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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
March 14, 2023 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
July 08, 2015 - Newspaper/Magazine Article
Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2.
Citation Text:
Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;…
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psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
May 18, 2022 - Commentary
Moving towards a Safety II approach.
Citation Text:
Woodward S. Moving towards a safety II approach. J Patient Saf Risk Manag. 2019;24(3):96-99. doi:10.1177/2516043519855264.
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psnet.ahrq.gov/issue/technology-cognition-and-error
September 04, 2024 - Commentary
Technology, cognition and error.
Citation Text:
Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484.
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psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
January 14, 2011 - Commentary
Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.
Citation Text:
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22…
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psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
July 13, 2022 - Commentary
A culture of civility: positively impacting practice and patient safety.
Citation Text:
Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006.
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psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
September 01, 2021 - Commentary
Imagining the future of diagnostic performance feedback.
Citation Text:
Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055.
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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - Study
Patient perceptions of missed nursing care.
Citation Text:
Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7.
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psnet.ahrq.gov/issue/procedural-safety-emergency-care-conceptual-model-and-recommendations
July 02, 2011 - Commentary
Procedural safety in emergency care: a conceptual model and recommendations.
Citation Text:
Pines JM, Kelly JJ, Meisl H, et al. Procedural safety in emergency care: a conceptual model and recommendations. Jt Comm J Qual Patient Saf. 2012;38(11):516-526.
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psnet.ahrq.gov/issue/implications-health-literacy-public-health-workshop-summary
December 17, 2014 - Book/Report
Implications of Health Literacy for Public Health: Workshop Summary.
Citation Text:
Implications of Health Literacy for Public Health: Workshop Summary. Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …
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psnet.ahrq.gov/issue/how-should-clinicians-minimize-bias-when-responding-suspicions-about-child-abuse
February 09, 2022 - Commentary
How should clinicians minimize bias when responding to suspicions about child abuse?
Citation Text:
Letson M, Crichton KG. How should clinicians minimize bias when responding to suspicions about child abuse? AMA J Ethics. 2023;25(2):E93-99. doi:10.1001/amajethics.2023.93.
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psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
October 06, 2016 - Government Resource
Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000.
Citation Text:
Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…
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psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug-events-dentistry
June 14, 2006 - Commentary
Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II.
Citation Text:
Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. Sarasin DS, Brady JW, Stevens RL. Anesth Pro…
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psnet.ahrq.gov/issue/physician-burnout
May 01, 2017 - Book/Report
Physician Burnout.
Citation Text:
Physician Burnout. Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF.
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psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
June 07, 2018 - Commentary
Hidden danger, obvious opportunity: error and risk in the management of cancer.
Citation Text:
Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66.
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psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
June 20, 2014 - Book/Report
Radiation Therapy Safety: The Critical Role of the Radiation Therapist.
Citation Text:
Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundatio…
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
March 08, 2023 - Grant Announcement
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
Citation Text:
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
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psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief. Bar code implementation strategies.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hospitals & health networks. 2005;79(7):65-6.
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psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
October 19, 2022 - Commentary
Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis.
Citation Text:
Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20.
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