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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 - July 7, 2021
VA Health Care: Improvements Needed in Processes Used to Address Providers
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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/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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psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
July 19, 2023 - Newspaper/Magazine Article
'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols?
Citation Text:
'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Renault M. STAT. February 6, 2023.
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psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
August 23, 2023 - Commentary
Poor physician-patient communication and medical error.
Citation Text:
Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
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psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
May 15, 2024 - Commentary
Among the elderly, many mental illnesses go undiagnosed.
Citation Text:
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-31. doi:10.1377/hlthaff.2015.0314.
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psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
May 18, 2022 - Newspaper/Magazine Article
Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers.
Citation Text:
Are you well positioned to resolve conflicts with the safety of an order? Learning…
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psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
February 22, 2023 - Book/Report
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting.
Citation Text:
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting. Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association; 2009.
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations.
Citation Text:
Shuffler ML, DiazGranados D, Salas E. There’s a Science for That. Curr Dir Psychol Sci. 2011;20(6). doi:10.1177/0963721411422054.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Toolkit
Reducing Adverse Drug Events Related to Opioids Implementation Guide.
Citation Text:
Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
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psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
May 15, 2024 - Commentary
Antimicrobial stewardship and patient safety.
Citation Text:
Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002.
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www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html
June 01, 2023 - Medication Management Strategy: Intervention
Patient and Family Engagement in Primary Care
Medication management is a strategy for engaging with patients and caregivers to create a complete and accurate medication list using the brown bag method. A complete and accurate medication list is the foundation for a…
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psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
June 24, 2009 - Commentary
Recognizing the importance of whistleblowers in healthcare.
Citation Text:
O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56. doi:10.1097/01.nurse.0000736912.14380.65.
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psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - Commentary
Medicines-related harm in the elderly post-hospital discharge.
Citation Text:
Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
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psnet.ahrq.gov/issue/using-market-model-track-advances-patient-safety
September 28, 2010 - Commentary
Using a market model to track advances in patient safety.
Citation Text:
Shulkin DJ. Using a market model to track advances in patient safety. Jt Comm J Qual Saf. 2003;29(3):146-51.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description of Methods
Chapter 4. Results an…
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process.
Citation Text:
Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
October 01, 2024 - or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address