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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - Sentinel Event Alerts
Managing the risks of direct oral anticoagulants.
Citation Text:
Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5.
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psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
September 25, 2013 - Newspaper/Magazine Article
The role of the electronic health record in patient safety events.
Citation Text:
The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21.
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psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
November 21, 2018 - Newspaper/Magazine Article
I-PASS checklist: a powerful tool for patient handoffs.
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I-PASS checklist: a powerful tool for patient handoffs. Peeples L. Pharmacy Practice News. October 10, 2018.
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Commentary
Medication errors in outpatient pediatrics.
Citation Text:
Berrier K. Medication Errors in Outpatient Pediatrics. MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261.
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psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
March 13, 2013 - Commentary
Tracking progress in patient safety: an elusive target.
Citation Text:
Pronovost P, Miller MR, Wachter R. Tracking progress in patient safety: an elusive target. JAMA. 2006;296(6):696-9.
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psnet.ahrq.gov/issue/making-fmea-work-you
July 01, 2019 - Commentary
Making FMEA work for you.
Citation Text:
Reams J. Making FMEA work for you. Nurs Manage. 2011;42(5):18-20. doi:10.1097/01.NUMA.0000396500.05462.6e.
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psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
September 13, 2006 - Newspaper/Magazine Article
To be sued less, doctors should consider talking to patients more.
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To be sued less, doctors should consider talking to patients more. Carroll AE.
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psnet.ahrq.gov/issue/these-patients-had-lobby-correct-diabetes-diagnoses-was-their-race-reason
July 10, 2024 - Newspaper/Magazine Article
These patients had to lobby for correct diabetes diagnoses. Was their race a reason?
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These patients had to lobby for correct diabetes diagnoses. Was their race a reason? Sable-Smith B. KFF Health News. January 9, 2024.
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - Sentinel Event Alerts
Managing risk during transition to new ISO tubing connector standards.
Citation Text:
Managing risk during transition to new ISO tubing connector standards. Sentinel Event Alert. August 20, 2014;(53):1-6.
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psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
November 03, 2021 - Newspaper/Magazine Article
Check your medical records for dangerous errors.
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Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018.
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psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update
September 06, 2011 - Book/Report
Safe Practices for Better Healthcare: 2006 Update.
Citation Text:
Safe Practices for Better Healthcare: 2006 Update. Washington DC: National Quality Forum; 2007.
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psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
March 09, 2016 - Book/Report
Meltdown: Why Our Systems Fail and What We Can Do About It.
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Meltdown: Why Our Systems Fail and What We Can Do About It. Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632.
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psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
June 30, 2019 - Commentary
Measuring shared mental models in healthcare.
Citation Text:
Measuring shared mental models in healthcare. Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219.
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psnet.ahrq.gov/issue/diffusion-innovations-5th-ed
January 27, 2021 - Book/Report
Classic
Diffusion of Innovations. 5th ed.
Citation Text:
Diffusion of Innovations. 5th ed. Rogers EM. New York NY: Free Press; 2005.
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psnet.ahrq.gov/issue/risk-and-event-assessment
August 12, 2020 - Special or Theme Issue
Risk and Event Assessment.
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Risk and Event Assessment. Jt Comm J Qual Patient Saf. 2010;36:348-385.
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psnet.ahrq.gov/issue/safety-first-top-your-boards-agenda-100-day-challenge-survey-report
December 04, 2016 - Book/Report
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.
Citation Text:
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
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psnet.ahrq.gov/issue/usp-initiatives-safe-use-medical-gases
July 20, 2022 - Newspaper/Magazine Article
USP initiatives for the safe use of medical gases.
Citation Text:
USP initiatives for the safe use of medical gases. Zaidi K; Curry PD Jr; Becker SC. Pharm Tech. 2005. 29(11)
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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented.
Citation Text:
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
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