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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
November 18, 2011 - Book/Report
Addressing the Opioid Crisis in the United States.
Citation Text:
Addressing the Opioid Crisis in the United States. Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016.
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Legislation/Case Law
The National Medical Error Disclosure and Compensation (MEDiC) Act.
Citation Text:
The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
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psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology
May 29, 2019 - Special or Theme Issue
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.
Citation Text:
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626.…
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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psnet.ahrq.gov/issue/patient-safety-records-silent-witness
September 01, 2017 - Newspaper/Magazine Article
Patient safety records: silent witness.
Citation Text:
Gould M. Patient safety. Silent witness. The Health Service Journal. 2008;September 15:22-24.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
September 13, 2023 - Webinar
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.
Citation Text:
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. President’s Council of Advisors on Science and Technology. Washington, DC: White House;…
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - Book/Report
Classic
Resilience Engineering in Practice: a Guidebook.
Citation Text:
Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749
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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - Book/Report
Framework for Effective Board Governance of Health System Quality.
Citation Text:
Framework for Effective Board Governance of Health System Quality. Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/improving-reliability-health-care
November 18, 2011 - Book/Report
Improving the Reliability of Health Care.
Citation Text:
Improving the Reliability of Health Care. Nolan T, Resar R, Haraden C, et al. Boston, MA: Institute for Healthcare Improvement; 2004.
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psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
January 09, 2019 - Book/Report
Moving Measurement into Action: Global Principles for Measuring Patient Safety.
Citation Text:
Moving Measurement into Action: Global Principles for Measuring Patient Safety. IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar…
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psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-based-results-2019
June 21, 2023 - Book/Report
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey.
Citation Text:
Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital S…
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psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-academic-health-center
March 06, 2005 - Study
Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center.
Citation Text:
Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Keating RJ; LaRusso NF; Kolars …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case November 2005
Reconciling Doses
Source and Credits
This presentation is based on the November 2005 Spotlight Case in Emergency Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Frank Federico, RPh,…
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - The Media’s Role in Patient Safety
April 27, 2022
Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/medias-role-patient-safety
Brief History of the Media Influencing Patient Safety
Despite studies raising questions about avoidable ha…
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Triggers and Trigger Tools
Citation Text:
Triggers and Trigger Tools. 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/node/49597/psn-pdf
February 01, 2010 - addition, the commentary does not include information
regarding investigational or off-label use of pharmaceutical … products or medical devices. … www.ncbi.nlm.nih.gov/pubmed/19118286
http://www.ncbi.nlm.nih.gov/pubmed/18374840
http://www.fda.gov/Drugs
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - addition, the commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices.
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - addition, the commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - addition, the commentary does not include information regarding investigational or off-label use of pharmaceutical … products or medical devices.