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psnet.ahrq.gov/issue/doing-harm
February 06, 2019 - Book/Report
Doing Harm.
Citation Text:
Doing Harm. Dusenbery M. New York, NY: HarperOne; 2018. ISBN: 9780062470805.
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/issue/announcing-2009-leapfrog-top-hospitals
June 21, 2023 - Press Release/Announcement
Announcing 2009 Leapfrog top hospitals.
Citation Text:
Announcing 2009 Leapfrog top hospitals. Washington, DC: Leapfrog Group; December 4, 2009.
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psnet.ahrq.gov/issue/strategies-addressing-health-care-worker-fatigue
March 28, 2012 - Book/Report
Strategies for Addressing Health Care Worker Fatigue.
Citation Text:
Strategies for Addressing Health Care Worker Fatigue. Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.
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psnet.ahrq.gov/issue/why-king-harbor-must-die
July 29, 2009 - Newspaper/Magazine Article
Why King-Harbor must die.
Citation Text:
Why King-Harbor must die. Wachter RM.
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psnet.ahrq.gov/issue/phantom-menace-sleep-deprived-doctors
February 06, 2013 - Newspaper/Magazine Article
The phantom menace of sleep-deprived doctors.
Citation Text:
The phantom menace of sleep-deprived doctors. Sanghavi D. New York Times Magazine. August 5, 2011.
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psnet.ahrq.gov/issue/professional-conduct-toolkit
January 04, 2009 - Toolkit
Professional Conduct Toolkit.
Citation Text:
Professional Conduct Toolkit. Washington, DC: US Department of Defense, Patient Safety Program.
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psnet.ahrq.gov/issue/impossible-workload-doctors-training
February 27, 2013 - Newspaper/Magazine Article
The impossible workload for doctors in training.
Citation Text:
The impossible workload for doctors in training. Chen PW.
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psnet.ahrq.gov/issue/clash-name-care
April 27, 2016 - Newspaper/Magazine Article
Clash in the name of care.
Citation Text:
Clash in the name of care. Abelson J, Saltzman J, Kowalcyzk L, Allen S. Boston Globe. October 26, 2015.
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psnet.ahrq.gov/issue/safety-and-reliability-pediatrics
December 06, 2011 - Special or Theme Issue
Safety and Reliability in Pediatrics.
Citation Text:
Safety and Reliability in Pediatrics. Jacobs BR, Coppes MJ, eds. Pediatr Clin North Am. 2012;59(6):1233-1388.
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
June 08, 2011 - Government Resource
Advancement toward High Reliability in Healthcare Awards.
Citation Text:
Advancement toward High Reliability in Healthcare Awards. Department of Defense Patient Safety Program; DoD PSP; DoD
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psnet.ahrq.gov/issue/inside-canadas-secret-world-medical-error-there-lot-lying-theres-lot-cover
September 23, 2009 - Newspaper/Magazine Article
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.'
Citation Text:
Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' Blackwell T.
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psnet.ahrq.gov/issue/how-maximize-patient-safety-when-prescribing-opioids
December 04, 2015 - Review
How to maximize patient safety when prescribing opioids.
Citation Text:
Kirpalani D. How to Maximize Patient Safety When Prescribing Opioids. PM R. 2015;7(11 Suppl):S225-S235. doi:10.1016/j.pmrj.2015.08.016.
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psnet.ahrq.gov/issue/putting-sleepy-resident-issue-bed-federal-legislation-not-answer-excessive-medical-resident
November 03, 2015 - Commentary
Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours.
Citation Text:
Putting the sleepy resident issue to bed: federal legislation is not the answer to excessive medical resident working hours. Stone …
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psnet.ahrq.gov/issue/too-exhausted-act-safely
June 28, 2016 - Newspaper/Magazine Article
Too exhausted to act safely?
Citation Text:
Too exhausted to act safely? Spath P. Hosp Peer Rev. 2006;31(4):56-59.
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psnet.ahrq.gov/issue/designing-safer-rotas-junior-doctors-48-hour-week
August 01, 2018 - Book/Report
Designing Safer Rotas for Junior Doctors in the 48-Hour Week.
Citation Text:
Designing Safer Rotas for Junior Doctors in the 48-Hour Week. Horrocks N, Pounder R. London, UK: Royal College of Physicians of London; 2006.
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psnet.ahrq.gov/issue/how-hospital-design-saves-lives
July 06, 2011 - Newspaper/Magazine Article
How hospital design saves lives.
Citation Text:
How hospital design saves lives. Blum A. Bloomberg. August 14, 2006.
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psnet.ahrq.gov/node/49825/psn-pdf
April 01, 2018 - a complicated medical history presented to the preoperative
clinic for evaluation in advance of a scheduled
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - Interpreting the Patient Safety Literature
June 1, 2005
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…