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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/improving-safety-information-technology
July 25, 2011 - Commentary
Classic
Improving safety with information technology.
Citation Text:
Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-34.
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - Book/Report
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.
Citation Text:
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/francis-report-one-year
April 02, 2014 - Book/Report
The Francis Report: One Year On.
Citation Text:
The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. London, UK: Nuffield Trust; February 2014.
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psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-entrapment
October 28, 2010 - Book/Report
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.
Citation Text:
Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006.
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - Audiovisual Presentation
Medication Safety Certificate Program.
Citation Text:
Medication Safety Certificate Program. American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/iatrogenesis-pediatrics
April 24, 2024 - Special or Theme Issue
Iatrogenesis in Pediatrics.
Citation Text:
Iatrogenesis in Pediatrics. Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - Newspaper/Magazine Article
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.
Citation Text:
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. ISMP Medication Safety Alert! Acute Care Edition…
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psnet.ahrq.gov/issue/how-safe-your-hospital
December 03, 2014 - Book/Report
How Safe Is Your Hospital?
Citation Text:
How Safe Is Your Hospital? Dr Foster Intelligence Unit. London, UK: Imperial College London; 2009.
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural and restorative justice.
Citation Text:
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…
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psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - Book/Report
Harm Caused by Delays in Transferring Patients to the Right Place of Care.
Citation Text:
Harm Caused by Delays in Transferring Patients to the Right Place of Care. Farnborough, UK: Healthcare Safety Investigation Branch; August 2023.
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
August 05, 2015 - Newspaper/Magazine Article
Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine.
Citation Text:
Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. Luthra S. Kaiser Health News. June 15, 2016.
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psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
August 09, 2017 - Book/Report
Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities.
Citation Text:
Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities. Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 201…
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psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
October 19, 2016 - Book/Report
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. Chicago, IL: Health Resea…
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psnet.ahrq.gov/issue/health-services-research-priorities-improving-diagnostic-safety-and-quality-special-emphasis
November 10, 2021 - Press Release/Announcement
Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN).
Citation Text:
Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN). Rockville, MD: Agency …
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - Organizational Policy/Guidelines
Disclosure of Adverse Events to Patients.
Citation Text:
Disclosure of Adverse Events to Patients. Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA Directive 1004.08.
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psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Disrespectful behaviors—part 1 and part 2.
Citation Text:
Disrespectful behaviors—part 1 and part 2. ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
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psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
September 09, 2015 - Book/Report
The Report of the Short Life Working Group on Reducing Medication-related Harm.
Citation Text:
The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018.
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psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
September 26, 2017 - Commentary
Don't abandon the "second victims" of medical errors.
Citation Text:
Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0.
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