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psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
August 21, 2019 - Book/Report
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model.
Citation Text:
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
May 21, 2014 - Book/Report
Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV.
Citation Text:
Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…
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psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups-trainees
May 21, 2014 - Book/Report
Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees.
Citation Text:
Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees. Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 9…
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psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2
October 04, 2023 - Review
Patient safety in dermatologic surgery: parts 1 and 2.
Citation Text:
Patient safety in dermatologic surgery: parts 1 and 2. Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26.
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psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
July 24, 2024 - Newspaper/Magazine Article
How studying human factors improves patient safety.
Citation Text:
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
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psnet.ahrq.gov/issue/va-patient-safety-program-cultural-perspective-four-medical-facilities
October 26, 2022 - Book/Report
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities.
Citation Text:
VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. General Accounting Office. Washington, DC: Government Printing Office; 2004. Report no. GAO-05-83.
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psnet.ahrq.gov/issue/skilful-anticipation-maternity-nurses-perspectives-maintaining-safety
February 15, 2023 - Study
Skilful anticipation: maternity nurses' perspectives on maintaining safety.
Citation Text:
Lyndon A. Skillful anticipation: maternity nurses' perspectives on maintaining safety. Qual Saf Health Care. 2010;19(5):e8. doi:10.1136/qshc.2007.024547.
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psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
June 10, 2018 - Newspaper/Magazine Article
Speaking up about patient safety requires an observant questioner and a high index of suspicion.
Citation Text:
Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…
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psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
August 16, 2016 - Book/Report
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.
Citation Text:
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…
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psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
July 30, 2014 - Commentary
Creating a culture of safety by using checklists.
Citation Text:
Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019.
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psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
November 29, 2009 - Book/Report
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.
Citation Text:
Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…
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psnet.ahrq.gov/issue/risk-society-and-system-failure
November 29, 2023 - Commentary
Risk, society and system failure.
Citation Text:
Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003.
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psnet.ahrq.gov/issue/breaking-mould-patient-safety
June 20, 2011 - Commentary
Breaking the mould in patient safety.
Citation Text:
Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585. doi:10.1136/bmj.b2585.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
September 16, 2020 - Commentary
Quest for the ideal: a redesign of the medication use system.
Citation Text:
Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19.
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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Study
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.
Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…
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psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
May 03, 2023 - Newspaper/Magazine Article
Smart infusion pump investigations after an unexplained over-infusion.
Citation Text:
Smart infusion pump investigations after an unexplained over-infusion. ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3.
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psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
August 12, 2020 - Review
Second victim support programs for healthcare organizations.
Citation Text:
Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45.
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psnet.ahrq.gov/issue/nurses-role-medication-safety
June 26, 2024 - Review
Nurses' role in medication safety.
Citation Text:
Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. J Nurs Manag. 2010;18(7):853-61. doi:10.1111/j.1365-2834.2010.01164.x.
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psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
September 26, 2016 - Commentary
Is it time to move beyond errors in clinical reasoning and discuss accuracy?
Citation Text:
Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4.
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