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psnet.ahrq.gov/issue/investigation-electronic-prescribing-and-medicines-administration-systems-and-safe-discharge
April 01, 2019 - Book/Report
Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge.
Citation Text:
Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Farnborough, UK: Healthcare Safety Investigation Branch; Octobe…
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume—tips for increasing error reporting.
Citation Text:
Pump up the volume—tips for increasing error reporting. ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
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psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
January 07, 2015 - Newspaper/Magazine Article
Robotic-assisted surgery: focus on training and credentialing.
Citation Text:
Robotic-assisted surgery: focus on training and credentialing. Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101.
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www.ahrq.gov/nursing-home/materials/prevention/index.html
January 01, 2023 - Preventing the Spread of COVID-19
For nursing homes to effectively prevent the spread of COVID-19, they need information about a variety of topics related to infection control and prevention and strategies for cleaning and disinfecting the environment, using personal protective equipment, and more.
Infe…
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psnet.ahrq.gov/issue/patient-physician-racial-and-ethnic-concordance-and-perceived-medical-errors
July 27, 2022 - Commentary
Patient-physician racial and ethnic concordance and perceived medical errors.
Citation Text:
Stepanikova I. Patient-physician racial and ethnic concordance and perceived medical errors. Social Sci Med. 2006;63(12):3060-3066.
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psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
February 22, 2023 - Newspaper/Magazine Article
Preventing medication errors during codes.
Citation Text:
Preventing medication errors during codes. ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3.
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psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
June 22, 2015 - Book/Report
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.
Citation Text:
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832.
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psnet.ahrq.gov/issue/health-services-safety-investigations-body
February 04, 2015 - Multi-use Website
Health Services Safety Investigations Body.
Citation Text:
Health Services Safety Investigations Body. Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
November 01, 2015 - Tool 8: Conditions of Participation Handout
Tool 8: Conditions of Participation Handout
Purpose
In November 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed revision to the Conditions of Participation (COPs). CMS specified new and unique elements that are particularly germane to reducing M…
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - Book/Report
Patient Safety Risk Management Playbook.
Citation Text:
Patient Safety Risk Management Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Study
Beyond error: a qualitative study of human factors in serious adverse events.
Citation Text:
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
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psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
August 12, 2015 - Newspaper/Magazine Article
When missing a 'zebra' can land you in court.
Citation Text:
When missing a 'zebra' can land you in court. Crane M. Medscape Business of Medicine. February 20, 2018.
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psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
April 26, 2023 - Book/Report
The Diagnosis of Ectopic Pregnancy.
Citation Text:
The Diagnosis of Ectopic Pregnancy. Farnborough, UK: Healthcare Safety Investigation Branch; March 2020.
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psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses
September 21, 2009 - August 24, 2022
Benefits of reporting and analyzing nursing students' near-miss medication
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psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
December 21, 2011 - September 6, 2023
Analyzing and discussing human factors affecting surgical patient safety
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psnet.ahrq.gov/issue/perceived-patient-safety-culture-critical-care-transport-program
July 03, 2014 - June 11, 2014
Analyzing communication errors in an air medical transport service.
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psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
October 29, 2012 - July 11, 2018
Identifying and analyzing diagnostic paths: a new approach for studying
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psnet.ahrq.gov/issue/surgeons-narcissism-hostility-stress-bullying-meaning-life-and-work-environment-two-centered
November 07, 2018 - August 21, 2024
Enhancing patient safety in prehospital environment: analyzing patient
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psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
June 15, 2011 - January 4, 2012
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psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
October 13, 2015 - March 1, 2023
Analyzing and discussing human factors affecting surgical patient safety