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psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adverse-events
May 22, 2019 - Commentary
ACOG Committee Opinion #681: disclosure and discussion of adverse events.
Citation Text:
Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261.
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psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
August 17, 2005 - Study
Three Australian whistleblowing sagas: lessons for internal and external regulation.
Citation Text:
Faunce TA, Bolsin SNC. Three Australian whistleblowing sagas: lessons for internal and external regulation. Med J Aust. 2004;181(1):44-7.
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psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
December 01, 2010 - Commentary
Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.
Citation Text:
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
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psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
December 16, 2020 - Book/Report
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector.
Citation Text:
Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022.
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psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
March 06, 2019 - Book/Report
Patient Options for Safe and Effective Disposal of Unused Opioids.
Citation Text:
Patient Options for Safe and Effective Disposal of Unused Opioids. Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-650.
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psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
July 26, 2023 - Tools/Toolkit
Adverse Events Toolkit: Clinical Guidance for Identifying Harm
Citation Text:
Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…
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psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
August 28, 2019 - Commentary
Improving diagnosis by improving education: a policy brief on education in healthcare professions.
Citation Text:
Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):…
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psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
April 21, 2011 - Commentary
Stepping out further from the shadows: disclosure of harmful radiologic errors to patients.
Citation Text:
Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…
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psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
April 20, 2022 - Grant Announcement
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18).
Citation Text:
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Rockville, MD: Age…
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - Multi-use Website
Adverse Events.
Citation Text:
Adverse Events. United States Office of the Inspector General: 2010-2023.
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - Commentary
The PRIDx framework to engage payers in reducing diagnostic errors in healthcare.
Citation Text:
Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042…
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psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
October 07, 2020 - Book/Report
Discharge from Mental Health Care: Making it Safe and Patient-centred.
Citation Text:
Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024.
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psnet.ahrq.gov/issue/perianesthesia-nursing-advocacy-influential-voice-patient-safety
June 08, 2022 - Commentary
Perianesthesia nursing advocacy: an influential voice for patient safety.
Citation Text:
Windle PE, Mamaril M, Fossum S. Perianesthesia nursing advocacy: an influential voice for patient safety. J Perianesth Nurs. 2008;23(3):163-71. doi:10.1016/j.jopan.2008.03.008.
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psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
December 16, 2015 - Review
Tubing misconnections: normalization of deviance.
Citation Text:
Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134.
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psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
December 16, 2009 - Study
Physician communication when prescribing new medications.
Citation Text:
Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862.
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psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
January 27, 2021 - Commentary
Using technology to promote perinatal patient safety.
Citation Text:
McCartney PR. Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(3):424-31.
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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - Commentary
Standardizing hand-off processes.
Citation Text:
Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Study
Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Citation Text:
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…
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psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
February 24, 2016 - Newspaper/Magazine Article
Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors.
Citation Text:
Government and industry fail to protect the public when they suggest "carefully following instructions" i…
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psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
April 25, 2018 - Commentary
Maximizing smart pump technology to enhance patient safety.
Citation Text:
Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139.
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