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psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
May 27, 2021 - Commentary
Leadership and vision for a culture of safety.
Citation Text:
Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. February 8, 2018.
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Review
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Citation Text:
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. Copeland AW. UpToDate. April 10, 2023.
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psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
March 29, 2023 - Newspaper/Magazine Article
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.
Citation Text:
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage. Russell S.
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psnet.ahrq.gov/issue/human-error-medicine
July 06, 2011 - Book/Report
Classic
Human Error in Medicine.
Citation Text:
Human Error in Medicine. Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852.
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psnet.ahrq.gov/issue/improving-patient-and-worker-safety-opportunities-synergy-collaboration-and-innovation
May 30, 2012 - Book/Report
Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation.
Citation Text:
Improving Patient and Worker Safety—Opportunities for Synergy, Collaboration and Innovation. Oakbrook Terrace, IL: Joint Commission; 2012.
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psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
October 21, 2020 - Newspaper/Magazine Article
Doing the "right" things to correct wrong-site surgery.
Citation Text:
Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - Newspaper/Magazine Article
Mistakes even good doctors make.
Citation Text:
Mistakes even good doctors make. Consumer Reports on Health. November 2013;25:6-7.
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psnet.ahrq.gov/issue/fear-punitive-response-hospital-errors-lingers
October 30, 2008 - Newspaper/Magazine Article
Fear of punitive response to hospital errors lingers.
Citation Text:
Fear of punitive response to hospital errors lingers. O'Reilly KB. American Medical News. February 20, 2012.
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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/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
June 07, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps.
Citation Text:
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Horsham, PA: Institute for Safe Medication Practices; 2020.
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psnet.ahrq.gov/issue/accountability-patient-safety-and-policy-reform
March 29, 2007 - Book/Report
Accountability: Patient Safety and Policy Reform.
Citation Text:
Accountability: Patient Safety and Policy Reform. Sharpe VA, ed. Washington DC: Georgetown University Press; 2004. ISBN 9781589010239.
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psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
January 07, 2015 - Newspaper/Magazine Article
Robotic-assisted surgery: focus on training and credentialing.
Citation Text:
Robotic-assisted surgery: focus on training and credentialing. Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101.
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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - Newspaper/Magazine Article
Understanding and managing IV container overfill.
Citation Text:
Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
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psnet.ahrq.gov/issue/thirty-safe-practices-better-health-care
December 24, 2008 - Government Resource
Thirty Safe Practices for Better Health Care.
Citation Text:
Thirty Safe Practices for Better Health Care. AHRQ; Agency for Healthcare Research and Quality; NQF; National Quality Forum
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psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
June 17, 2014 - Multi-use Website
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital.
Citation Text:
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. American Society of Health-System Pharmacists
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psnet.ahrq.gov/issue/fentanyl-patch-fatalities-linked-bystander-apathy-we-all-have-role-prevention
May 07, 2014 - Newspaper/Magazine Article
FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention!
Citation Text:
FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention! ISMP Medication Safety Alert! Acute care edition! August 8, 2013…
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psnet.ahrq.gov/issue/hospital-safety-records-ceo-pay-increasingly-linked
March 03, 2010 - Newspaper/Magazine Article
Hospital safety records, CEO pay increasingly linked.
Citation Text:
Hospital safety records, CEO pay increasingly linked. Wilson B. American Medical News: November 26, 2007.
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psnet.ahrq.gov/issue/communication-nurses-how-prevent-harmful-events-and-promote-patient-safety
January 04, 2017 - Book/Report
Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety.
Citation Text:
Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. Schuster PM, Nykolyn L. Philadelphia, PA: F.A. Davis Company; 2010. ISBN: 9780803625303. …
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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite new procedures.
Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. Rojas-Burke J.
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psnet.ahrq.gov/issue/2-mso-programs-show-value-safety-position
January 14, 2019 - Newspaper/Magazine Article
2 MSO programs show value of safety position.
Citation Text:
2 MSO programs show value of safety position. Wild D. Pharmacy Practice News. November 8, 2018.
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