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psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
May 16, 2018 - Book/Report
DOD Should Improve Its Process for Clinical Adverse Actions against Providers.
Citation Text:
DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107.
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psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
May 25, 2022 - Review
Patient safety in dermatology: a review of the literature.
Citation Text:
Cao LY, Taylor JS, Vidimos A. Patient safety in dermatology: a review of the literature. Dermatol Online J. 2010;16(1):3.
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psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses
May 29, 2024 - Book/Report
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Citation Text:
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.
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psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
December 14, 2022 - Newspaper/Magazine Article
Adverse glycemic events and critical emergencies.
Citation Text:
Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4.
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digital.ahrq.gov/ahrq-funded-projects/stanford-medicine-x-health-care-and-emerging-technologies/annual-summary/2012
January 01, 2012 - Stanford Medicine X-Health Care and Emerging Technologies - 2012
Project Name
Stanford Medicine X-Health Care and Emerging Technologies
Principal Investigator
Chu, Lawrence
Organization
Stanford University
Funding Mechanism
PAR: HS09-257: AHRQ Grant Program for Larg…
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - Book/Report
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-enablement-quality-measurement-health-information/annual-summary/2010
January 01, 2010 - Health Information Technology Enablement of Quality Measurement: Health Information Technology Expert Panel - 2010
Project Name
Health Information Technology Enablement of Quality Measurement: Health Information Technology Expert Panel
Principal Investigator
Rosenthal, Daniel
Org…
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psnet.ahrq.gov/issue/twelve-tips-engaging-learners-checking-health-care-decisions
February 27, 2014 - Commentary
Twelve tips on engaging learners in checking health care decisions.
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910.
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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - Newspaper/Magazine Article
Preventing errors when preparing and administering medications via enteral feeding tubes.
Citation Text:
Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…
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psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
April 30, 2014 - Study
Evaluation of postoperative handover using a tool to assess information transfer and teamwork.
Citation Text:
Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837.
Co…
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psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - Commentary
Crew resource management: applications in healthcare organizations.
Citation Text:
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406.
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psnet.ahrq.gov/issue/operating-room-briefings
January 02, 2017 - Commentary
Operating room briefings.
Citation Text:
Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357.
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psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
March 30, 2016 - Newspaper/Magazine Article
Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues.
Citation Text:
Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23.
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psnet.ahrq.gov/issue/wish-patient-safety-forum
June 24, 2015 - Audiovisual Presentation
WISH Patient Safety Forum
Citation Text:
WISH Patient Safety Forum World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015.
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psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
April 24, 2018 - Study
Errors in diagnosis of spinal epidural abscesses in the era of electronic health records.
Citation Text:
Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…
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psnet.ahrq.gov/issue/patient-safety-crossroads
March 18, 2019 - Commentary
Patient safety at the crossroads.
Citation Text:
Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759.
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psnet.ahrq.gov/issue/wise-event
October 09, 2024 - Commentary
Wise before the event.
Citation Text:
Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.
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psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
July 07, 2021 - Multi-use Website
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK.
Citation Text:
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Oxford, UK: The National Perinatal Epidemiology U…
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psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
March 10, 2021 - Toolkit
Health IT Safe Practices for Closing the Loop.
Citation Text:
Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - linked to dementia and falls
HOW TO SAFELY REDUCE OR STOP A BZRA:
• Ask your health care provider to find