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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - July 2, 2019
The safety journal: lessons learned with an error reporting tool to stimulate
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - Safety and sedation-associated adverse event reporting among patients undergoing endoscopic cholangiopancreatography
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Documentation Adherence to a standardized frozen section examination protocol to ensure consistency in reporting
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - Alternatively, the clinical laboratory may consider withholding the reporting of any lab results
affected
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - to measure and report results: at least one person with data related skills who can use the EHR
for reporting
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - March 21, 2012
A study of error reporting by nurses: the significant impact of nursing
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
August 01, 2012 - Book/Report
Guide to Patient and Family Engagement: Environmental Scan Report.
Citation Text:
Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…
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psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report
October 24, 2024 - Book/Report
Mid Staffordshire NHS Foundation Trust Quality Report.
Citation Text:
Mid Staffordshire NHS Foundation Trust Quality Report. Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014.
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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - Newspaper/Magazine Article
Analysis of reported drug interactions: a recipe for harm to patients.
Citation Text:
Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - Government Resource
Guidance on Safe Medical Staffing: Report of a Working Party.
Citation Text:
Guidance on Safe Medical Staffing: Report of a Working Party. London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270.
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psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - Study
The impact of duty hours on resident self reports of errors.
Citation Text:
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9.
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psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
March 30, 2022 - Government Resource
Health Information Technology Leadership Panel: Final Report.
Citation Text:
Health Information Technology Leadership Panel: Final Report. Lewin Group: Falls Church, VA; March 2005.
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say?
Citation Text:
Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115.
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - Book/Report
Patient Safety, Spring 2019 Final CDP Report.
Citation Text:
Patient Safety, Spring 2019 Final CDP Report. Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020.
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report.
Citation Text:
Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
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psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care
March 30, 2016 - Newspaper/Magazine Article
Inquiry into reporter's death finds multiple failures in care.
Citation Text:
Inquiry into reporter's death finds multiple failures in care. Stout D. New York Times. June 17, 2006.
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psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - Newspaper/Magazine Article
Report focuses on risk to patients from ED errors.
Citation Text:
Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019.
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psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
May 19, 2021 - Book/Report
Peer Review of a Report on Strategies to Improve Patient Safety.
Citation Text:
Peer Review of a Report on Strategies to Improve Patient Safety. Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808.
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psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008
March 26, 2015 - Study
Oncology medication safety: a 3D status report 2008.
Citation Text:
Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634.
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-status-report-2007
June 01, 2004 - Commentary
Disclosing medical errors to patients: a status report in 2007.
Citation Text:
Levinson W, Gallagher TH. Disclosing medical errors to patients: a status report in 2007. CMAJ. 2007;177(3):265-7.
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