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psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
November 06, 2019 - Newspaper/Magazine Article
One doctor. 25 deaths. How could it have happened?
Citation Text:
One doctor. 25 deaths. How could it have happened? Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.
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psnet.ahrq.gov/issue/when-i-follow-i-dont-give
May 15, 2024 - Newspaper/Magazine Article
When I follow up, I don't give up.
Citation Text:
Roy PJ. When I follow up, I don't give up. Medical economics. 2006;83(15):68-9.
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psnet.ahrq.gov/issue/lessons-work-life-wellness-academic-medicine-parts-1-3
May 18, 2017 - Special or Theme Issue
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.
Citation Text:
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. Kans J Med. 2023;16:153-171.
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psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
May 11, 2022 - Newspaper/Magazine Article
As a nurse faces prison for a deadly error, her colleagues worry: could I be next?
Citation Text:
As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Kelman B. Kaiser Health News. March 22, 2022
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psnet.ahrq.gov/issue/new-evidence-stemming-low-value-prescribing
May 13, 2020 - Commentary
New evidence on stemming low-value prescribing.
Citation Text:
New evidence on stemming low-value prescribing. Sacarny A, Barnett ML, Agrawal S. NEJM Catalyst. April 10, 2019.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - Commentary
We need leaders: the 48th Annual Rovenstine Lecture.
Citation Text:
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-785. doi:10.1097/ALN.0b013e3181d32047.
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psnet.ahrq.gov/issue/role-physician-specialty-board-certification-status-quality-movement
October 01, 2007 - Review
The role of physician specialty board certification status in the quality movement.
Citation Text:
Brennan TA, Horwitz RI, Duffy FD, et al. The Role of Physician Specialty Board Certification Status in the Quality Movement. JAMA. 2004;292(9). doi:10.1001/jama.292.9.1038.
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psnet.ahrq.gov/issue/safe-handling-hazardous-drugs
January 02, 2011 - Clinical Guideline
Safe Handling of Hazardous Drugs.
Citation Text:
Safe Handling of Hazardous Drugs. Polovich M; Blecher CS; Glynn-Tucker EM; McDiarmid M; Newton SA
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Commentary
A piece of my mind. Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
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psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
June 05, 2018 - Newspaper/Magazine Article
Unverified patient-reported error: a false alarm can have real consequences.
Citation Text:
Unverified patient-reported error: a false alarm can have real consequences. ISMP Medication Safety Alert! Acute care edition. November 20, 2014;19:1-3.
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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/preventing-diagnostic-errors-primary-care
July 02, 2014 - Commentary
Preventing diagnostic errors in primary care.
Citation Text:
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
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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/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/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
October 04, 2023 - Newspaper/Magazine Article
Why hospitals still make serious medical errors—and how they are trying to reduce them.
Citation Text:
Why hospitals still make serious medical errors—and how they are trying to reduce them. Landro L. Wall Street Journal. March 12, 2023.
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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Newspaper/Magazine Article
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was much harder.
Citation Text:
A woman’s laborious search uncovered the probable cause of her searing abdominal pain. Getting a doctor to help was m…
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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.
Citation Text:
Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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psnet.ahrq.gov/issue/patient-safety-23
October 31, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618.
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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…