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psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conversation-international-leaders
July 22, 2019 - Book/Report
Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders.
Citation Text:
Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders. Sears K, Stockley D, Broderick B, eds. Alde…
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - arrival to the ED, the
prehospital ECG may show clinically significant abnormalities that are not captured
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - course, the allergy could not be documented or expressed in a care summary record if it had never been captured
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - check, and check with control.(7)
With inspection, the least effective approach, adverse events are captured
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - No BP During NIBP
September 1, 2014
Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/no-bp-during-nibp
The Case
An otherwise healthy 49-year-old man with atrial fibrillation was scheduled for ablation in the catheterization
laboratory under general endotracheal anes…
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psnet.ahrq.gov/issue/raising-and-acting-concerns-about-patient-safety
July 17, 2019 - Organizational Policy/Guidelines
Raising and Acting on Concerns about Patient Safety.
Citation Text:
Raising and Acting on Concerns about Patient Safety. Manchester, UK: General Medical Council; January 2012. ISBN: 9780901458568.
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psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided
May 03, 2023 - Newspaper/Magazine Article
Shared MDIs: can cross-contamination be avoided?
Citation Text:
Shared MDIs: can cross-contamination be avoided? ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
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psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care
August 04, 2021 - Multi-use Website
European Union Network for Patient Safety and Quality of Care.
Citation Text:
European Union Network for Patient Safety and Quality of Care. European Union Network for Patient Safety and Quality of Care; PaSQ.
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psnet.ahrq.gov/issue/twelve-tips-teaching-avoidance-diagnostic-errors
August 20, 2018 - Commentary
Twelve tips for teaching avoidance of diagnostic errors.
Citation Text:
Twelve tips for teaching avoidance of diagnostic errors. Trowbridge RL.
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psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and-procedure-training
October 15, 2014 - Commentary
Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training.
Citation Text:
Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. Kneebone RL.
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psnet.ahrq.gov/issue/will-false-diagnosis-cost-minnesota-girl-her-life
October 24, 2012 - Newspaper/Magazine Article
Will false diagnosis cost Minnesota girl her life?
Citation Text:
Will false diagnosis cost Minnesota girl her life? Simons A. Star Tribune. January 4, 2012:1A.
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psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
March 19, 2019 - Study
Parents as partners in obtaining the medication history.
Citation Text:
Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305.
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
August 12, 2020 - Book/Report
Never Events for Hospital Care in Canada: Safer Care for Patients.
Citation Text:
Never Events for Hospital Care in Canada: Safer Care for Patients. Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
July 22, 2019 - Special or Theme Issue
Special Issue on Resilience Engineering and High Reliability Organizations.
Citation Text:
Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Reporting Patient Safety Events
Citation Text:
Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
February 07, 2024 - Review
Measurement of ambulatory medication errors in children: a scoping review.
Citation Text:
Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281.
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psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - Government Resource
Serious Reportable Events.
Citation Text:
Serious Reportable Events. Nova Scotia Department of Health and Wellness.
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