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psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
November 16, 2022 - Study
Error detection and recovery in dialysis nursing.
Citation Text:
Wilkinson WE, Cauble LA, Patel VL. Error detection and recovery in dialysis nursing. J Patient Saf. 2011;7(4):213-23. doi:10.1097/PTS.0b013e3182388d20.
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psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
June 17, 2014 - Commentary
How to avoid the 'seven deadly sins of surgery.'
Citation Text:
Kirby R, Challacombe B, Dasgupta P, et al. How to avoid the 'seven deadly sins of surgery'. BJU Int. 2012;109(2):171-3. doi:10.1111/j.1464-410X.2011.10802.x.
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psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
June 01, 2012 - Review
Safety skills for clinicians: an essential component of patient safety.
Citation Text:
Taylor-Adams S, Brodie A, Vincent CA. Safety Skills for Clinicians. J Patient Saf. 2008;4(3):141-147. doi:10.1097/pts.0b013e3181809631.
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psnet.ahrq.gov/issue/exploring-information-chaos-community-pharmacy-handoffs
May 11, 2016 - Study
Exploring information chaos in community pharmacy handoffs.
Citation Text:
Chui MA, Stone JA. Exploring information chaos in community pharmacy handoffs. Res Social Adm Pharm. 2014;10(1):195-203. doi:10.1016/j.sapharm.2013.04.009.
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psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
January 16, 2019 - Government Resource
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.
Citation Text:
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. Kutner M, Greenberg E, Jin Y, et al. Washin…
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
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psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
August 30, 2017 - Study
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.
Citation Text:
Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…
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psnet.ahrq.gov/issue/certified-pharmacy-technicians-views-their-medication-preparation-errors-and-educational
June 03, 2015 - Study
Certified pharmacy technicians' views on their medication preparation errors and educational needs.
Citation Text:
Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational needs. Am J Health Syst Pharm. 2005;62(19):1992-7.
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psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
January 26, 2022 - Newspaper/Magazine Article
Patients went into the hospital for care. After testing positive there for Covid, some never came out.
Citation Text:
Patients went into the hospital for care. After testing positive there for Covid, some never came out. Jewett C. Kaiser Health News. November 4…
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psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
May 20, 2009 - Legislation/Case Law
Southern Baptist Hospital of Florida v. Charles.
Citation Text:
Southern Baptist Hospital of Florida v. Charles. Fla Ct App, 1st Dist. October 28, 2015.
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psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
June 03, 2015 - Commentary
Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.
Citation Text:
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
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psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
December 21, 2014 - Newspaper/Magazine Article
Rapid response teams: ten essentials leaders need to know.
Citation Text:
Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive. 2006;21(4):28-32, 34.
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Congressional Testimony
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm.
Citation Text:
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…
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psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
January 31, 2024 - Commentary
AHRQ focuses on ambulatory patient safety.
Citation Text:
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124.
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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - Commentary
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].
Citation Text:
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant …
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psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
June 14, 2017 - Book/Report
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar.
Citation Text:
Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
October 08, 2024 - Press Release/Announcement
Common Formats for Patient Safety Data Collection.
Citation Text:
Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992.
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psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
June 28, 2023 - Newspaper/Magazine Article
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Citation Text:
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…
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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Citation Text:
Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73.
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