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psnet.ahrq.gov/issue/spotlight-electronic-health-record-errors-errors-related-use-default-values
February 11, 2014 - Government Resource
Spotlight on electronic health record errors: errors related to the use of default values.
Citation Text:
Spotlight on electronic health record errors: errors related to the use of default values. Sparnon E. PA-PSRS Patient Saf Advis. September 2013;10:92-95.
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psnet.ahrq.gov/issue/guidelines-design-and-construction
April 29, 2020 - Book/Report
Guidelines for Design and Construction.
Citation Text:
Guidelines for Design and Construction. St Louis, Missouri; Facilities Guidelines Institute; 2018.
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology.
Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
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psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and-family-centered-care
September 21, 2011 - Book/Report
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Citation Text:
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL:…
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psnet.ahrq.gov/issue/safe-intrahospital-transport-non-icu-patient-using-standardized-handoff-communication
March 18, 2010 - Newspaper/Magazine Article
Safe intrahospital transport of the non-ICU patient using standardized handoff communication.
Citation Text:
Safe intrahospital transport of the non-ICU patient using standardized handoff communication. PA-PSRS Patient Safety Advisory; Patient Safety Authority.…
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psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
February 19, 2020 - Book/Report
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.
Citation Text:
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
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www.ahrq.gov/patient-safety/reports/engage/casestudies.html
December 01, 2017 - Patient and Family Engagement in Primary Care
Case Studies
Research shows that patient engagement in health care can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality is developing a guide to help patients, families, and healt…
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psnet.ahrq.gov/issue/patient-safety-ed
August 11, 2010 - Newspaper/Magazine Article
Patient safety in the ED.
Citation Text:
Patient safety in the ED. Hospitals & health networks. 2006;80(5):6 p. following 48, 2.
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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/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/mris-strong-magnets-cited-accidents
June 08, 2010 - Newspaper/Magazine Article
M.R.I.'s strong magnets cited in accidents.
Citation Text:
M.R.I.'s strong magnets cited in accidents. McNeil DG, Jr.
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psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings
January 30, 2013 - Book/Report
Non-technical Skills and the Future of Teamwork in Healthcare Settings.
Citation Text:
Non-technical Skills and the Future of Teamwork in Healthcare Settings. Sevdalis N. London, UK: The Health Foundation; June 2013.
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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/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/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/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/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/what-happened-patient-safety
August 23, 2007 - Audiovisual
What Happened to Patient Safety.
Citation Text:
What Happened to Patient Safety. Sheridan S. Turn on the Lights. Institute for Healthcare Improvement. May 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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