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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/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
January 04, 2017 - Commentary
Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose.
Citation Text:
Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7…
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psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
June 22, 2011 - Press Release/Announcement
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.
Citation Text:
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…
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psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
September 28, 2005 - Study
Assessment of adverse drug events among patients in a tertiary care medical center.
Citation Text:
Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27.
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psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - Study
Doctors' thinking about 'the system' as a threat to patient safety.
Citation Text:
Waring J. Doctors' thinking about 'the system' as a threat to patient safety. Health (London). 2007;11(1):29-46.
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
July 03, 2014 - Study
Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.
Citation Text:
FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…
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psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior
December 02, 2020 - Commentary
How to "DEAL" with disruptive physician behavior.
Citation Text:
Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology. 2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021.
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psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
April 24, 2018 - Study
Hospital admission medication reconciliation in medically complex children: an observational study.
Citation Text:
Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - Commentary
Effectiveness of surgical safety checklists in improving patient safety.
Citation Text:
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
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psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
November 02, 2016 - Newspaper/Magazine Article
Doctors saved her life. She didn’t want them to.
Citation Text:
Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024;
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psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
January 07, 2011 - Commentary
Reducing medication errors by using applied technology.
Citation Text:
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25.
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psnet.ahrq.gov/issue/physician-gender-and-apologies-clinical-interactions
July 07, 2021 - Study
Physician gender and apologies in clinical interactions.
Citation Text:
Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005.
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psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
April 24, 2018 - Study
Functional health literacy and understanding of medications at discharge.
Citation Text:
Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554.
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - Commentary
Changing the medical malpractice system to align with what we know about patient safety and quality improvement.
Citation Text:
Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…
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psnet.ahrq.gov/issue/bedside-detection-awareness-vegetative-state-cohort-study
December 16, 2020 - Study
Bedside detection of awareness in the vegetative state: a cohort study.
Citation Text:
Cruse D, Chennu S, Chatelle C, et al. Bedside detection of awareness in the vegetative state: a cohort study. Lancet. 2011;378(9809):2088-94. doi:10.1016/S0140-6736(11)61224-5.
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psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
August 31, 2011 - Study
Retractions in the medical literature: how many patients are put at risk by flawed research?
Citation Text:
Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133.
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psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
July 31, 2024 - Commentary
The Perruche case and the issue of compensation for the consequences of medical error.
Citation Text:
Costich JF. The Perruche case and the issue of compensation for the consequences of medical error. Health Policy (New York). 2006;78(1):8-16.
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psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children
March 24, 2011 - Study
Classic
Adverse events and preventable adverse events in children.
Citation Text:
Woods D, Thomas EJ, Holl JL, et al. Adverse events and preventable adverse events in children. Pediatrics. 2005;115(1):155-60.
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psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
October 08, 2014 - Study
Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002.
Citation Text:
Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…