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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
June 01, 2004 - Commentary
Disclosing harmful medical errors to patients: a time for professional action.
Citation Text:
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819.
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psnet.ahrq.gov/issue/public-health-notification-fda-vail-products-enclosed-bed-systems
December 16, 2020 - Press Release/Announcement
Public Health Notification from FDA: Vail Products Enclosed Bed Systems.
Citation Text:
Public Health Notification from FDA: Vail Products Enclosed Bed Systems. MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; December 4, 2007.
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Newspaper/Magazine Article
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers.
Citation Text:
Are you well positioned to resolve conflicts with the safety of an order? Learning…
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psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
June 01, 2016 - Newspaper/Magazine Article
Safety for all: integrated design for inpatient units.
Citation Text:
Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
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psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
March 19, 2019 - Study
Factors influencing doctors' ability to calculate drug doses correctly.
Citation Text:
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94.
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psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
November 03, 2021 - Book/Report
Classic
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences.
Citation Text:
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…
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psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
July 07, 2021 - Study
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups.
Citation Text:
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…
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psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
June 03, 2015 - Commentary
Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.
Citation Text:
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - Study
Losing the moment: understanding interruptions to nurses' work.
Citation Text:
Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162.
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psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
November 20, 2019 - Newspaper/Magazine Article
EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived
Citation Text:
EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Arditi L. Peoples Public Radio. December 3, 2019.
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Commentary
Classic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Citation Text:
Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology
December 19, 2014 - Commentary
The Helsinki Declaration on Patient Safety in Anaesthesiology.
Citation Text:
Mellin-Olsen J, Staender S, Whitaker DK, et al. The Helsinki Declaration on Patient Safety in Anaesthesiology. Eur J Anaesthesiol. 2010;27(7):592-597. doi:10.1097/EJA.0b013e32833b1adf.
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psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
May 20, 2009 - Legislation/Case Law
Southern Baptist Hospital of Florida v. Charles.
Citation Text:
Southern Baptist Hospital of Florida v. Charles. Fla Ct App, 1st Dist. October 28, 2015.
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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psnet.ahrq.gov/issue/color-coding-reduce-errors
June 22, 2009 - Commentary
Color coding to reduce errors.
Citation Text:
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Toolkit
Reducing Adverse Drug Events Related to Opioids Implementation Guide.
Citation Text:
Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - Toolkit
Re-Engineered Discharge (RED) Toolkit.
Citation Text:
Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - Newspaper/Magazine Article
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
Citation Text:
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
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psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
May 28, 2015 - Commentary
Educational opportunities with postevent debriefing.
Citation Text:
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
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