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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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psnet.ahrq.gov/issue/improving-health-care-work-environment
March 28, 2018 - Special or Theme Issue
Improving the Health Care Work Environment.
Citation Text:
Improving the Health Care Work Environment. Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.
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psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug
June 10, 2018 - Newspaper/Magazine Article
Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions.
Citation Text:
Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. ISMP Medication Safety…
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/communicating-critical-test-results
May 24, 2006 - Special or Theme Issue
Communicating Critical Test Results.
Citation Text:
Communicating Critical Test Results. Schiff GD, Bates DW, Leape LL, eds. Jt Comm J Qual Patient Saf. 2005;31(2):62-119.
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psnet.ahrq.gov/issue/patient-safety-rights-charter
June 05, 2024 - Book/Report
Patient Safety Rights Charter.
Citation Text:
Patient Safety Rights Charter. Geneva, Switzerland: World Health Organization; April 2024. ISBN: 9789240093249.
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psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
July 14, 2021 - Book/Report
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk.
Citation Text:
Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Geneva, Switzer…
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psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review
March 09, 2022 - Book/Report
Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review.
Citation Text:
Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094.
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psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
February 10, 2021 - Book/Report
How administrative burdens can harm health.
Citation Text:
How administrative burdens can harm health. Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
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psnet.ahrq.gov/issue/computer-will-see-you-now
March 22, 2017 - Newspaper/Magazine Article
The computer will see you now.
Citation Text:
The computer will see you now. Whitaker P. New Statesman. August 2, 2019;148:38-43.
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - Government Resource
Be an Active Member of Your Health Care Team.
Citation Text:
Be an Active Member of Your Health Care Team. US Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief
September 20, 2017 - Meeting/Conference Proceedings
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief.
Citation Text:
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academie…
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psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
July 31, 2019 - Meeting/Conference Proceedings
Deprescribing Guidelines: Special Section on Symposium Results.
Citation Text:
Deprescribing Guidelines: Special Section on Symposium Results. Res Social Adm Pharm. 2019;15(6):780-810.
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psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
August 08, 2012 - Newspaper/Magazine Article
Pathologists, patients and diagnostic errors—part 1 and part 2.
Citation Text:
Pathologists, patients and diagnostic errors—part 1 and part 2. Miller N.
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psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-improvement
November 30, 2016 - Book/Report
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches.
Citation Text:
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Edmonton, Alberta; Canadian Patient Safety Inst…
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psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool
December 10, 2024 - Audiovisual Presentation
AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users.
Citation Text:
AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025.
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digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2010
January 01, 2010 - Effective Use of e-Prescribing in Physician Practices and Pharmacies - 2010
Project Name
Effective Use of e-Prescribing in Physician Practices and Pharmacies
Principal Investigator
Grossman, Joy
Organization
Center for Studying Health System Change
Contract Number
2…
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digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-user-survey.pdf
June 16, 2021 - Oklahoma User Survey
Oklahoma User Survey
Tahlequah City Hospital, Tahlequah OK
This is a questionnaire designed to be completed by physicians, administrators,
and IT staff in an ambulatory setting. The tool includes questions to assess the
usability of electronic health records.
Permission has been obtained fro…
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psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
December 23, 2016 - Sentinel Event Alerts
Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients.
Citation Text:
Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Sentinel Event Alert. January…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist5-dialysis-supply.pdf
June 02, 2025 - ICE Checklist 5: Dialysis Supply Management and Contamination Prevention
Checklist
#…