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psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
October 21, 2016 - Book/Report
National Action Plan to Improve Health Literacy.
Citation Text:
National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.
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psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
December 27, 2018 - Government Resource
Department of Defense (DoD) Patient Safety Program.
Citation Text:
Department of Defense (DoD) Patient Safety Program. US Department of Defense; DOD
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psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs
December 20, 2023 - Book/Report
Continuous Improvement of Patient Safety: The Case for Change in the NHS.
Citation Text:
Continuous Improvement of Patient Safety: The Case for Change in the NHS. Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706.
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psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
June 10, 2018 - Newspaper/Magazine Article
Fluorouracil error ends tragically, but application of lessons learned will save lives.
Citation Text:
Fluorouracil error ends tragically, but application of lessons learned will save lives. ISMP Medication Safety Alert! Acute care edition. September 20, 2007. …
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psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
December 16, 2020 - Newspaper/Magazine Article
Prevent administration of ear drops into the eyes.
Citation Text:
Prevent administration of ear drops into the eyes. ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
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psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
April 24, 2007 - Toolkit
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13.
Citation Text:
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13. Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
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psnet.ahrq.gov/issue/safety-anaesthesia
April 07, 2021 - Special or Theme Issue
Safety in Anaesthesia.
Citation Text:
Safety in Anaesthesia. Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25(2):109-304.
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psnet.ahrq.gov/issue/communicating-critical-test-results
May 24, 2006 - Special or Theme Issue
Communicating Critical Test Results.
Citation Text:
Communicating Critical Test Results. Schiff GD, Bates DW, Leape LL, eds. Jt Comm J Qual Patient Saf. 2005;31(2):62-119.
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psnet.ahrq.gov/issue/national-agenda-action-patients-and-families-patient-safety
November 23, 2016 - Book/Report
National Agenda for Action: Patients and Families in Patient Safety.
Citation Text:
National Agenda for Action: Patients and Families in Patient Safety. Boston, MA: National Patient Safety Foundation; 2008.
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psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
February 25, 2019 - Newspaper/Magazine Article
Future directions for diagnostic decision support.
Citation Text:
Future directions for diagnostic decision support. Carr S. ImproveDx. April 2016;3:1-3.
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psnet.ahrq.gov/issue/fire-safety-operating-room
July 18, 2024 - Review
Fire safety in the operating room.
Citation Text:
Fire safety in the operating room. Ehrenwerth J. UptoDate. November 18, 2024.
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
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psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
September 03, 2014 - Newspaper/Magazine Article
AI can't replace doctors. But it can make them better.
Citation Text:
AI can't replace doctors. But it can make them better. Parikh R. MIT Technol Rev. October 23, 2018.
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psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
July 29, 2009 - Newspaper/Magazine Article
Alarm management: first things first: using reliable data to eliminate unnecessary alarms.
Citation Text:
Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Vanderveen T. Patient Saf Qual Healthc. November/December 2014;1…
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psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
January 10, 2007 - Multi-use Website
Safety Assurance Factors for EHR Resilience: SAFER Guides.
Citation Text:
Safety Assurance Factors for EHR Resilience: SAFER Guides. Washington, DC: Assistant Secretary for Technology Policy.
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psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
November 28, 2018 - Newspaper/Magazine Article
The star of the diagnostic journey: assessing patient perspectives.
Citation Text:
The star of the diagnostic journey: assessing patient perspectives. Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45.
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psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
November 29, 2016 - Newspaper/Magazine Article
Washington Hospital Center safety program seeks to catch 'near-misses.'
Citation Text:
Washington Hospital Center safety program seeks to catch 'near-misses.' Sun LH.
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Toolkit
Toolkit To Improve Safety in Ambulatory Surgery Centers.
Citation Text:
Toolkit To Improve Safety in Ambulatory Surgery Centers. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
February 19, 2020 - Book/Report
Government Response to the Investigation into the Death of Elizabeth Dixon.
Citation Text:
Government Response to the Investigation into the Death of Elizabeth Dixon. Department of Health and Social Care. London, England: Crown Copyright; 2023
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psnet.ahrq.gov/issue/bar-code-label-requirements-blood-and-blood-components
May 04, 2015 - Fact Sheet/FAQs
Bar Code Label Requirements for Blood and Blood Components.
Citation Text:
Bar Code Label Requirements for Blood and Blood Components. FDA; Food and Drug Administration; CBER; Center for Biologics Evaluation and Research.
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