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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
June 10, 2018 - Newspaper/Magazine Article
Guidelines for timely medication administration: response to the CMS "30-minute rule."
Citation Text:
Guidelines for timely medication administration: response to the CMS "30-minute rule." ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-…
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psnet.ahrq.gov/issue/double-booked-when-surgeons-operate-two-patients-once
March 29, 2017 - Newspaper/Magazine Article
Double-booked: when surgeons operate on two patients at once.
Citation Text:
Double-booked: when surgeons operate on two patients at once. Boodman SG. Kaiser Health News. July 12, 2017.
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psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis
January 18, 2023 - Audiovisual
Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis.
Citation Text:
Jake Tapper shares harrowing story of daughter's near-fatal misdiagnosis. CNN. December 15, 2022.
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs. Rockville, MD: Agency for He…
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/issue/quality-connection
October 09, 2024 - Newspaper/Magazine Article
The quality connection.
Citation Text:
Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2.
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Manage staff fatigue to improve patient safety.
Citation Text:
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
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psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
February 11, 2015 - Book/Report
Medicare's Oversight of Ambulatory Surgery Centers Report.
Citation Text:
Medicare's Oversight of Ambulatory Surgery Centers Report. Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
September 25, 2013 - Newspaper/Magazine Article
The role of the electronic health record in patient safety events.
Citation Text:
The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21.
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psnet.ahrq.gov/issue/new-frontier-patient-safety
February 03, 2011 - Commentary
A new frontier in patient safety.
Citation Text:
McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742.
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Book/Report
Learning from Investigations.
Citation Text:
Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636.
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
June 10, 2018 - Newspaper/Magazine Article
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections.
Citation Text:
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. ISMP Medication Safety Alert! Acute care edition. July 26, 2007.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
March 05, 2014 - Commentary
Classic
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7.
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psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
May 01, 2019 - Commentary
Lessons from health care leaders: rethinking and reinvesting in patient safety.
Citation Text:
doi:10.1056/CAT.23.0090.
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