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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - instructions, and identify or avoid medication errors and drug-drug interactions. 18 In one study, implementing
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - In a way it's great, because it's building organizational muscle for implementing
electronic systems
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Implementing simulation-based training programs across medical domains and institutions will require
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - 23453174
In most institutions where you are promoting hand hygiene, it is clear that you are also implementing
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psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
November 15, 2017 - Special or Theme Issue
Patient Safety During Perinatal and Neonatal Care.
Citation Text:
Patient Safety During Perinatal and Neonatal Care. Am J Perinatol. 2012;29:1-70.
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psnet.ahrq.gov/issue/who-collaborating-centres-patient-safety
April 06, 2016 - Multi-use Website
Global Patient Safety Collaborative.
Citation Text:
Global Patient Safety Collaborative. World Alliance for Patient Safety; World Health Organization
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psnet.ahrq.gov/issue/quality-and-patient-safety
December 24, 2008 - Multi-use Website
Quality and Patient Safety.
Citation Text:
Quality and Patient Safety. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/emergency-response-outpatient-oncology-care-improving-patient-safety
March 16, 2023 - Commentary
Emergency response in outpatient oncology care: improving patient safety.
Citation Text:
Schiavone R. Emergency response in outpatient oncology care: improving patient safety. Clin J Oncol Nurs. 2009;13(4):440-2. doi:10.1188/09.CJON.440-442.
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - SPOTLIGHT CASE
Multifactorial Medication Mishap
Citation Text:
Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil
March 1, 2017
In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
Editor's note: Dr. Dixon-Woods is RAND Professor of Health Services Research at Cambridge University
and Deputy …
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - High reliability principles are essential in designing and
implementing a resilient, patient-centered
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - In Conversation With… Edward Kelley, PhD
December 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
…
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - The Evolution of Patient Safety in Surgery
December 1, 2017
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
Perspective
In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Patient Safety in the Ambulatory Care Setting
August 5, 2022
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
Introduction
There is no way to review the year 2021 in quality and …
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—II. The Duke Experience
May 1, 2005
Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet
[internet]. 2005.
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
Pe…
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - capabilities of an ideal laboratory results
management systems are shown in the Table.(16,17)
Additionally, implementing
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
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Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019
View more articles from the same authors.
Citation Text:
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
April 17, 2024 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for Hospitals.
Citation Text:
ISMP Medication Safety Self Assessment for Hospitals. Horsham, PA: Institute for Safe Medication Practices; April 2011.
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Multi-use Website
Collaborative for Accountability and Improvement.
Citation Text:
Collaborative for Accountability and Improvement. University of Washington.
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