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psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
May 06, 2009 - Study
Assessing and monitoring override medications in automated dispensing devices.
Citation Text:
Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17.
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psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
January 25, 2023 - Study
Fatality involving vinblastine overdose as a result of a complex medical error.
Citation Text:
Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95.
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psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - Commentary
Interruptions and medication errors: part I.
Citation Text:
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b.
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psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
March 30, 2022 - Study
Emergency department crowding: the canary in the health care system.
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doi:10.1056/CAT.21.0217.
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psnet.ahrq.gov/issue/accuracies-diagnostic-methods-acute-appendicitis
September 06, 2017 - Study
Accuracies of diagnostic methods for acute appendicitis.
Citation Text:
Park JS, Jeong JH, Lee JI, et al. Accuracies of diagnostic methods for acute appendicitis. Am Surg. 2013;79(1):101-106.
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psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
July 03, 2016 - Organizational Policy/Guidelines
Handoffs: transitions of care for children in the emergency department.
Citation Text:
Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…
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psnet.ahrq.gov/issue/restoring-trust-va-health-care
June 21, 2016 - Commentary
Restoring trust in VA health care.
Citation Text:
Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852.
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2011
November 02, 2012 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011. Oakbrook Terrace, IL: The Joint Commission; September 2011.
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psnet.ahrq.gov/issue/tubing-misconnections-persistent-and-potentially-deadly-occurrence
March 14, 2018 - Newspaper/Magazine Article
Tubing misconnections—a persistent and potentially deadly occurrence.
Citation Text:
Organizations USAJC on A of H. Tubing misconnections--a persistent and potentially deadly occurrence. Sentinel event alert. 2006;(36):1-3.
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psnet.ahrq.gov/issue/hospital-governance-and-quality-care
May 05, 2010 - Study
Hospital governance and the quality of care.
Citation Text:
Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7. doi:10.1377/hlthaff.2009.0297.
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psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - Commentary
The technologist's role in patient safety and quality in medical imaging.
Citation Text:
Watson L, Odle TG. The technologist's role in patient safety and quality in medical imaging. Radiol Technol. 2013;84(5):536-41.
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psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
August 28, 2019 - Book/Report
Advances in Human Factors and Ergonomics in Healthcare and Medical Devices.
Citation Text:
Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - Newspaper/Magazine Article
Many people of color worry good health care is tied to their appearance.
Citation Text:
Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
November 23, 2016 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Oakbrook Terrace, IL: The Joint Commission; September 2010.
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psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
May 20, 2020 - Book/Report
Incidence of Adverse Events in Indian Health Service Hospitals.
Citation Text:
Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.
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psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
August 07, 2013 - Commentary
Human factors and systems engineering approach to patient safety for radiotherapy.
Citation Text:
Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177.
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psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
September 12, 2016 - Newspaper/Magazine Article
Taking risky business out of the MRI suite.
Citation Text:
Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23.
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psnet.ahrq.gov/issue/they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid-emergency
May 27, 2020 - Newspaper/Magazine Article
‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care.
Citation Text:
‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care. Bruggeman L, Bhatt J. ABC New…
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psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
September 22, 2021 - Newspaper/Magazine Article
How nursing homes’ worst offenses are hidden from the public.
Citation Text:
How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021.
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psnet.ahrq.gov/issue/full-disclosure-and-apology-idea-whose-time-has-come
November 02, 2014 - Newspaper/Magazine Article
Full disclosure and apology—an idea whose time has come.
Citation Text:
Leape L. Full disclosure and apology--an idea whose time has come. Physician Exec. 2006;32(2):16-18.
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