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psnet.ahrq.gov/issue/handbook-perioperative-and-procedural-patient-safety
December 01, 2021 - Book/Report
Handbook of Perioperative and Procedural Patient Safety.
Citation Text:
Handbook of Perioperative and Procedural Patient Safety. Sanchez JA, Higgins RSD, Kent PS, eds. St Louis, MO: Elsevier; 2024. ISBN: 9780323661799.
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Book/Report
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care.
Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
May 21, 2014 - Book/Report
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.
Citation Text:
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …
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psnet.ahrq.gov/issue/documenting-day-discussion-ahead-crest-wave-creating-national-agenda-systemic-change-enhanced
April 28, 2021 - Book/Report
Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being.
Citation Text:
Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change …
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psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
December 23, 2008 - Newspaper/Magazine Article
Pro/con debate: color-coded medication labels.
Citation Text:
Pro/con debate: color-coded medication labels. Janik LS, Vender JS, Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
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psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
June 20, 2014 - Book/Report
Radiation Therapy Safety: The Critical Role of the Radiation Therapist.
Citation Text:
Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundatio…
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - Review
Emerging Classic
Incident learning in radiation oncology: a review.
Citation Text:
Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800.
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
October 03, 2018 - Book/Report
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014.
Citation Text:
Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients
February 21, 2024 - Award Recipient
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients.
Citation Text:
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum: January 23…
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psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
November 20, 2019 - Newspaper/Magazine Article
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it.
Citation Text:
Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019.
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psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
June 10, 2018 - Newspaper/Magazine Article
Multiple latent failures align to allow a serious drug interaction to harm a patient.
Citation Text:
Multiple latent failures align to allow a serious drug interaction to harm a patient. ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3.
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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/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/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/help-your-patient-get-what-you-just-said-health-literacy-guide
December 18, 2014 - Commentary
Help your patient "get" what you just said: a health literacy guide.
Citation Text:
Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196.
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psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
December 15, 2011 - Review
Medication administration errors: understanding the issues.
Citation Text:
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41.
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psnet.ahrq.gov/issue/quality-and-economic-impact-disruptive-behaviors-clinical-outcomes-patient-care
February 03, 2010 - Commentary
The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.
Citation Text:
Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/106286061140…
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psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
May 04, 2016 - Book/Report
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.
Citation Text:
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…
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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/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
February 02, 2022 - Newspaper/Magazine Article
Families are struggling to use medicines at home — we must truly involve them in their own safety.
Citation Text:
Families are struggling to use medicines at home — we must truly involve them in their own safety. Morris S, O’Hara J. Pharmacuetical Journal.…