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  1. psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
    March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …
  2. psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
    March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…
  3. psnet.ahrq.gov/issue/mix-ups-between-influenza-flu-vaccine-and-covid-19-vaccines
    October 21, 2020 - Newspaper/Magazine Article Mix-ups between the influenza (Flu) vaccine and COVID-19 vaccines. Citation Text: Mix-ups between the influenza (Flu) vaccine and COVID-19 vaccines. ISMP Medication Safety Alert! Acute care edition. October 7, 2021;26(20):1-4. Copy Citation Sa…
  4. hcup-us.ahrq.gov/reports/database_rpts.jsp
    April 01, 2022 - Database Reports An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  5. psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
    September 27, 2017 - Study The impact of teamwork on missed nursing care. Citation Text: Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. doi:10.1016/j.outlook.2010.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…
  6. psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
    February 06, 2018 - Book/Report Classic The Checklist Manifesto: How to Get Things Right. Citation Text: The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748. Copy Citation Save Save t…
  7. psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
    September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
  8. psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
    September 24, 2016 - Commentary Overcoming barriers to patient safety. Citation Text: Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123; quiz 149. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  9. psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
    July 08, 2016 - Book/Report Classic Crossing the Quality Chasm: A New Health System for the 21st Century. Citation Text: Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…
  10. psnet.ahrq.gov/issue/building-culture-patient-safety-report-commission-patient-safety-and-quality-assurance
    November 10, 2011 - Book/Report Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Citation Text: Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. Dublin, Ireland: Department of Health & Childre…
  11. digital.ahrq.gov/type-care/internal-medicine
    January 01, 2023 - Internal Medicine Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions Description This research will use digital health tools leveraging patient-reported outcomes and data from electronic health records to engage individuals with multiple…
  12. psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
    June 08, 2022 - Commentary How insight contributes to diagnostic excellence. Citation Text: Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-315. doi:10.1515/dx-2022-0007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …
  13. hcup-us.ahrq.gov/reports/infographics/doublemastectomy.jsp
    October 01, 2017 - Sharp Rise in Double Mastectomies An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates…
  14. psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
    April 20, 2022 - Newspaper/Magazine Article Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. Citation Text: Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…
  15. psnet.ahrq.gov/issue/medication-safety-officers-handbook
    September 01, 2018 - Book/Report Medication Safety Officer's Handbook. Citation Text: Medication Safety Officer's Handbook. Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104. Copy Citation Save Save to your library Pr…
  16. psnet.ahrq.gov/issue/handbook-perioperative-and-procedural-patient-safety
    December 01, 2021 - Book/Report Handbook of Perioperative and Procedural Patient Safety. Citation Text: Handbook of Perioperative and Procedural Patient Safety. Sanchez JA, Higgins RSD, Kent PS, eds. St Louis, MO: Elsevier; 2024.  ISBN: 9780323661799. Copy Citation Save Save t…
  17. psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
    July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…
  18. psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states
    April 13, 2022 - Commentary Patient safety functions of state medical boards in the United States. Citation Text: Patient safety functions of state medical boards in the United States. Roy CG. Yale J Biol Med. 2021;94(1):165-173.  Copy Citation Save Save to your library …
  19. hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn7.jsp
    August 01, 2014 - Deliverables for Participating Hospitals. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email…
  20. hcup-us.ahrq.gov/db/vars/total_disc/nrdnote.jsp
    August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …