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psnet.ahrq.gov/issue/confusion-about-epinephrine-dosing-leading-iatrogenic-overdose-life-threatening-problem
August 04, 2021 - Commentary
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Citation Text:
Kanwar M, Irvin CB, Frank JJ, et al. Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a p…
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psnet.ahrq.gov/issue/delivering-quality-health-services-global-imperative-universal-health-coverage
July 20, 2011 - Book/Report
Classic
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.
Citation Text:
Delivering Quality Health Services: A Global Imperative for Universal Health Coverage. Geneva, Switzerland: World Health Organization; July …
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…
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psnet.ahrq.gov/issue/failure-weigh-patients-hospital-medication-safety-risk
April 22, 2015 - Study
Failure to weigh patients in hospital: a medication safety risk.
Citation Text:
Hilmer SN, Rangiah C, Bajorek B, et al. Failure to weigh patients in hospital: a medication safety risk. Intern Med J. 2007;37(9):647-50.
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psnet.ahrq.gov/node/39304/psn-pdf
February 17, 2010 - Pediatric antidepressant medication errors in a national
error reporting database.
February 17, 2010
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error
reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e3181ce6509.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/41331/psn-pdf
October 03, 2017 - Leading a highly visible hospital through a serious
reportable event.
October 3, 2017
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm.
2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
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psnet.ahrq.gov/node/45442/psn-pdf
October 12, 2016 - Radiotherapy Incident Reporting and Analysis System.
October 12, 2016
Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-
5795. Email: brthomad@cars-pso.org.
https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
Patient Safety Organizations en…
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psnet.ahrq.gov/node/39245/psn-pdf
January 20, 2010 - Adverse Events in Hospitals: Public Disclosure of
Information About Events.
January 20, 2010
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General;
January 5, 2010. Report No. OEI-06-09-00360.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-in…
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psnet.ahrq.gov/node/34869/psn-pdf
April 04, 2005 - Assessing patient safety in the United States: challenges
and opportunities.
April 4, 2005
Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and
opportunities. Med Care. 2005;43(3 Suppl):I42-I47.
https://psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenge…
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psnet.ahrq.gov/node/43919/psn-pdf
May 01, 2015 - Association of hospital participation in a quality reporting
program with surgical outcomes and expenditures for
Medicare beneficiaries.
May 1, 2015
Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality reporting
program with surgical outcomes and expenditures for Medicare ben…
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psnet.ahrq.gov/node/858171/psn-pdf
December 13, 2023 - Uncovering the risks of anticancer therapy through
incident report analysis using a newly developed medical
oncology incident taxonomy.
December 13, 2023
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report
analysis using a newly developed medical oncology in…
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psnet.ahrq.gov/node/36807/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety
in American Hospitals Study.
October 25, 2013
Denver, CO; Health Grades Inc; 2007.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-
study
This fourth annual report on the safety of hospitalized Medicar…
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psnet.ahrq.gov/node/36836/psn-pdf
January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry
into Children's Heart Surgery at the Bristol Royal
Infirmary 1984--1995.
January 29, 2015
Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002.
https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/learn-not-blame
November 14, 2011 - Multi-use Website
Learn Not Blame.
Citation Text:
Learn Not Blame. Doctors' Association UK.
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July 31, 2019
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psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
October 20, 2021 - Government Resource
High Quality Care for All: NHS Next Stage Review Final Report.
Citation Text:
High Quality Care for All: NHS Next Stage Review Final Report. Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
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psnet.ahrq.gov/issue/200-epidural-blunders-admitted-after-three-women-die
March 18, 2020 - Newspaper/Magazine Article
200 epidural blunders admitted after three women die.
Citation Text:
200 epidural blunders admitted after three women die. Oakeshott I. The Sunday Times. June 18 2006.
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psnet.ahrq.gov/issue/patient-safety-canada-update
December 04, 2019 - Book/Report
Patient Safety in Canada: An Update.
Citation Text:
Patient Safety in Canada: An Update. Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
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psnet.ahrq.gov/issue/safety-first-one-year
December 24, 2007 - Book/Report
Safety First: One Year On.
Citation Text:
Safety First: One Year On. London, England: National Patient Safety Agency; 2008.
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psnet.ahrq.gov/node/47570/psn-pdf
December 05, 2018 - An electronic health record–based real-time analytics
program for patient safety surveillance and improvement.
December 5, 2018
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For
Patient Safety Surveillance And Improvement. Health Aff (Millwood). 2018;37(11):1805-181…