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psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
December 07, 2022 - Newspaper/Magazine Article
Lack of standard dosing methods contributes to IV errors.
Citation Text:
Lack of standard dosing methods contributes to IV errors. ISMP Medication Safety Alert! Acute care edition. August 23, 2007,
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psnet.ahrq.gov/issue/hospitals-find-confession-good-bottom-line
November 23, 2016 - Newspaper/Magazine Article
Hospitals find confession good for the bottom line.
Citation Text:
Hospitals find confession good for the bottom line. Greene J.
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - Newspaper/Magazine Article
Mistakes even good doctors make.
Citation Text:
Mistakes even good doctors make. Consumer Reports on Health. November 2013;25:6-7.
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psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
January 07, 2015 - Newspaper/Magazine Article
Robotic-assisted surgery: focus on training and credentialing.
Citation Text:
Robotic-assisted surgery: focus on training and credentialing. Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101.
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psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
March 07, 2012 - Newspaper/Magazine Article
No pay for "never event" errors becoming standard.
Citation Text:
No pay for "never event" errors becoming standard. O'Reilly KB. American Medical News. January 7, 2008.
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psnet.ahrq.gov/issue/protect-against-drug-errors-ask-questions
December 09, 2015 - Newspaper/Magazine Article
To protect against drug errors, ask questions.
Citation Text:
To protect against drug errors, ask questions. Brody JE.
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psnet.ahrq.gov/issue/insulin-pens-devices
August 31, 2016 - Special or Theme Issue
Insulin Pens Devices.
Citation Text:
Insulin Pens Devices. Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Review
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Citation Text:
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. Copeland AW. UpToDate. April 10, 2023.
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psnet.ahrq.gov/issue/difficulty-identifying-alzheimers-makes-misdiagnosis-easy
January 30, 2019 - Newspaper/Magazine Article
Difficulty identifying Alzheimer's makes misdiagnosis easy.
Citation Text:
Difficulty identifying Alzheimer's makes misdiagnosis easy. Ackerman T. Houston Chronicle. November 23, 2012.
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psnet.ahrq.gov/issue/coming-clean-medical-mistakes
February 20, 2019 - Newspaper/Magazine Article
Coming clean on medical mistakes.
Citation Text:
Coming clean on medical mistakes. Talaga T, Cribb R. Toronto Star. March 19, 2007.
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psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat
June 23, 2009 - Newspaper/Magazine Article
Medical simulations identify potential problems before they can pose a real threat.
Citation Text:
Medical simulations identify potential problems before they can pose a real threat. Kleefeld E.
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psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
May 03, 2023 - United States Meeting/Conference
Annual Communication, Apology, and Resolution (CARe) Forum.
Citation Text:
Annual Communication, Apology, and Resolution (CARe) Forum. Betsy Lehman Center for Patient Safety.
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psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
February 22, 2023 - Newspaper/Magazine Article
Preventing medication errors during codes.
Citation Text:
Preventing medication errors during codes. ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3.
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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite new procedures.
Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. Rojas-Burke J.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_checklist.pdf
December 01, 2017 - Checklist to Prepare Patients for New Appointments
Checklist to Prepare Patients for
New Appointments
Once the team knows a patient has a new health care appointment, the checklist can be used to prompt team
members to reinforce key steps that promote patient engagement and preparation. This checklist includes ref…
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psnet.ahrq.gov/issue/current-assessment-patient-safety-education
May 28, 2014 - Review
Current assessment of patient safety education.
Citation Text:
Mansour M. Current assessment of patient safety education. Br J Nurs. 2012;21(9):536-43.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
November 01, 2015 - Tool 8: Conditions of Participation Handout
Tool 8: Conditions of Participation Handout
Purpose
In November 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed revision to the Conditions of Participation (COPs). CMS specified new and unique elements that are particularly germane to reducing M…
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - Book/Report
Patient Safety Risk Management Playbook.
Citation Text:
Patient Safety Risk Management Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/medical-errors-disclosure-and-apology
January 04, 2017 - Newspaper/Magazine Article
Medical errors disclosure and apology.
Citation Text:
Medical errors disclosure and apology. Weiss PM; Koch S.
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psnet.ahrq.gov/issue/breaking-silence-switch-increasing-transparency-about-trainee-participation-surgery
February 02, 2022 - Commentary
Breaking the silence of the switch—increasing transparency about trainee participation in surgery.
Citation Text:
McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJ…