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psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
February 22, 2023 - Book/Report
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting.
Citation Text:
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association; 2009.
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psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Special or Theme Issue
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections.
Citation Text:
Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
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psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
October 07, 2020 - Book/Report
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS.
Citation Text:
Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - Newspaper/Magazine Article
Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy.
Citation Text:
Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024.
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - Study
Medication error reduction and the use of PDA technology.
Citation Text:
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07.
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psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
December 19, 2016 - Newspaper/Magazine Article
Errors originating in hospital and health-system outpatient pharmacies.
Citation Text:
Errors originating in hospital and health-system outpatient pharmacies. Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
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psnet.ahrq.gov/issue/harms-way
July 08, 2009 - Commentary
In harm's way.
Citation Text:
Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037.
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psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
July 10, 2024 - Newspaper/Magazine Article
Medication reconciliation only as good as the IT allows.
Citation Text:
Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks. 2011;85(3):48, 50.
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psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
January 16, 2019 - Government Resource
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.
Citation Text:
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. Kutner M, Greenberg E, Jin Y, et al. Washin…
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psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19
November 11, 2020 - Meeting/Conference Proceedings
Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19.
Citation Text:
Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. National Academy of Medicine. April-June 2020.
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psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
February 28, 2011 - Commentary
Instrument count sheets and set reviews as patient safety tools.
Citation Text:
Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007.
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psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
October 17, 2018 - Commentary
Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context.
Citation Text:
Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the cont…
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psnet.ahrq.gov/issue/enhancing-culture-safety-through-disclosure-adverse-events
October 26, 2022 - Newspaper/Magazine Article
Enhancing a culture of safety through disclosure of adverse events.
Citation Text:
Enhancing a culture of safety through disclosure of adverse events. Cornelissen C, Call RC, Harbell MW, et al. APSF Newsletter. February 202136(1);25-27
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psnet.ahrq.gov/issue/preventing-retained-surgical-items
December 07, 2022 - Commentary
Preventing retained surgical items.
Citation Text:
Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697.
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - Commentary
The high costs of unnecessary care.
Citation Text:
Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193.
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psnet.ahrq.gov/issue/open-notes-shines-light-errors-patient-medical-records-will-new-rule-lead-flood-correction
March 27, 2024 - Newspaper/Magazine Article
Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests?
Citation Text:
Open Notes shines light on errors in patient medical records — will the new rule lead to a flood of correction requests? Clar…
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psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
June 07, 2017 - Commentary
Retained lumbar catheter tip.
Citation Text:
DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713.
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psnet.ahrq.gov/issue/do-no-unconscious-harm
October 14, 2020 - Newspaper/Magazine Article
Do no unconscious harm.
Citation Text:
Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698.
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psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
July 19, 2023 - Newspaper/Magazine Article
'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols?
Citation Text:
'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Renault M. STAT. February 6, 2023.
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - Newspaper/Magazine Article
Using information from external errors to signal a "clear and present danger."
Citation Text:
Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5.
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