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psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
August 12, 2015 - Newspaper/Magazine Article
When missing a 'zebra' can land you in court.
Citation Text:
When missing a 'zebra' can land you in court. Crane M. Medscape Business of Medicine. February 20, 2018.
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psnet.ahrq.gov/issue/draft-guidelines-safe-communication-electronic-medication-information
September 30, 2020 - Newspaper/Magazine Article
Draft Guidelines for the Safe Communication of Electronic Medication Information.
Citation Text:
Draft Guidelines for the Safe Communication of Electronic Medication Information. Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3…
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psnet.ahrq.gov/issue/hospitals-tally-their-avoidable-mistakes
October 23, 2019 - Newspaper/Magazine Article
Hospitals tally their avoidable mistakes.
Citation Text:
Hospitals tally their avoidable mistakes. Rein L. Washington Post. July 21, 2009:E1.
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction
April 01, 2019 - Book/Report
Wrong Site Surgery–Wrong Tooth Extraction.
Citation Text:
Wrong Site Surgery–Wrong Tooth Extraction. Farnborough, UK: Healthcare Safety Investigation Branch; April 2021.
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psnet.ahrq.gov/issue/special-report-quality-care-survey
May 27, 2011 - Special or Theme Issue
Special Report: Quality of Care Survey.
Citation Text:
Special Report: Quality of Care Survey. Physician Executive. 2007 May-Jun;33(3):6-36.
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psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
October 17, 2012 - Newspaper/Magazine Article
FDA begins inquiry after death and illness from saline bags meant for training.
Citation Text:
FDA begins inquiry after death and illness from saline bags meant for training. Tavernise S. New York Times. January 15, 2015.
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psnet.ahrq.gov/issue/looking-future-patient-safety
February 13, 2018 - Newspaper/Magazine Article
Looking to the future of patient safety.
Citation Text:
Looking to the future of patient safety. Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
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psnet.ahrq.gov/issue/faced-drug-shortfall-doctors-scramble-treat-children-cancer
October 30, 2019 - Newspaper/Magazine Article
Faced with a drug shortfall, doctors scramble to treat children with cancer.
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Faced with a drug shortfall, doctors scramble to treat children with cancer. Rabin RC. New York Times. October 14, 2019.
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psnet.ahrq.gov/issue/complications
November 28, 2018 - Special or Theme Issue
Complications.
Citation Text:
Complications. Anaesthesia. 2018;73(suppl 1):3-101.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
October 01, 2014 - Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, MPRO, the Michigan Quality Improvement Organization (QIO), worked with providers in the State to improv…
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www.ahrq.gov/hai/clabsi-tools/appendix-8.html
March 01, 2018 - Appendix 8: CLABSI Investigation Nurse Letter
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety P…
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psnet.ahrq.gov/issue/new-round-medicare-readmission-penalties-hits-2583-hospitals
March 13, 2019 - Newspaper/Magazine Article
New round of Medicare readmission penalties hits 2,583 hospitals.
Citation Text:
New round of Medicare readmission penalties hits 2,583 hospitals. Rau J. Kaiser Health News. October 1, 2019.
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psnet.ahrq.gov/issue/human-costs-training-doctors
December 17, 2014 - Newspaper/Magazine Article
Human costs of training doctors.
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Human costs of training doctors. Dunklin R; Goetinck Ambrose S; Egerton B.
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psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
April 17, 2017 - Newspaper/Magazine Article
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
Citation Text:
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
Grissinger M, Dabliz R. Pa Patient S…
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psnet.ahrq.gov/issue/patient-safety-surgery-0
October 18, 2017 - Newsletter/Journal
Patient Safety in Surgery.
Citation Text:
Patient Safety in Surgery. Stahel PF, ed. BioMed Central. ISSN: 1754-9493.
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psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
December 09, 2020 - Newspaper/Magazine Article
When we're all responsible for a patient's death, no one is.
Citation Text:
When we're all responsible for a patient's death, no one is. Prasad V, Medpage Today. November 16, 2021.
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/engage-checklist.html
March 01, 2017 - Resident and Family Engagement Checklist
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Purpose: To provide leaders and staff a checklist to help plan, implement, and evaluate resident and family engagement in safety projects in a long-term care facility.
Who should use this tool? Leaders …
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - Newspaper/Magazine Article
Getting beyond blame in your practice.
Citation Text:
Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34.
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
July 27, 2022 - Newspaper/Magazine Article
High-reliability organizations (HROs): what they know that we don't (Part I).
Citation Text:
High-reliability organizations (HROs): what they know that we don't (Part I). ISMP Medication Safety Alert! Acute care edition. July 14, 2005.
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