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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Legislation/Case Law
The National Medical Error Disclosure and Compensation (MEDiC) Act.
Citation Text:
The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
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psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
December 24, 2008 - Grant Recipient
Challenge Competition: Impact of Patient Safety Tools.
Citation Text:
Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023.
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - Commentary
Understanding models of error and how they apply in clinical practice.
Citation Text:
Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016.
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psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
December 24, 2008 - Government Resource
Classic
Advances in Patient Safety: From Research to Implementation.
Citation Text:
Advances in Patient Safety: From Research to Implementation. Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/your-safety-our-hands-hospital
July 07, 2021 - Book/Report
Your Safety in our Hands in Hospital.
Citation Text:
Your Safety in our Hands in Hospital. Patient Safety Surveillance Unit. Department of Health, Perth: Western Australia.
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psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
May 04, 2016 - Book/Report
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition.
Citation Text:
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
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psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
March 10, 2021 - Commentary
Pharmacy mixes up prescriptions.
Citation Text:
Brushwood DB. Pharmacy error leads to fatal medication mix-up. Pharmacy Today. 2017;23(12):42. doi:10.1016/j.ptdy.2017.11.012.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
March 23, 2012 - Book/Report
Advancing Anticoagulation Stewardship: A Playbook.
Citation Text:
Advancing Anticoagulation Stewardship: A Playbook. Washington DC; National Quality Forum and Anticoagulation Forum; 2022.
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - Book/Report
NHS Safety Thermometer Reports.
Citation Text:
NHS Safety Thermometer Reports. Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017.
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psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
March 20, 2017 - Newspaper/Magazine Article
Clinician support: five years of lessons learned.
Citation Text:
Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31.
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psnet.ahrq.gov/issue/safety-medication-use
January 01, 2019 - Book/Report
Safety in Medication Use.
Citation Text:
Safety in Medication Use. Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000.
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psnet.ahrq.gov/issue/rethinking-patient-safety
April 13, 2018 - Book/Report
Rethinking Patient Safety.
Citation Text:
Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541.
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psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
May 06, 2015 - Book/Report
Leading High-Reliability Organizations in Healthcare.
Citation Text:
Leading High-Reliability Organizations in Healthcare. Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883.
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psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders
April 12, 2017 - Book/Report
Leading Health Care Transformation: A Primer for Clinical Leaders.
Citation Text:
Leading Health Care Transformation: A Primer for Clinical Leaders. Joshi M, Erb N, Zhang S, Sikka R. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498700184.
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psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
September 26, 2018 - Newspaper/Magazine Article
Medication errors: the year in review: January through December 2021.
Citation Text:
Medication errors: the year in review: January through December 2021. Pharmacy Practice News Special Edition. December 13, 2022: 43-54.
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events.
Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117.
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psnet.ahrq.gov/issue/final-report-ockenden-review
January 13, 2021 - Book/Report
Final Report of the Ockenden Review.
Citation Text:
Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections_disposition-comments.pdf
March 01, 2012 - Although the CDI incidence declines after the introduction
of the vapor system, the CDI incidence after … (see figure with monthly CDI incidence: only higher during
outbreak period)
Section has been reworded … Reviewer
#5
General Although it is mentioned there are several potential explanations for
why CDI incidence … section of the paper has
the following statement "The study consisted of (1) an assessment of
the incidence
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effectivehealthcare.ahrq.gov/sites/default/files/worker-health_executive.pdf
April 01, 2016 - Health and safety outcomes (e.g.,
cardiovascular events or incidence
of work-related injuries)
b. … eating
behavior; hazardous
work exposures; “near
misses”
Health and Safety Outcomes
Mortality; incidence … No study eligible for KQ 2 reported on the following
outcomes: incidence of injuries, cardiovascular … Researchers should
measure the incidence or morbidity associated
with chronic diseases when feasible … concurrent control
group examined OSH outcomes, harms, unintended
consequences, or any of the following: incidence