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psnet.ahrq.gov/issue/mounting-drug-shortages-delay-treatments-patients-bladder-cancer
December 05, 2018 - Newspaper/Magazine Article
Mounting drug shortages delay treatments for patients with bladder cancer
Citation Text:
Mounting drug shortages delay treatments for patients with bladder cancer Tirrell M, Taylor H. CNBC. November 27, 2019.
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psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
April 15, 2015 - Audiovisual
Breaking the silence on medical mistakes.
Citation Text:
Breaking the silence on medical mistakes. Scott M. The Pulse. New York Public Radio; April 26, 2024.
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psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
August 07, 2019 - Newspaper/Magazine Article
RFID tags reduce restocking errors of anesthesia medications.
Citation Text:
RFID tags reduce restocking errors of anesthesia medications. Banks MA. Specialty Pharmacy Continuum. September 15, 2023.
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psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-issues
July 24, 2013 - Newspaper/Magazine Article
Federal speech rulings may embolden health care workers to call out safety issues.
Citation Text:
Federal speech rulings may embolden health care workers to call out safety issues. Meyer H. Kaiser Health News. July 9, 2021.
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Commentary
FactFinders.
Citation Text:
FactFinders. SIS Patient Safety Committee. Spine Intervention Society.
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psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
September 12, 2016 - Commentary
MRI safety: prepare for new guidance.
Citation Text:
MRI safety: prepare for new guidance. Gilk T. Appl Radiol. 2023;52(6):24-26.
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psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can-be-deadly
September 16, 2020 - Newspaper/Magazine Article
Rationing protective gear means checking on coronavirus patients less often. This can be deadly.
Citation Text:
Rationing protective gear means checking on coronavirus patients less often. This can be deadly. Kaplan J, Presser L, Miller M. ProPublica. April 10,…
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psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
August 05, 2020 - Newspaper/Magazine Article
Diagnostic safety event reporting.
Citation Text:
Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4).
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psnet.ahrq.gov/issue/behaving-safely-under-pressure-effects-job-demands-resources-and-safety-climate-employee
February 03, 2018 - Study
Behaving safely under pressure: the effects of job demands, resources, and safety climate on employee physical and psychosocial safety behavior.
Citation Text:
Bronkhorst B. Behaving safely under pressure: The effects of job demands, resources, and safety climate on employee physic…
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psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
March 13, 2024 - Commentary
Exploring the role of patients in promoting safety: policy to practice.
Citation Text:
Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5.
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psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
November 29, 2009 - Book/Report
State Patient Safety Centers: A New Approach to Promote Patient Safety.
Citation Text:
State Patient Safety Centers: A New Approach to Promote Patient Safety. Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004.
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
Citation Text:
Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
September 07, 2011 - Commentary
Whither Challenger, wither Columbia: management decision making and the knowledge analytic.
Citation Text:
Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Garrett TM.
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - Commentary
The Swiss cheese model of safety incidents: are there holes in the metaphor?
Citation Text:
Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71.
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psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
September 13, 2006 - Newspaper/Magazine Article
To be sued less, doctors should consider talking to patients more.
Citation Text:
To be sued less, doctors should consider talking to patients more. Carroll AE.
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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psnet.ahrq.gov/issue/physician-leadership-key-creating-safer-more-reliable-health-care-system
November 17, 2009 - Newspaper/Magazine Article
Physician leadership is key to creating a safer, more reliable health care system.
Citation Text:
Physician leadership is key to creating a safer, more reliable health care system. Silbaugh BR, Leider HL. Physician Exec. Sept-Oct 2009;35:12, 14-16.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapd.html
May 01, 2018 - She is the principal investigator of a number of studies examining quality of care for underserved populations
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - That would give you a clue that perhaps examining what happens with dialysis catheters in more depth
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital
and ED Visits Reports
Note: This part of the traini…