C, Rycek W, Johnson D, Sifuentes-Tovar F. Pharm Purch Prod. January 2013;10:12.
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psnet.ahrq.gov/issue/ashp-standard-certification-center-excellence-medication-use-safety-and-pharmacy-practice
December 14, 2022 - Organizational Policy/Guidelines
ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice.
Citation Text:
ASHP Standard for Certification as a Center of Excellence in Medication-Use Safety and Pharmacy Practice. Am J Health Syst Pharm. 2022…
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psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
July 24, 2024 - Newspaper/Magazine Article
Actions to renew focus on safety culture.
Citation Text:
Actions to renew focus on safety culture. Salvon-Harman J. Healthcare Executive. 2023;39(3):48-49.
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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - Commentary
Studying organisational cultures and their effects on safety.
Citation Text:
Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005.
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psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
January 01, 2019 - Book/Report
How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety.
Citation Text:
How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness…
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psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
December 04, 2016 - Special or Theme Issue
Unprotected: broken promises in Georgia’s senior care industry.
Citation Text:
Unprotected: broken promises in Georgia’s senior care industry. Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019.
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psnet.ahrq.gov/issue/adoption-electronic-medical-record-technology-order-prevent-medical-errors-matter-american
March 07, 2018 - Commentary
The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy.
Citation Text:
The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy. Crane JN; …
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psnet.ahrq.gov/issue/when-incidents-happen
January 14, 2011 - Commentary
When incidents happen.
Citation Text:
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998.
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - Juurlink is professor of medicine, pediatrics, and health policy at the University of Toronto, where
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - Triage Time Bomb
Citation Text:
Washington DL. Triage Time Bomb. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - Low on the Totem Pole
December 1, 2005
Wachter R. Low on the Totem Pole. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/low-totem-pole
Case Objectives
Understand the concept of authority gradient
List steps that can be taken to increase communication across an authority gradient
Consider the current cultu…
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - Surgeon
General to develop a standard of care in pediatrics. … Early on it was the American
Academy of Pediatrics, later the American College of Physicians and the
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - Dean, MD Chief Medical Information Officer–UW Health Associate Professor of Pediatrics University of … Wisconsin School of Medicine and Public Health Department of Pediatrics Division of Hospital Medicine
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - SPOTLIGHT CASE
Translating From Normal to Abnormal
Citation Text:
Turner AM. Translating From Normal to Abnormal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/issue/influences-observed-incidence-and-reporting-medication-errors-anesthesia
October 19, 2022 - Study
Influences observed on incidence and reporting of medication errors in anesthesia.
Citation Text:
Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-…
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
Citation Text:
Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e.
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