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psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
May 02, 2018 - Newspaper/Magazine Article
Potassium may no longer be stocked on patient care units, but serious threats still exist!
Citation Text:
Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…
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psnet.ahrq.gov/issue/opioid-stewardship
February 06, 2019 - Special or Theme Issue
Opioid Stewardship.
Citation Text:
Opioid Stewardship. Ochsner J. 2018;18(1):20-45.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/competitive-imperative-learning
September 25, 2024 - Commentary
The competitive imperative of learning.
Citation Text:
Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160.
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psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - Commentary
Falls prevention at Mayo Clinic Rochester: a path to quality care.
Citation Text:
Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shiffman-rn-et-al-1999
January 01, 1999 - Shiffman RN et al. 1999 "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness."
Reference
Shiffman RN, Liaw Y, Brandt CA, et al. Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform A…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/christakis-da-et-al
January 01, 2023 - Christakis DA et al. 2001 "A randomized controlled trial of point-of-care evidence to improve the antibiotic prescribing practices for otitis media in children."
Reference
Christakis DA, Zimmerman FJ, Wright JA, et al. A randomized controlled trial of point-of-care evidence to improve the antibiotic p…
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psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
August 30, 2023 - Newspaper/Magazine Article
NHS staff cried in safety interviews, says watchdog.
Citation Text:
NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023.
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psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
May 03, 2023 - Newspaper/Magazine Article
Patients with low health literacy make more errors interpreting instructions and warnings.
Citation Text:
Patients with low health literacy make more errors interpreting instructions and warnings. ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
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psnet.ahrq.gov/issue/improving-reliability-health-care
November 18, 2011 - Book/Report
Improving the Reliability of Health Care.
Citation Text:
Improving the Reliability of Health Care. Nolan T, Resar R, Haraden C, et al. Boston, MA: Institute for Healthcare Improvement; 2004.
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psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
June 05, 2019 - Book/Report
Organisation for Economic Co-operation and Development: Health at a Glance 2019.
Citation Text:
Organisation for Economic Co-operation and Development: Health at a Glance 2019. Paris, France: OECD Publishing: 2019.
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psnet.ahrq.gov/issue/2008-annual-national-patient-safety-foundation-congress-conference-proceedings
July 31, 2012 - Meeting/Conference Proceedings
2008 Annual National Patient Safety Foundation Congress: conference proceedings.
Citation Text:
Stepnick L, Edgman-Levitan S, Bonacum D, et al. 2008 Annual National Patient Safety Foundation Congress. doi:10.1097/pts.0b013e318184db42.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support
January 01, 2023 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery
Project Description
Annual Summaries
Project Details -
Completed
Contract Number
10-663F-10
Funding Mechanism(s)
Inter-Agency…
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psnet.ahrq.gov/issue/what-do-you-do-if-you-think-you-have-been-harmed-your-healthcare
January 25, 2023 - Fact Sheet/FAQs
What Do You Do If You Think You Have Been Harmed By Your Healthcare.
Citation Text:
What Do You Do If You Think You Have Been Harmed By Your Healthcare. Seattle, WA: Collaborative for Accountability and Improvement; 2023.
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psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
June 24, 2020 - Commentary
Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery.
Citation Text:
Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70.
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psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors
January 18, 2023 - Commentary
Lean Six Sigma reduces medication errors.
Citation Text:
Lean Six Sigma reduces medication errors. Esimai G. Quality Progress; 2005;38(4):51-57.
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psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
February 25, 2019 - Newspaper/Magazine Article
The opioid crisis: can improving diagnosis help solve the problem?
Citation Text:
The opioid crisis: can improving diagnosis help solve the problem? Carr S. ImproveDx. April 2017;4:1-4.
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psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - Commentary
The paradoxes of defensive medicine.
Citation Text:
The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84.
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psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
November 11, 2015 - Study
Neurologic patient safety: an in-depth study of malpractice claims.
Citation Text:
Glick TH, Cranberg LD, Hanscom RB, et al. Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6.
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - Toolkit
Classic
Safe Surgery.
Citation Text:
Safe Surgery. World Health Organization.
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