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psnet.ahrq.gov/issue/error-reporting-preventive-force
June 11, 2014 - Commentary
Error reporting as a preventive force.
Citation Text:
Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56.
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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death.
Citation Text:
National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD
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psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
June 01, 2023 - Book/Report
Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care
Citation Text:
Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020.
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psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
March 29, 2023 - Commentary
Developing a principle-based approach to safe medication practices.
Citation Text:
Developing a principle-based approach to safe medication practices. Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Newspaper/Magazine Article
10 ways to guarantee a lawsuit.
Citation Text:
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/when-bone-flap-hits-floor
March 12, 2025 - Study
When the bone flap hits the floor.
Citation Text:
Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90.
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psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
February 25, 2009 - Commentary
A comprehensive grassroots model for statewide safety improvement.
Citation Text:
Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677.
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psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
December 21, 2016 - Commentary
Quality indicators to detect pre-analytical errors in laboratory testing.
Citation Text:
Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8.
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
May 15, 2024 - Special or Theme Issue
Understanding And Addressing Pre-Hospital Diagnostic Delays.
Citation Text:
Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023.
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psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
September 06, 2023 - Newspaper/Magazine Article
Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin.
Citation Text:
Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. West S. Kaiser Health News. August 5, 2022.
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psnet.ahrq.gov/issue/implementing-rapid-response-team
June 30, 2011 - Commentary
Implementing a rapid response team.
Citation Text:
Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53.
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psnet.ahrq.gov/issue/patient-survival-handbook
February 22, 2006 - Book/Report
The Patient Survival Handbook.
Citation Text:
The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - Newspaper/Magazine Article
Hospital drug errors far from uncommon.
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Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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psnet.ahrq.gov/issue/arv-medication-errors-experience-community-based-hiv-specialty-clinic-and-review-literature
March 29, 2010 - Study
ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature.
Citation Text:
ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Cocohoba J; Dong BJ.
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - Commentary
Balancing just culture with regulatory standards.
Citation Text:
Gorzeman J. Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. doi:10.1097/01.NAQ.0000336728.72501.c6.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/060-nursing-protocol-nasal-iodophor.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Nursing Decolonization Protocol: Nasal Iodophor
Note: Mupirocin should generally be chosen over iodophor when possible. A recent study showed a mupirocin & CHG decolonization strategy to be more effective at reducing Staphylococcus aureus isolates in the ICU compared to iodoph…
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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/2010-annual-national-patient-safety-foundation-congress-conference-proceedings
July 31, 2012 - Commentary
2010 Annual National Patient Safety Foundation Congress: conference proceedings.
Citation Text:
Pinakiewicz DC, Bonacum D, Youngberg BJ, et al. 2010 Annual National Patient Safety Foundation Congress: conference proceedings. J Patient Saf. 2010;6(3):128-36.
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