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psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
July 18, 2018 - Newspaper/Magazine Article
Bridging the gap between work-as-imagined and work-as-done.
Citation Text:
Bridging the gap between work-as-imagined and work-as-done. Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83.
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - Newspaper/Magazine Article
Using good design to eliminate medical errors.
Citation Text:
Using good design to eliminate medical errors. Jaffe E.
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psnet.ahrq.gov/issue/quality-improvement-organizations
October 19, 2022 - Multi-use Website
Quality Improvement Organizations.
Citation Text:
Quality Improvement Organizations. Medicare Quality Improvement Community; MedQIC
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psnet.ahrq.gov/issue/hospitals-learn-say-sorry
October 24, 2012 - Newspaper/Magazine Article
Hospitals learn to say sorry.
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Hospitals learn to say sorry. Lerner M.
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psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention
March 27, 2018 - Newspaper/Magazine Article
Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention.
Citation Text:
Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. Yang A, Grissinger M. PA-PSR…
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psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-hospice-one-agencys-journey
June 05, 2019 - Commentary
Keeping safety a priority in home care and hospice: one agency's journey.
Citation Text:
Mullin LV. Keeping safety a priority in home care and hospice: one agency's journey. Home Healthc Nurse. 2010;28(2):63-70. doi:10.1097/NHH.0b013e3181cb5939.
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psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients
November 14, 2011 - Newspaper/Magazine Article
Medical errors are hard for doctors to admit, but it's wise to apologize to patients.
Citation Text:
Medical errors are hard for doctors to admit, but it's wise to apologize to patients. Jain M.
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psnet.ahrq.gov/issue/making-hospitals-accountable
December 09, 2020 - Newspaper/Magazine Article
Making hospitals accountable.
Citation Text:
Making hospitals accountable. Peters PG Jr.
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - Hospital pharmacy and therapeutics (P&T) committees use
methods such as mandatory consults, checklists … , and pharmacy review to control the use of potentially
toxic medications. … A checklist-based pharmacy review prior to dispensing this
medication would have revealed the contraindication
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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - Bryony Dean Franklin, PhD Director, Academic Pharmacy Unit Hammersmith Hospitals NHS Trust and The School … of Pharmacy, University of London.
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - At least one hospital (11) found that delays in
receiving dilute solutions from the pharmacy turned
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - are available at or near the bedside to decentralize pharmacies, so they're not
running back to a pharmacy … For
example, data for medication errors has shown that reducing interruptions and having a quiet "pharmacy
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology.
Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
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psnet.ahrq.gov/issue/their-kids-died-psych-ward-they-were-far-alone-times-investigation-found
July 20, 2011 - Newspaper/Magazine Article
Their kids died on the psych ward. They were far from alone, a Times investigation found.
Citation Text:
Their kids died on the psych ward. They were far from alone, a Times investigation found. Karlamangla S. Los Angeles Times. December 1, 2019.
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Newspaper/Magazine Article
When the water breaks.
Citation Text:
When the water breaks. Jones LA. The Philadelphia Inquirer. July 17, 2022.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/distractions-and-their-impact-patient-safety
September 27, 2016 - Newspaper/Magazine Article
Distractions and their impact on patient safety.
Citation Text:
Distractions and their impact on patient safety. Feil M. PA-PSRS Patient Saf Advis. March 2013;10:1-10.
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psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy
September 03, 2014 - Newspaper/Magazine Article
Doctors could learn something about medical handoffs from the Navy.
Citation Text:
Doctors could learn something about medical handoffs from the Navy. Parikh R. Los Angeles Times. April 18, 2011.
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psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
September 18, 2013 - Newspaper/Magazine Article
Breakdowns in the medication reconciliation process.
Citation Text:
Breakdowns in the medication reconciliation process. Gao T, Gaunt MJ. PA-PSRS Patient Saf Advis. December 2013;10:125-136.
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psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects
November 28, 2018 - Newspaper/Magazine Article
Beyond the count: preventing the retention of foreign objects.
Citation Text:
Beyond the count: preventing the retention of foreign objects. PA-PSRS Patient Saf Advis. June 2009;6:39-45.
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