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psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
January 01, 2019 - Book/Report
How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety.
Citation Text:
How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness…
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psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
March 23, 2011 - Commentary
A tragic death: a time to blame or a time to learn?
Citation Text:
Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.
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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
Citation Text:
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - Webinar
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.
Citation Text:
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021.
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psnet.ahrq.gov/issue/criminalization-mistakes-nursing
June 13, 2011 - Commentary
The criminalization of mistakes in nursing.
Citation Text:
Philipsen NC. The Criminalization of Mistakes in Nursing. J Nurs Pract. 2011;7(9):719-726. doi:10.1016/j.nurpra.2011.07.004.
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psnet.ahrq.gov/issue/crime-workplace-part-1
September 11, 2024 - Commentary
Crime in the workplace, part 1.
Citation Text:
Pastorius D. Crime in the workplace, part 1. Nurs Manage. 2007;38(10):18, 20, 22, 24, 26-27.
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psnet.ahrq.gov/issue/dangers-diagnostic-overshadowing
October 26, 2022 - Commentary
Dangers of diagnostic overshadowing.
Citation Text:
Iezzoni LI. Dangers of Diagnostic Overshadowing. N Engl J Med. 2019;380(22):2092-2093. doi:10.1056/NEJMp1903078.
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - Commentary
A team training program using human factors to enhance patient safety.
Citation Text:
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
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psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
July 13, 2010 - Commentary
Complying with the 2008 national patient safety goals.
Citation Text:
Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J. 2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029.
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psnet.ahrq.gov/issue/blaming-others-threatening-events
November 25, 2009 - Review
Classic
Blaming others for threatening events.
Citation Text:
Blaming others for threatening events. Tennen H; Affleck G.
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psnet.ahrq.gov/issue/2012-john-m-eisenberg-patient-safety-and-quality-awards
November 30, 2016 - Award Recipient
2012 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2012 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2013;39(6):243-266.
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psnet.ahrq.gov/issue/nimodipine-capsules-marketed-nimotop
September 29, 2010 - Press Release/Announcement
Nimodipine Capsules (marketed as Nimotop).
Citation Text:
Nimodipine Capsules (marketed as Nimotop). MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; January 1, 2006.
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psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
June 09, 2021 - Commentary
Human factors in patient safety as an innovation.
Citation Text:
Carayon P. Human factors in patient safety as an innovation. Appl Ergon. 2010;41(5):657-65. doi:10.1016/j.apergo.2009.12.011.
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psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
June 21, 2023 - Audiovisual Presentation
The Sunday story: when hospitals don't say sorry.
Citation Text:
The Sunday story: when hospitals don't say sorry. Rascoe A, Gorenstein D. National Public Radio. January 21, 2024.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/feds-move-rein-prior-authorization-system-harms-and-frustrates-patients
June 01, 2022 - Newspaper/Magazine Article
Feds move to rein in prior authorization, a system that harms and frustrates patients.
Citation Text:
Feds move to rein in prior authorization, a system that harms and frustrates patients. Sausser L. Kaiser Health News. March 13, 2023.
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psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
April 12, 2011 - Commentary
Adverse outpatient drug events—a problem and an opportunity.
Citation Text:
Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9.
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psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
March 01, 2010 - Government Resource
Serious medication errors from intravenous administration of nimodipine oral capsules.
Citation Text:
Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA.
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