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psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
February 17, 2021 - Book/Report
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.
Citation Text:
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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psnet.ahrq.gov/issue/top-10-patient-safety-concerns
March 10, 2021 - Book/Report
Top 10 Patient Safety Concerns.
Citation Text:
Top 10 Patient Safety Concerns. Plymouth Meeting, PA: ECRI; March 2025.
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psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
February 10, 2021 - Book/Report
How administrative burdens can harm health.
Citation Text:
How administrative burdens can harm health. Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
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psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
November 20, 2019 - Book/Report
Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations.
Citation Text:
Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Washington DC; National Quality Forum: October 28, 2019.
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - Book/Report
The Care We Need
Citation Text:
The Care We Need Washington DC: National Quality Forum; 2020.
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psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
July 22, 2019 - Special or Theme Issue
Special Issue on Resilience Engineering and High Reliability Organizations.
Citation Text:
Special Issue on Resilience Engineering and High Reliability Organizations. Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
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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/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
November 16, 2022 - Organizational Policy/Guidelines
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings.
Citation Text:
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
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psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Book/Report
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019.
Citation Text:
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019.
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care
October 19, 2022 - Meeting/Conference Proceedings
Advancing Diagnostic Excellence in Maternal Health Care.
Citation Text:
Advancing Diagnostic Excellence in Maternal Health Care. Board on Health Care Services, National Academies of Science, Engineering, and Medicine. Irvine, CA: Arnold and Mabel Beckm…
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
January 26, 2023 - Organizational Policy/Guidelines
Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Targeted Medication Safety Best Practices for Hospitals. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024.
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psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
June 28, 2023 - Newspaper/Magazine Article
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them.
Citation Text:
Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Cenziper D, Sallah MD, Korsh M. ProPublica. …
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psnet.ahrq.gov/issue/ismp-medication-safety-alertr-acute-care-edition
March 26, 2015 - Newsletter/Journal
ISMP Medication Safety Alert® Acute Care Edition.
Citation Text:
ISMP Medication Safety Alert® Acute Care Edition. Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6312.
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psnet.ahrq.gov/issue/learning-action-guide-putting-learning-organization-work
July 24, 2018 - Book/Report
Classic
Learning in Action: A Guide to Putting the Learning Organization to Work.
Citation Text:
Learning in Action: A Guide to Putting the Learning Organization to Work. Garvin DA. Harvard Business Review Press, 2003.
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psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
March 27, 2024 - Commentary
Psychology insights on apologizing to patients.
Citation Text:
Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585.
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psnet.ahrq.gov/issue/teach-back-patients-perspective
March 27, 2024 - Commentary
"Teach-back" from a patient's perspective.
Citation Text:
Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4. doi:10.1097/01.NURSE.0000476249.18503.f5.
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psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
July 24, 2024 - Review
Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review.
Citation Text:
Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these b…
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - Fact Sheet/FAQs
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Citation Text:
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Ins…
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psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
June 18, 2021 - Sentinel Event Alerts
Radiation risks of diagnostic imaging and fluoroscopy.
Citation Text:
Radiation risks of diagnostic imaging and fluoroscopy. Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
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