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psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
September 29, 2021 - Book/Report
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.
Citation Text:
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
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psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital
May 28, 2014 - Newspaper/Magazine Article
Ambulance crew in Chicago got lost trying to find hospital.
Citation Text:
Ambulance crew in Chicago got lost trying to find hospital. News Services. Washington Post. October 25, 2007
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psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
May 11, 2022 - Newspaper/Magazine Article
‘You’re going to release him when he was hurting himself?’
Citation Text:
‘You’re going to release him when he was hurting himself?’ Dahlberg B. Kaiser Health News. September 29, 2020.
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psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period
October 19, 2022 - Review
Pediatric medication errors and reduction strategies in the perioperative period.
Citation Text:
Pediatric medication errors and reduction strategies in the perioperative period. Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324.
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Newspaper/Magazine Article
Overreaction.
Citation Text:
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
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psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide
March 23, 2022 - Newspaper/Magazine Article
Could CDC guidelines be driving some opioid patients to suicide?
Citation Text:
Could CDC guidelines be driving some opioid patients to suicide? Dickson EJ. Rolling Stone. March 9, 2019.
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psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
August 03, 2016 - Commentary
Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach.
Citation Text:
Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…
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psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
April 10, 2024 - Commentary
War games and diagnostic errors.
Citation Text:
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342. doi:10.1136/bmj.i6342.
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psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
May 29, 2024 - Webinar
The Impact of Artificial Intelligence (AI) on the Safety of Patients.
Citation Text:
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
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psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
December 14, 2010 - Commentary
Reducing latent errors, drift errors, and stakeholder dissonance.
Citation Text:
Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955.
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psnet.ahrq.gov/issue/medicine-safety-take-care
February 21, 2018 - Book/Report
Medicine Safety: Take Care.
Citation Text:
Medicine Safety: Take Care. Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019.
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - Book/Report
Classic
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed.
Citation Text:
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
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psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
August 23, 2017 - Book/Report
Learning From Serious Failings in Care: Main Report.
Citation Text:
Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015.
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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psnet.ahrq.gov/issue/technical-series-safer-primary-care
November 19, 2014 - Book/Report
Technical Series on Safer Primary Care.
Citation Text:
Technical Series on Safer Primary Care. Geneva, Switzerland: World Health Organization; 2016.
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psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
October 09, 2013 - Book/Report
Strategic Plan for Preventing and Mitigating Drug Shortages.
Citation Text:
Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013.
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psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Commentary
The partnership with patients: a call to action for leaders.
Citation Text:
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121. doi:10.1097/PTS.0b013e31822d6f2a.
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - Multi-use Website
2006 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2006 Update on Consumers' Views of Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation; 2006.
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