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psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
October 28, 2020 - Grant Announcement
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication
Citation Text:
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
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psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
May 20, 2020 - Newspaper/Magazine Article
Fatal error sparks debate over punitive measures.
Citation Text:
Fatal error sparks debate over punitive measures. Fernandez J. Drug Topics. May 7, 2007.
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psnet.ahrq.gov/issue/system-related-factors-contributing-diagnostic-errors
January 11, 2023 - Review
System-related factors contributing to diagnostic errors.
Citation Text:
Thammasitboon S, Thammasitboon S, Singhal G. System-related factors contributing to diagnostic errors. Curr Probl Pediatr Adolesc Health Care. 2013;43(9):242-7. doi:10.1016/j.cppeds.2013.07.004.
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - Commentary
Learning and mindfulness: improving perioperative patient safety.
Citation Text:
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
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psnet.ahrq.gov/issue/rethinking-rapid-response-teams
February 23, 2019 - Commentary
Rethinking rapid response teams.
Citation Text:
Litvak E, Pronovost P. Rethinking rapid response teams. JAMA. 2010;304(12):1375-6. doi:10.1001/jama.2010.1385.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/11-identifying-stakeholders.pptx
June 01, 2023 - PowerPoint Presentation
Identifying Stakeholders
How To Do a Stakeholder Analysis for Your Improving Surgical Care and Recovery Program
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
The AHRQ Safety Pr…
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psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
July 20, 2022 - Book/Report
The Patients' View: 2004 ISQSH National Survey.
Citation Text:
The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004.
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psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
June 24, 2020 - Newspaper/Magazine Article
Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups.
Citation Text:
Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4.
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www.ahrq.gov/hai/tools/mvp/cusp.html
March 01, 2017 - Module on How To Apply CUSP for Mechanically Ventilated Patients
This module demonstrates how to apply the Comprehensive Unit-based Safety Program (CUSP) method to improve care for mechanically ventilated patients.
CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PD…
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psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
July 07, 2021 - Study
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups.
Citation Text:
Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…
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psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
May 21, 2019 - Commentary
Evidence under judgment: can we oversee our own decision making?
Citation Text:
Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355.
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psnet.ahrq.gov/issue/medication-error-prevention-school-setting-closer-look
March 01, 2023 - Commentary
Medication error prevention in the school setting: a closer look.
Citation Text:
Richmond SL. Medication error prevention in the school setting: a closer look. NASN Sch Nurse. 2011;26(5):304-8.
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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/confronting-medical-errors-oncology-and-disclosing-them-cancer-patients
September 01, 2018 - Commentary
Confronting medical errors in oncology and disclosing them to cancer patients.
Citation Text:
Surbone A, Rowe M, Gallagher TH. Confronting medical errors in oncology and disclosing them to cancer patients. J Clin Oncol. 2007;25(12):1463-7.
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psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Study
Workplace bullying in the OR: results of a descriptive study.
Citation Text:
Chipps E, Stelmaschuk S, Albert NM, et al. Workplace Bullying in the OR: Results of a Descriptive Study. AORN J. 2013;98(5). doi:10.1016/j.aorn.2013.08.015.
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psnet.ahrq.gov/issue/speaking-reduce-noise-or
July 26, 2023 - Commentary
Speaking up to reduce noise in the OR.
Citation Text:
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019.
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psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
June 13, 2011 - Newspaper/Magazine Article
Answers to improved medication reconciliation lie with pharmacists.
Citation Text:
Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007.
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psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
August 20, 2018 - Study
Using simulation training to improve perioperative patient safety.
Citation Text:
Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J. 2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001.
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
May 03, 2017 - Review
Quality and safety in pediatric hematology/oncology.
Citation Text:
Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946.
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