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psnet.ahrq.gov/node/859353/psn-pdf
December 20, 2023 - Global State of Patient Safety 2023.
December 20, 2023
Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
https://psnet.ahrq.gov/issue/global-state-patient-safety-2023
Patient safety data can support learning health systems and worldwide improvement. This report discusses
a set of in…
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psnet.ahrq.gov/node/867085/psn-pdf
November 06, 2024 - The medication kit conundrum: considerations to
enhance safety and efficiency.
November 6, 2024
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and
efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233.
https://psnet.ahrq.gov/issue/medi…
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psnet.ahrq.gov/node/72750/psn-pdf
February 17, 2021 - Implementing patient and family involvement
interventions for promoting patient safety: a systematic
review and meta-analysis.
February 17, 2021
Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient
safety. J Patient Saf. 2021;17(2):131-140. doi:10.1097/pts.00000000000…
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psnet.ahrq.gov/node/48149/psn-pdf
July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety
in Healthcare.
July 31, 2019
Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN:
9781260440928.
https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
Achieving zero preventable harms h…
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…
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psnet.ahrq.gov/issue/safety-design
March 11, 2009 - Special or Theme Issue
Safety by Design.
Citation Text:
Safety by Design. Qual Saf Health Care. 2006 Dec;15(Suppl 1):i1-90.
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - Audiovisual Presentation
AHRQ Patient Safety YouTube Channel.
Citation Text:
AHRQ Patient Safety YouTube Channel. Rockville, MD: Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/quick-tips-when-getting-prescription
December 24, 2008 - Government Resource
Quick Tips—When Getting A Prescription.
Citation Text:
Quick Tips—When Getting A Prescription. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/hospitals-combat-errors-hand
August 17, 2016 - Newspaper/Magazine Article
Hospitals combat errors at the 'hand-off.'
Citation Text:
Hospitals combat errors at the 'hand-off.' Landro L.
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psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
January 17, 2024 - Toolkit
The Transforming Care at the Bedside (TCAB) Toolkit.
Citation Text:
The Transforming Care at the Bedside (TCAB) Toolkit. Princeton, NJ: Robert Wood Johnson Foundation; 2008.
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psnet.ahrq.gov/issue/ahrq-2010-annual-conference
December 24, 2008 - Government Resource
AHRQ 2010 Annual Conference.
Citation Text:
AHRQ 2010 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - Multi-use Website
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO).
Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). Agency for Healthcare Quality and Research.
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psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
January 16, 2013 - Special or Theme Issue
Diagnostic Error: Is Overconfidence the Problem.
Citation Text:
Diagnostic Error: Is Overconfidence the Problem. Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.
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psnet.ahrq.gov/issue/new-approaches-researching-patient-safety
July 15, 2020 - Special or Theme Issue
New Approaches to Researching Patient Safety.
Citation Text:
New Approaches to Researching Patient Safety. Iedema R, ed. Soc Sci Med. 2009;69(12):1701-1783.
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psnet.ahrq.gov/issue/patient-safety-5
February 22, 2006 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Intern J Health Care Qual Assur. 2007;20(7):555-632.
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psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
December 17, 2008 - Book/Report
Medication Use: A Systems Approach to Reducing Errors, Second Edition.
Citation Text:
Medication Use: A Systems Approach to Reducing Errors, Second Edition. Porché RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976.
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psnet.ahrq.gov/issue/patient-safety-2006
October 26, 2007 - Meeting/Conference Proceedings
Patient Safety 2006.
Citation Text:
Patient Safety 2006. National Patient Safety Agency.
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psnet.ahrq.gov/issue/medication-reconciliation-hospitalists
February 18, 2011 - Toolkit
Medication Reconciliation for Hospitalists.
Citation Text:
Medication Reconciliation for Hospitalists. Society of Hospital Medicine.
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psnet.ahrq.gov/issue/patient-safety-awareness-week
July 12, 2017 - Webinar
Patient Safety Awareness Week.
Citation Text:
Patient Safety Awareness Week. Institute for Healthcare Improvement.
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psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
October 25, 2013 - Toolkit
Patient Safety Through Teamwork and Communication Toolkit.
Citation Text:
Patient Safety Through Teamwork and Communication Toolkit. Denver Health.
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