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Death by handwriting. | PSNet

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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet

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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…

Improving operating room safety. | PSNet

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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

Pharmacist involvement in a rapid-response team at a community hospital. | PSNet

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August 08, 2018 - Commentary Pharmacist involvement in a rapid-response team at a community hospital. Citation Text: Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8. Copy Citation Format: Google Scholar PubMe…

Nursing home error and level of staff credentials. | PSNet

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September 24, 2010 - Study Nursing home error and level of staff credentials. Citation Text: Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet

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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. …

Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. | PSNet

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October 02, 2013 - Book/Report Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. Citation Text: Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…

Improving process while changing practice: FMEA and medication administration. | PSNet

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January 18, 2011 - Commentary Improving process while changing practice: FMEA and medication administration. Citation Text: Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. Copy Citation Format: DOI…

Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. | PSNet

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May 21, 2014 - Book/Report Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. Citation Text: Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. Hillestad R, Bigelow …

Assessment of patient safety research from an organizational ergonomics and structural perspective. | PSNet

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September 09, 2011 - Review Assessment of patient safety research from an organizational ergonomics and structural perspective. Citation Text: Schutz AL, Counte MA, Meurer S. Assessment of patient safety research from an organizational ergonomics and structural perspective. Ergonomics. 2007;50(9):1451-84. …

Doctors are more dangerous than gun owners: a rejoinder to error counting. | PSNet

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June 24, 2020 - Commentary Doctors are more dangerous than gun owners: a rejoinder to error counting. Citation Text: Dekker SWA. Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors. 2007;49(2):177-84. Copy Citation Format: Google Scholar PubMed BibTeX E…

Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. | PSNet

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September 04, 2024 - Commentary Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. Citation Text: Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.…

ACOG Committee Opinion #681: disclosure and discussion of adverse events. | PSNet

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May 22, 2019 - Commentary ACOG Committee Opinion #681: disclosure and discussion of adverse events. Citation Text: Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. Copy Citation Format: Google Scholar…

Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory

May 11, 2016 - Book/Report Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Citation Text: Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…

When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet

psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer

March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

Improving patient safety through transparency. | PSNet

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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. | PSNet

psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe

March 10, 2021 - Newspaper/Magazine Article Classic Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…

Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians. | PSNet

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. Copy Citati…

Negotiating medical virtues: toward the development of a physician mistake disclosure model. | PSNet

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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…

Improving the Emergency Department Discharge Process. | PSNet

psnet.ahrq.gov/issue/improving-emergency-department-discharge-process

April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…

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