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psnet.ahrq.gov/issue/report-ispe-drug-shortages-survey
January 26, 2022 - Book/Report
Report on the ISPE Drug Shortages Survey.
Citation Text:
Report on the ISPE Drug Shortages Survey. Tampa, FL: International Society for Pharmaceutical Engineering; June 2013.
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psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
January 10, 2018 - Book/Report
Enhancing Surgical Performance: A Primer in Non-technical Skills.
Citation Text:
Enhancing Surgical Performance: A Primer in Non-technical Skills. Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322.
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psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
October 21, 2020 - Newspaper/Magazine Article
Doing the "right" things to correct wrong-site surgery.
Citation Text:
Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory
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psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
May 01, 2015 - Audiovisual
Transforming Hospitals: Designing for Safety and Quality.
Citation Text:
Transforming Hospitals: Designing for Safety and Quality. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/studies-medical-errors-warrant-second-opinion
December 13, 2006 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement
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psnet.ahrq.gov/issue/soaring-success-taking-crew-resource-management-cockpit-nursing-unit
June 22, 2016 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement
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psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
March 21, 2012 - March 14, 2023
Implement strategies to prevent persistent medication errors and hazards
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psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting
June 26, 2013 - February 1, 2023
Implement strategies to prevent persistent medication errors and hazards
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - rehospitalization.(6) Recent findings
from observational research have identified a toolset that can be used to implement … This plan should be completed early because ample time is needed to implement the plan before patients … go home.(12) As this case illustrates, failure to implement plans well before discharge increases the
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psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
June 10, 2018 - September 28, 2016
Implement strategies to prevent persistent medication errors and hazards
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
June 10, 2018 - April 29, 2018
Implement strategies to prevent persistent medication errors and hazards
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psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - April 26, 2023
Implement strategies to prevent persistent medication errors and hazards
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psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
May 06, 2016 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement
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psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
June 10, 2018 - March 11, 2020
Implement strategies to prevent persistent medication errors and hazards
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - implemented a medication reconciliation process as part of a larger medication safety program.( 6 ) To implement … hospital’s different levels of care, and each hospital’s varied populations, there is no one way to implement … proven improvement methodology (eg, such as the “Model for Improvement”) ( 8 ), hospitals can test and implement
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psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
July 23, 2010 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
June 10, 2018 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement
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psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
January 11, 2017 - Verbal Orders and Medication Overrides: A Dangerous Combination
April 24, 2024
Implement
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psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
September 24, 2016 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - April 19, 2023
Implement strategies to prevent persistent medication errors and hazards