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psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
September 29, 2010 - Meeting/Conference Proceedings
An Introduction to the Improved FDA Prescription Drug Labeling.
Citation Text:
An Introduction to the Improved FDA Prescription Drug Labeling. Silver Spring MD; US Food and Drug Administration: 2006.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.
Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…
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psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - Tools/Toolkit
My Medicines.
Citation Text:
My Medicines. Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores.
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
April 17, 2009 - Study
The association between hospital characteristics and rates of preventable complications and adverse events.
Citation Text:
The association between hospital characteristics and rates of preventable complications and adverse events. Thornlow DK; Stukenborg GJ.
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - lead to management
changes that improve patient outcomes.(16)
In one randomized trial, nearly 70% of diabetic
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psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
August 04, 2021 - Commentary
Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.
Citation Text:
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - Study
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products
Citation Text:
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
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psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
May 25, 2022 - Review
The global burden of diagnostic errors in primary care.
Citation Text:
Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401.
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psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
December 16, 2020 - Government Resource
Important change to heparin container labels to clearly state the total drug strength.
Citation Text:
Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…
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psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - Review
2019 update on pediatric medical overuse: a systematic review.
Citation Text:
Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849.
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psnet.ahrq.gov/issue/primary-medication-non-adherence-analysis-195930-electronic-prescriptions
July 27, 2016 - Study
Primary medication non-adherence: analysis of 195,930 electronic prescriptions.
Citation Text:
Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.…
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - possibilities: compartment syndrome, tarsal
tunnel syndrome, thromboangiitis obliterans, POEMS syndrome, and diabetic
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - For example, nurses recently discovered that a newly diagnosed diabetic was administering long-acting
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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - Study
Using the ISMP Medication Safety Self-Assessment to improve medication use processes.
Citation Text:
Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26.
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psnet.ahrq.gov/issue/ottawa-hospital-patient-safety-study-incidence-and-timing-adverse-events-patients-admitted
July 13, 2010 - Study
Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.
Citation Text:
Forster AJ, Asmis TR, Clark HD, et al. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted…
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - Commentary
The vanishing nonforensic autopsy.
Citation Text:
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996.
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psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture
February 06, 2008 - Commentary
Safety paradoxes and safety culture.
Citation Text:
Reason J. Safety paradoxes and safety culture. Inj Control Safety Promot. 2003;7(1):3-14. doi:10.1076/1566-0974(200003)7:1;1-v;ft003.
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psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
November 18, 2015 - Commentary
Beyond the organisational accident: the need for "error wisdom" on the frontline.
Citation Text:
Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33.
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psnet.ahrq.gov/issue/acog-committee-opinion-no-447-patient-safety-obstetrics-and-gynecology
July 19, 2017 - Commentary
ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.
Citation Text:
Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90…