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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
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psnet.ahrq.gov/issue/patients-toolkit-diagnosis
November 08, 2017 - Toolkit
Patient's Toolkit for Diagnosis.
Citation Text:
Patient's Toolkit for Diagnosis. SIDM Patient Engagement Committee. Evanston, IL: Society to Improve Diagnosis in Medicine; October 2018.
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - Government Resource
Oral medications inadvertently given via the intravenous route.
Citation Text:
Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
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psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
May 02, 2018 - Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams.
Citation Text:
Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
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psnet.ahrq.gov/issue/inpatient-quality-indicators
December 22, 2014 - Multi-use Website
Inpatient Quality Indicators.
Citation Text:
Inpatient Quality Indicators. Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting.
Citation Text:
Common Formats for Event Reporting. National Quality Forum.
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psnet.ahrq.gov/issue/reminder-pay-attention-appearance-your-medicines
September 09, 2015 - Newspaper/Magazine Article
Reminder: pay attention to the appearance of your medicines.
Citation Text:
Reminder: pay attention to the appearance of your medicines. ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2.
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - Book/Report
The Habits of an Improver. Thinking About Learning for Improvement in Health Care.
Citation Text:
The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
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psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
July 08, 2015 - Newspaper/Magazine Article
Accidental overdoses involving fluorouracil infusions.
Citation Text:
Accidental overdoses involving fluorouracil infusions. ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5.
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. Third ed.
Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029.
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - Newspaper/Magazine Article
Stop using these adult bed rails, warns the Consumer Product Safety Commission.
Citation Text:
Stop using these adult bed rails, warns the Consumer Product Safety Commission. Treisman R. National Public Radio. June 6, 2022
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psnet.ahrq.gov/issue/complaints-and-raising-concerns
November 16, 2015 - Book/Report
Complaints and Raising Concerns.
Citation Text:
Complaints and Raising Concerns. Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350.
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology.
Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
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psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
May 08, 2013 - Book/Report
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.
Citation Text:
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. O'Hara J, Isden R. London, UK: Health Foundation; October 2013.
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psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction
August 07, 2019 - Book/Report
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction.
Citation Text:
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/choosing-patient-safety-organization
April 01, 2020 - Fact Sheet/FAQs
Choosing a Patient Safety Organization
Citation Text:
Choosing a Patient Safety Organization Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0030.
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psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture
October 06, 2016 - Meeting/Conference Proceedings
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Agency for Healthcare Research and Quality. July 15, 2015.
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psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
October 25, 2013 - Book/Report
HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Health Grades, Inc; 2005.
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