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psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
October 25, 2013 - Toolkit
Patient Safety Through Teamwork and Communication Toolkit.
Citation Text:
Patient Safety Through Teamwork and Communication Toolkit. Denver Health.
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psnet.ahrq.gov/issue/standardize-4-safety
June 17, 2014 - Multi-use Website
Standardize 4 Safety.
Citation Text:
Standardize 4 Safety. American Society of Health-System Pharmacists.
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psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
January 23, 2019 - Newspaper/Magazine Article
New York City puts hospital error data online.
Citation Text:
New York City puts hospital error data online. Kershaw S.
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psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
November 26, 2008 - Book/Report
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.
Citation Text:
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Weiss BD. Chicago, IL: American Medical Association Foundation; 2007.
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psnet.ahrq.gov/node/35211/psn-pdf
June 13, 2011 - JCAHO views medication reconciliation as adverse-event
prevention.
June 13, 2011
Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of
health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2005;62(15):1528, 1530, 1532.
…
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psnet.ahrq.gov/node/39342/psn-pdf
March 03, 2010 - Discharge missteps can send seniors back to hospital.
March 3, 2010
Korc B, Landers SJ. American Medical News. February 15, 2010.
https://psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
This news article uses an example of a preventable readmission to illustrate how ineffective communication
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psnet.ahrq.gov/node/34733/psn-pdf
November 19, 2015 - Out of the Crisis.
November 19, 2015
Deming WE. Cambridge, MA: Massachusetts Institute of Technology, Center for Advanced Engineering
Study, 1986. ISBN: 9780911379013.
https://psnet.ahrq.gov/issue/out-crisis
Deming believes that American companies need to transform their method of management to engage and
compete…
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psnet.ahrq.gov/node/47649/psn-pdf
January 09, 2019 - ASH Clinical Practice Guidelines on Venous
Thromboembolism.
January 9, 2019
Washington DC; American Society of Hematology.
https://psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism
The American Society of Hematology produced a series of guidelines on prophylaxis for venous
thromboemboli…
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psnet.ahrq.gov/node/41293/psn-pdf
June 01, 2012 - Developing an action plan for patient radiation safety in
adult cardiovascular medicine.
June 1, 2012
Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult
cardiovascular medicine: proceedings from the Duke University Clinical Research Institute/American
College o…
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - Electrocardiogram Results: ***READ ME***
November 1, 2012
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
The Case
A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset
che…
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psnet.ahrq.gov/node/34922/psn-pdf
February 25, 2009 - Potential errors and their prevention in operating room
teamwork as experienced by Finnish, British and
American nurses.
February 25, 2009
Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room
teamwork as experienced by Finnish, British and American nurses. Int …
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psnet.ahrq.gov/node/43826/psn-pdf
June 01, 2015 - Radiation Oncology Incident Learning System.
June 1, 2015
American Society for Radiation Oncology and American Association of Physicists in Medicine.
https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
Reporting of near misses and adverse events can provide a foundation for learning from error.…
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psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
May 04, 2015 - Book/Report
Medication Reconciliation Handbook, 2nd edition.
Citation Text:
Medication Reconciliation Handbook, 2nd edition. American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009…
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psnet.ahrq.gov/issue/design-everyday-things
August 01, 2012 - Book/Report
Classic
The Design of Everyday Things.
Citation Text:
The Design of Everyday Things. Norman DA. New York, NY: Doubleday; 1988. ISBN: 9780385267748.
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psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
September 13, 2017 - Multi-use Website
Scottish Audit of Surgical Mortality.
Citation Text:
Scottish Audit of Surgical Mortality. Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow.
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psnet.ahrq.gov/issue/nurses-role-promoting-culture-patient-safety
November 11, 2015 - Review
The Nurse's Role in Promoting a Culture of Patient Safety.
Citation Text:
The Nurse's Role in Promoting a Culture of Patient Safety. Friesen MA, Farquhar MB, Hughes RG. Center for American Nurses.
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psnet.ahrq.gov/issue/guide-patient-safety-medical-practice
March 11, 2015 - Book/Report
A Guide to Patient Safety in the Medical Practice.
Citation Text:
A Guide to Patient Safety in the Medical Practice. Vance JE. Chicago, IL: American Medical Association: 2008.
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psnet.ahrq.gov/issue/there-and-home-again-safely
September 29, 2017 - Book/Report
There and Home Again, Safely.
Citation Text:
There and Home Again, Safely. Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. Chicago, IL: American Medical Association; February 2013.
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psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
July 08, 2009 - Newspaper/Magazine Article
Never events: Utah hospitals saw nearly 60 serious errors in 2007.
Citation Text:
Never events: Utah hospitals saw nearly 60 serious errors in 2007. May H. Salt Lake Tribune. August 18, 2008.
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psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
February 09, 2011 - Newspaper/Magazine Article
Small patients, big consequences in medical errors.
Citation Text:
Small patients, big consequences in medical errors. Tarkan L. New York Times. September 14, 2008;Health section:7.
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