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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - Newspaper/Magazine Article
Death by handwriting.
Citation Text:
Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.
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psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm
December 18, 2019 - Newspaper/Magazine Article
As university hospital hounds debtors, doctors say it's doing harm.
Citation Text:
As university hospital hounds debtors, doctors say it's doing harm. Garcia-Navarro L. Weekend Edition Sunday. National Public Radio. December 1, 2019.
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psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
May 20, 2009 - Commentary
CMS's hospital-acquired condition lists link hospital payment, patient safety.
Citation Text:
Clancy CM. CMS's hospital-acquired condition lists link hospital payment, patient safety. Am J Med Qual. 2009;24(2):166-8. doi:10.1177/1062860608331241.
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Book/Report
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports.
Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Study
Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Citation Text:
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…
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psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
May 22, 2019 - Organizational Policy/Guidelines
ACOG Committee Opinion #531: improving medication safety.
Citation Text:
Improvement C on PS and Q. Committee opinion No. 531: improving medication safety. Obstet Gynecol. 2012;120(2 Pt 1):406-410. doi:10.1097/AOG.0b013e3182680478.
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psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
May 13, 2015 - Commentary
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.
Citation Text:
Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
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psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
November 04, 2020 - Commentary
Medical error and vulnerable communities.
Citation Text:
Medical error and vulnerable communities. Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392.
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psnet.ahrq.gov/issue/less-discussed-consequence-healthcares-labor-shortage
April 12, 2023 - Newspaper/Magazine Article
The less-discussed consequence of healthcare's labor shortage.
Citation Text:
The less-discussed consequence of healthcare's labor shortage. Bean M, Masson G. Becker's Hospital Review. October 4, 2021.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
March 09, 2016 - Commentary
Implementing a pediatric surgical safety checklist in the OR and beyond.
Citation Text:
Norton EK, Rangel SJ. Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. AORN J. 2010;92(1). doi:10.1016/j.aorn.2009.11.069.
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psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
June 08, 2011 - Commentary
A considerative checklist to ensure safe daily patient review.
Citation Text:
Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023.
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psnet.ahrq.gov/issue/improving-operating-room-safety
May 17, 2023 - Study
Improving operating room safety.
Citation Text:
Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-9493-3-25.
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psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
May 27, 2011 - Commentary
One system's journey in creating a disclosure and apology program.
Citation Text:
Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96.
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psnet.ahrq.gov/issue/aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
June 07, 2023 - Commentary
Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.
Citation Text:
McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older physicians. Ann Emerg Med. 2011;58(3):A15-A17.
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psnet.ahrq.gov/issue/negotiating-medical-virtues-toward-development-physician-mistake-disclosure-model
June 14, 2017 - Commentary
Negotiating medical virtues: toward the development of a physician mistake disclosure model.
Citation Text:
Hannawa AF. Negotiating medical virtues: toward the development of a physician mistake disclosure model. Health Comm. 2009;24(5):391-399. doi:10.1080/10410230903023279…
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psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
September 09, 2009 - Commentary
Can you prevent adverse drug events after hospital discharge?
Citation Text:
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
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psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words
July 10, 2008 - Commentary
The iatrogenic potential of the physician's words.
Citation Text:
Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216.
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psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
January 12, 2011 - Commentary
The silent epidemic--the health effects of illiteracy.
Citation Text:
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
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psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
September 04, 2024 - Commentary
Improving patient safety through transparency.
Citation Text:
Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960.
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