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psnet.ahrq.gov/node/37169/psn-pdf
October 06, 2011 - The safety journal: lessons learned with an error
reporting tool to stimulate systems thinking.
October 6, 2011
Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141.
doi:10.1097/0b013e31814258db.
https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-s…
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psnet.ahrq.gov/node/39361/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not
Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-
Fold; Lower Colchicine Dose Effective and Safer. Hosp Pharm. 201…
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psnet.ahrq.gov/node/39469/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check;
Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
Thi…
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psnet.ahrq.gov/issue/ai-health-huge-potential-huge-risks
October 11, 2023 - Book/Report
AI in Health: Huge Potential, Huge Risks.
Citation Text:
Paris, France: OECD Publishing; 2024.
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April 3, 2024
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Detection of Safety Hazards
September 15, 2024
Detection of Safety Hazards. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/detection-safety-hazards
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient s…
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psnet.ahrq.gov/issue/enhancing-prescription-medicine-adherence-national-plan
April 28, 2021 - Book/Report
Enhancing Prescription Medicine Adherence: A National Plan.
Citation Text:
Enhancing Prescription Medicine Adherence: A National Plan. Rockville, MD: National Council on Patient Information and Education; 2007.
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psnet.ahrq.gov/issue/safety-subject-science
January 16, 2017 - Commentary
Is safety a subject for science?
Citation Text:
Hollnagel E. Is safety a subject for science? Safety Sci. 2013;67:21-24. doi:10.1016/j.ssci.2013.07.025.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - Newspaper/Magazine Article
The rise of patient safety organizations.
Citation Text:
The rise of patient safety organizations. Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
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psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
March 14, 2018 - Book/Report
Beyond the Quick Fix: Strategies for Improving Patient Safety.
Citation Text:
Beyond the Quick Fix: Strategies for Improving Patient Safety. Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015.
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psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - Image/Poster
Suicidal patient slips through the cracks.
Citation Text:
Suicidal patient slips through the cracks. Oakbrook Terrace, IL: Joint Commission: October 2019.
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
May 04, 2022 - Book/Report
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System.
Citation Text:
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System. Stremikis K, Schoen C, Fryer AK. Issue Brief. Washington DC: The …
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psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
July 14, 2021 - Book/Report
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk.
Citation Text:
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Geneva, Switzer…
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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/superbug-scourge-spreads-us-fails-track-rising-human-toll
September 29, 2021 - Newspaper/Magazine Article
'Superbug' scourge spreads as U.S. fails to track rising human toll.
Citation Text:
'Superbug' scourge spreads as U.S. fails to track rising human toll. McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
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psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
May 06, 2015 - Book/Report
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development.
Citation Text:
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Deve…
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psnet.ahrq.gov/issue/positive-patient-identification
June 19, 2024 - Book/Report
Positive Patient Identification.
Citation Text:
Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety Investigations Body; February 2024.
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psnet.ahrq.gov/issue/ethics-governance-artificial-intelligence-health
August 18, 2021 - Book/Report
Ethics & Governance of Artificial Intelligence for Health.
Citation Text:
Ethics & Governance of Artificial Intelligence for Health. Health Ethics & Governance, World Health Organization. Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240029200…
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psnet.ahrq.gov/issue/rethinking-patient-safety
April 13, 2018 - Book/Report
Rethinking Patient Safety.
Citation Text:
Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541.
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psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
February 22, 2017 - Book/Report
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.
Citation Text:
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
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