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  1. psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
    August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…
  2. psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
    April 05, 2013 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…
  3. psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
    June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …
  4. psnet.ahrq.gov/issue/findings-and-lessons-improving-management-individuals-complex-health-care-needs-through
    October 02, 2013 - Book/Report Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. Citation Text: Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…
  5. psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …
  6. psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
    February 14, 2024 - Newspaper/Magazine Article Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. Citation Text: Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. McFarling UL. Stat.…
  7. psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
    June 27, 2018 - Book/Report Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Citation Text: Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. Copy Citation …
  8. psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
    November 23, 2015 - Book/Report 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Citation Text: 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …
  9. psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
    July 21, 2010 - Study Airway carts: a systems-based approach to airway safety. Citation Text: Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
  10. psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…
  11. psnet.ahrq.gov/issue/overview-progress-patient-safety
    September 28, 2010 - Review Overview of progress on patient safety. Citation Text: Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  12. psnet.ahrq.gov/issue/blind-spots-science-safety
    February 24, 2021 - Commentary Blind spots in the science of safety. Citation Text: Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  13. psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
    December 16, 2020 - Special or Theme Issue Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Citation Text: Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
  14. psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
    January 08, 2020 - Grant Announcement Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Citation Text: Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).  Rockville, MD: Agency for Healthcare Research and Quality; Septembe…
  15. psnet.ahrq.gov/issue/cusp-method
    October 23, 2019 - Toolkit The CUSP Method Citation Text: The CUSP Method. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Download PDF Shar…
  16. psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
    May 24, 2017 - Commentary Alarm management: promoting safety and establishing guidelines. Citation Text: Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008. Copy Citation Format: DOI Google Scholar PubM…
  17. 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…
  18. 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…
  19. 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…
  20. 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 …

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