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psnet.ahrq.gov/node/35153/psn-pdf
June 19, 2009 - Managing medication errors—a qualitative study.
June 19, 2009
Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs.
2005;14(3):174-8.
https://psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
The authors conducted interviews with practicing nurses regarding …
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psnet.ahrq.gov/node/36209/psn-pdf
October 13, 2010 - Procedures should promote patient safety.
October 13, 2010
Spath P. Procedures should promote patient safety. Hospital peer review. 2006;31(8):113-6.
https://psnet.ahrq.gov/issue/procedures-should-promote-patient-safety
This article discusses the importance of developing practical procedures in hospital care and ho…
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psnet.ahrq.gov/node/39565/psn-pdf
June 02, 2010 - Human Factors and Ergonomics in Patient Safety.
June 2, 2010
Carayon P, Buckle P, eds. App Ergon. 2010:41(5):643-718.
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety
This special issue highlights both practical and theoretical issues related to systems analysis and human
factors innovation…
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psnet.ahrq.gov/node/38646/psn-pdf
June 09, 2009 - Risk, Safety and Reliability Special Issue.
June 9, 2009
Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.
https://psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue
This special issue contains articles exploring patient safety, risk, and reliability from both theoretical and
practical st…
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psnet.ahrq.gov/node/38683/psn-pdf
November 03, 2012 - Errors in Laboratory Medicine and Patient Safety.
November 3, 2012
Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86.
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
This collection of papers presented at an international conference on laboratory medicine focuses on
efforts to reduce…
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psnet.ahrq.gov/node/35351/psn-pdf
April 03, 2012 - The International Journal of Risk & Safety in Medicine.
April 3, 2012
Edwards IR, Lindquist M, eds. Amsterdam, Netherlands. IOS Press. ISSN: 0924-6479
https://psnet.ahrq.gov/issue/international-journal-risk-safety-medicine
This quarterly journal supports high-quality medical practice with a particular focus on medi…
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psnet.ahrq.gov/node/38634/psn-pdf
May 13, 2009 - Health Care Errors and Patient Safety.
May 13, 2009
Hurwitz B, Sheikh A, eds. Hoboken, NJ: Wiley-Blackwell; 2009. ISBN: 9781405146432.
https://psnet.ahrq.gov/issue/health-care-errors-and-patient-safety
This anthology of international work on patient safety discusses the field both theoretically and practically,
of…
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psnet.ahrq.gov/node/37578/psn-pdf
May 02, 2018 - Keeping patients safe from iatrogenic methadone
overdoses.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. February 14, 2008.
https://psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
This article describes errors that can occur when methadone is prescribed for pain and offers…
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psnet.ahrq.gov/node/41471/psn-pdf
June 20, 2012 - Patients taking their own medications while in the
hospital.
June 20, 2012
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
https://psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
Discussing errors related to hospital patients' use of personal medications, this newsletter article provi…
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psnet.ahrq.gov/node/38751/psn-pdf
July 08, 2009 - Nurses' role in communication and patient safety.
July 8, 2009
Nadzam DM. Nurses' role in communication and patient safety. J Nurs Care Qual. 2009;24(3):184-188.
doi:10.1097/01.NCQ.0000356905.87452.62.
https://psnet.ahrq.gov/issue/nurses-role-communication-and-patient-safety
This article offers strategies to enhan…
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psnet.ahrq.gov/node/34123/psn-pdf
November 02, 2014 - Preventing Infections in the Hospital—What You As a
Patient Can Do.
November 2, 2014
National Patient Safety Foundation; NPSF
https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do
Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…
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psnet.ahrq.gov/node/35796/psn-pdf
March 22, 2006 - Healing Words: The Power of Apology in Medicine. 2nd
edition.
March 22, 2006
Woods MS. Oakbrook Terrace IL: Joint Commission Resources; 2007.
https://psnet.ahrq.gov/issue/healing-words-power-apology-medicine
The author proposes a straightforward approach and practical advice on apologizing to patien…
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psnet.ahrq.gov/issue/2023-ihi-patient-safety-congress
October 06, 2022 - United States Meeting/Conference
2023 IHI Patient Safety Congress.
Citation Text:
Institute for Healthcare Improvement. Gaylord National Resort and Convention Center, National Harbor, MD, May 22–24, 2023.
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psnet.ahrq.gov/issue/governor-signs-executive-order-creating-new-division-patient-safety
October 25, 2023 - Press Release/Announcement
Governor signs Executive Order creating new Division of Patient Safety.
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July 26, 2006
This news release announces the go…
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psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
September 25, 2019 - Review
Why simulation matters: a systematic review on medical errors occurring during simulated health care.
Citation Text:
Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-1…
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psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
June 19, 2018 - Commentary
Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine.
Citation Text:
Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…
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psnet.ahrq.gov/issue/working-conditions-support-patient-safety
June 23, 2009 - Commentary
Working conditions that support patient safety.
Citation Text:
Hughes RG, Clancy CM. Working conditions that support patient safety. J Nurs Care Qual. 2005;20(4):289-292.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors in children with medical complexity.
Citation Text:
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - Commentary
Quality: performance improvement, teamwork, information technology and protocols.
Citation Text:
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
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psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
December 21, 2017 - Commentary
Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations.
Citation Text:
Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpati…