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psnet.ahrq.gov/issue/regulating-patient-safety-patient-protection-and-affordable-care-act
June 17, 2020 - Commentary
Regulating patient safety: The Patient Protection and Affordable Care Act.
Citation Text:
Regulating patient safety: The Patient Protection and Affordable Care Act. Furrow BR. Univ PA Law Rev. 2011;159:1727-1775.
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psnet.ahrq.gov/issue/case-medication-safety-officers-mso
April 30, 2019 - Book/Report
The Case for Medication Safety Officers (MSO).
Citation Text:
The Case for Medication Safety Officers (MSO). Horsham, PA: Institute for Safe Medication Practices; 2018.
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psnet.ahrq.gov/node/45167/psn-pdf
May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR)
Toolkit.
May 25, 2016
Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
Traditionally, health systems have disclosed adverse events to patients only through a …
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psnet.ahrq.gov/node/38981/psn-pdf
September 30, 2009 - Computerized decision support to reduce potentially
inappropriate prescribing to older emergency department
patients: a randomized, controlled trial.
September 30, 2009
Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate
prescribing to older emergency departme…
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Defensive Medicine: "Glowing" with Pain
Citation Text:
Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - SPOTLIGHT CASE
Poor Prognosis
Citation Text:
Lamont EB. Poor Prognosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/issue/medication-errors-common-hospital-diabetes
May 13, 2009 - Newspaper/Magazine Article
Medication errors common for hospital diabetes.
Citation Text:
Medication errors common for hospital diabetes. Nursing Times. April 1, 2011.
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psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
June 28, 2011 - Commentary
How to master the new art of training: teamwork on the fly.
Citation Text:
How to master the new art of training: teamwork on the fly. Edmondson AC. Harv Bus Rev. April 2012;90:72-80.
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psnet.ahrq.gov/issue/hospitals-scramble-front-lines-drug-shortages
November 29, 2016 - Newspaper/Magazine Article
Hospitals scramble on the front lines of drug shortages.
Citation Text:
Hospitals scramble on the front lines of drug shortages. Sun LH. Washington Post. April 10, 2012.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
December 30, 2014 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
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psnet.ahrq.gov/issue/patient-safety-papers-4
November 10, 2010 - Special or Theme Issue
Patient Safety Papers 4.
Citation Text:
Patient Safety Papers 4. Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.
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psnet.ahrq.gov/issue/failure-and-rescue
September 28, 2017 - Newspaper/Magazine Article
Failure and rescue.
Citation Text:
Failure and rescue. Gawande A. The New Yorker: News Desk. June 4, 2012.
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psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
June 01, 2016 - Multi-use Website
Duke Center for Healthcare Safety and Quality.
Citation Text:
Duke Center for Healthcare Safety and Quality. Duke University Health System.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/submit-your-toolkit-landing
Breadcrumb
Home
Improvement Resources
Toolkits
Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - SPOTLIGHT CASE
Low on the Totem Pole
Citation Text:
Wachter R. Low on the Totem Pole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - Renal Failure Due to Benign Prostatic Hyperplasia
Citation Text:
Barry MJ, Garnick MB. Renal Failure Due to Benign Prostatic Hyperplasia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - The Inside of a Time Out
Citation Text:
Feldman DL. The Inside of a Time Out. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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