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psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
January 11, 2023 - Organizational Policy/Guidelines
Dana-Farber Cancer Institute Principles of a Fair and Just Culture.
Citation Text:
Dana-Farber Cancer Institute Principles of a Fair and Just Culture. Dana-Farber Cancer Institute.
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - Newspaper/Magazine Article
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.
Citation Text:
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. ISMP Medication Safety Alert! Acute Care Edition. September 6, 2…
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psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
February 05, 2020 - Multi-use Website
Radiotherapy Incident Reporting and Analysis System.
Citation Text:
Radiotherapy Incident Reporting and Analysis System. Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-5795. Email: brthomad@cars-pso.org.
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - Commentary
Team communication in the operating room.
Citation Text:
Davies JM. Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901.
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psnet.ahrq.gov/issue/patient-safety-cataract-surgery
September 23, 2020 - Review
Patient safety in cataract surgery.
Citation Text:
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
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psnet.ahrq.gov/issue/safety-first
June 09, 2011 - Newspaper/Magazine Article
Safety first.
Citation Text:
Feinmann J. Safety first. BMJ. 2009;338:b420. doi:10.1136/bmj.b420.
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psnet.ahrq.gov/issue/medicines-shadowside-revisiting-clinical-iatrogenesis
September 08, 2021 - Special or Theme Issue
Medicine's Shadowside: Revisiting Clinical Iatrogenesis.
Citation Text:
Medicine's Shadowside: Revisiting Clinical Iatrogenesis. Varley E, Varma S, eds. Anthropol Med. 2021;28(2);141-278.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
May 07, 2014 - Newspaper/Magazine Article
Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets.
Citation Text:
Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. ISMP Medication …
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psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-pembroke-hospital
May 24, 2023 - Book/Report
Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital.
Citation Text:
Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. Disability Law Center. Boston, MA: February 2018.
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psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
February 06, 2019 - Newspaper/Magazine Article
The health care industry needs to be more honest about medical errors.
Citation Text:
The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019.
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
Citation Text:
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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psnet.ahrq.gov/issue/making-medical-devices-safer-home
July 31, 2013 - Fact Sheet/FAQs
Making Medical Devices Safer at Home.
Citation Text:
Making Medical Devices Safer at Home. Consumer Updates. Silver Spring, MD: US Food and Drug Administration; December 12, 2012.
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psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Newspaper/Magazine Article
'No one is coming': hospice patients abandoned at death's door.
Citation Text:
'No one is coming': hospice patients abandoned at death's door. Aleccia J; Bailey M.
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psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
June 17, 2014 - Newspaper/Magazine Article
Awareness of patient safety grows with increased outpatient surgeries.
Citation Text:
Awareness of patient safety grows with increased outpatient surgeries. Aston G. Hosp Health Netw. September 9, 2014.
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psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
January 14, 2011 - Review
A review of organizational culture instruments for nurse executives.
Citation Text:
King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31.
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psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
July 10, 2019 - Newspaper/Magazine Article
Doctors can change opioid prescribing habits, but progress comes in small doses.
Citation Text:
Doctors can change opioid prescribing habits, but progress comes in small doses. Appleby J; Lucas E.
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psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
August 24, 2016 - Newspaper/Magazine Article
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
Citation Text:
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…
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psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
June 27, 2018 - Book/Report
Measuring the Success of the Regional Medication Safety Program for Hospitals.
Citation Text:
Measuring the Success of the Regional Medication Safety Program for Hospitals. Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
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