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psnet.ahrq.gov/issue/nurses-perspective-serious-adverse-drug-event
August 29, 2007 - Commentary
Nurses' perspective on a serious adverse drug event.
Citation Text:
Golz B, Fitchett L. Nurses' perspective on a serious adverse drug event. Am J Health Syst Pharm. 1999;56(9):904-7.
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psnet.ahrq.gov/issue/reflecting-change
December 02, 2009 - Commentary
Reflecting on change.
Citation Text:
Wagstaff R. Reflecting on change. Nurs Manag (Harrow). 2006;13(2):12-7.
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psnet.ahrq.gov/issue/perception-intimidation-perioperative-setting
November 03, 2010 - Study
Perception of intimidation in a perioperative setting.
Citation Text:
Dull DL, Fox L. Perception of intimidation in a perioperative setting. Am J Med Qual. 2010;25(2):87-94. doi:10.1177/1062860609352107.
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psnet.ahrq.gov/issue/five-pitfalls-decisions-about-diagnosis-and-prescribing
April 26, 2017 - Commentary
Five pitfalls in decisions about diagnosis and prescribing.
Citation Text:
Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005;330(7494):781-3.
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psnet.ahrq.gov/issue/interview-jerry-gurwitz
August 11, 2010 - Award Recipient
An interview with Jerry Gurwitz.
Citation Text:
Gurwitz JH. An interview with Jerry Gurwitz. Interview by David Bates. Jt Comm J Qual Patient Saf. 2006;32(12):667-671.
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psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
October 26, 2022 - Commentary
A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose.
Citation Text:
Sim MT, Stevenson FT. A fatal case of iatrogenic hypercalcemia after calcium channel blocker overdose. J Med Toxicol. 2008;4(1):25-9.
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psnet.ahrq.gov/issue/resistance-patient-safety-initiatives
November 26, 2014 - Newspaper/Magazine Article
Resistance to patient safety initiatives.
Citation Text:
O'Connor EJ, Fiol M. Resistance to patient safety initiatives. Physician executive. 2005;31(6):64-7.
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - Review
Are long physician working hours harmful to patient safety?
Citation Text:
Ehara A. Pediatr Int. 2008;50:175-178.
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psnet.ahrq.gov/issue/collaborating-manage-vendor-interactions-and-protect-quality-care-or
October 14, 2020 - Commentary
Collaborating to manage vendor interactions and protect quality of care in the OR.
Citation Text:
Gutman ME. Collaborating to manage vendor interactions and protect quality of care in the OR. Journal of Healthcare Risk Management. 2009;25(3). doi:10.1002/jhrm.5600250306.
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psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
June 01, 2022 - Study
A salutary tale of mistaken identity in testicular cancer.
Citation Text:
Waterston A, Seywright M, White J. A salutary tale of mistaken identity in testicular cancer. Urol Oncol. 2006;24(5):407-9.
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psnet.ahrq.gov/issue/patient-safety-synonymous-quality-nursing-care-should-it-be-brief-discourse
July 15, 2020 - Commentary
Is patient safety synonymous with quality nursing care? Should it be? A brief discourse.
Citation Text:
Carroll S. Is patient safety synonymous with quality nursing care? Should it be? A brief discourse. Qual Manag Health Care. 2005;14(4):229-33.
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psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - Study
A quality improvement study: medication error leading to thyrotoxicosis and death.
Citation Text:
Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3.
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psnet.ahrq.gov/issue/patient-safety-mindful-meaningful-and-fulfilling
October 20, 2021 - Commentary
Patient safety: mindful, meaningful, and fulfilling.
Citation Text:
Winokur SC, Beauregard KJ. Patient safety: mindful, meaningful, and fulfilling. Front Health Serv Manage. 2005;22(1):17-32.
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psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - Study
Integrating patient safety in the OMFS curriculum: survey of 4-year residency programs.
Citation Text:
Buhrow SM, Buhrow JA. Integrating Patient Safety in the OMFS Curriculum: Survey of 4-Year Residency Programs. J Patient Saf. 2016;12(4):197-203.
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psnet.ahrq.gov/issue/safety-culture-indian-hospitals-cultural-adaptation-safety-attitudes-questionnaire
July 29, 2020 - Study
Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.
Citation Text:
Patel S, Wu AW. Safety Culture in Indian Hospitals: A Cultural Adaptation of the Safety Attitudes Questionnaire. J Patient Saf. 2016;12(2):75-81. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/periodic-issue/periodic-issue-450
August 28, 2024 - July 31, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/periodic-issue/periodic-issue-449
July 10, 2024 - July 24, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications
Citation Text:
Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011…
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psnet.ahrq.gov/web-mm/deciphering-code
November 16, 2022 - Deciphering the Code
Citation Text:
Goldstein MK. Deciphering the Code. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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