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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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psnet.ahrq.gov/issue/patient-safety-beyond-hospital
August 24, 2011 - Commentary
Patient safety beyond the hospital.
Citation Text:
Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294.
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psnet.ahrq.gov/issue/no-excuses-reality-demands-action
July 20, 2022 - Meeting/Conference Proceedings
No excuses: the reality that demands action.
Citation Text:
Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d.
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Government Resource
Handoff Communication Tools.
Citation Text:
Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - Press Release/Announcement
2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Book/Report
Approaches and Challenges to Electronically Matching Patients' Records Across Providers.
Citation Text:
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - Newspaper/Magazine Article
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
Citation Text:
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
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psnet.ahrq.gov/issue/day-joy-died
August 20, 2018 - Newspaper/Magazine Article
The day Joy died.
Citation Text:
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
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psnet.ahrq.gov/issue/2005-quest-quality-prize
June 17, 2014 - Award Recipient
2005 Quest for Quality Prize.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66.
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psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
July 08, 2015 - Newspaper/Magazine Article
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.
Citation Text:
Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…
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psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
June 25, 2010 - Study
The Shift Coupon: an innovative method to monitor adverse events.
Citation Text:
Kellogg VA, Havens DS. The Shift Coupon: an innovative method to monitor adverse events. J Nurs Care Qual. 2006;21(1):49-55.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
August 15, 2018 - Press Release/Announcement
AHRQ announces interest in research on health IT safety.
Citation Text:
AHRQ announces interest in research on health IT safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016. Publication No. NOT-HS-16-009.
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psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-infections
August 01, 2012 - Grant Announcement
Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections.
Citation Text:
Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. Rockville, MD: Agency for Healthcare Research and Quality; July …
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psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
September 24, 2016 - Review
Interruptions in healthcare: theoretical views.
Citation Text:
Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001.
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psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
October 02, 2013 - Review
Work-arounds in health care settings: literature review and research agenda.
Citation Text:
Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
June 29, 2016 - Book/Report
How to Identify and Address Unsafe Conditions Associated With Health IT.
Citation Text:
How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…
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psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
April 20, 2022 - Newspaper/Magazine Article
Start the year off right by addressing these top 10 medication safety concerns from 2021.
Citation Text:
Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
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psnet.ahrq.gov/issue/promoting-psychosocial-well-being-health-care-staff-during-crisis
October 21, 2020 - Newspaper/Magazine Article
Promoting psychosocial well-being of health care staff during crisis.
Citation Text:
Promoting psychosocial well-being of health care staff during crisis.
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