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psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
February 08, 2010 - Newspaper/Magazine Article
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
Citation Text:
DerGurahian J. AHRQ presses on. No rule yet, but agency taps 10 safety organizations. Modern healthcare. 2008;38(45):8-9.
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops.
Citation Text:
Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2.
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psnet.ahrq.gov/issue/patient-survival-handbook
February 22, 2006 - Book/Report
The Patient Survival Handbook.
Citation Text:
The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - Image/Poster
Suicidal patient slips through the cracks.
Citation Text:
Suicidal patient slips through the cracks. Oakbrook Terrace, IL: Joint Commission: October 2019.
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psnet.ahrq.gov/issue/improving-patient-safety-office-institute-safety-office-based-surgery
August 13, 2014 - Newspaper/Magazine Article
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery.
Citation Text:
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - Newspaper/Magazine Article
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.
Citation Text:
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. ISMP Medication Safety Alert! Acute Care Edition…
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psnet.ahrq.gov/issue/broken-fragmented-health-care-system-failed-daughter-who-died-suicide
June 29, 2022 - Newspaper/Magazine Article
Broken, fragmented health-care system failed daughter who died by suicide.
Citation Text:
Broken, fragmented health-care system failed daughter who died by suicide. Klowak M. CBC News. March 9, 2020.
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psnet.ahrq.gov/issue/crushing-or-splitting-medications-unrecognized-hazards
October 26, 2010 - Commentary
Crushing or splitting medications: unrecognized hazards.
Citation Text:
Gill D, Spain M, Edlund BJ. Crushing or Splitting Medications: Unrecognized Hazards. J Gerontol Nurs. 2012. doi:10.3928/00989134-20111213-01.
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psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
October 21, 2021 - Newspaper/Magazine Article
Learning from errors with the new COVID-19 vaccines.
Citation Text:
Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Multi-use Website
Diagnostic Excellence Initiative.
Citation Text:
Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation.
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psnet.ahrq.gov/issue/special-section-association-directors-anatomic-and-surgical-pathology-symposium
February 15, 2010 - Meeting/Conference Proceedings
Special Section—Association of Directors of Anatomic and Surgical Pathology Symposium.
Citation Text:
Special Section—Association of Directors of Anatomic and Surgical Pathology Symposium. Arch Pathol Lab Med. 2005;129(10):1226-1276.
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psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
May 12, 2021 - Newspaper/Magazine Article
'America's other drug problem': copious prescriptions for hospitalized elderly.
Citation Text:
'America's other drug problem': copious prescriptions for hospitalized elderly. Gorman A. Kaiser Health News. August 30, 2016.
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psnet.ahrq.gov/issue/more-750-hospitals-face-medicare-crackdown-patient-injuries
June 27, 2018 - Newspaper/Magazine Article
More than 750 hospitals face Medicare crackdown on patient injuries.
Citation Text:
More than 750 hospitals face Medicare crackdown on patient injuries. Rau J. Kaiser Health News. June 22, 2014.
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - Webinar
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors.
Citation Text:
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. Institute for Safe Medication Practices. October 26, …
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - Commentary
Clinician mindfulness and patient safety.
Citation Text:
Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817.
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psnet.ahrq.gov/issue/best-practices-administering-sops-surveys
January 10, 2024 - Webinar
Best Practices for Administering SOPS Surveys.
Citation Text:
Best Practices for Administering SOPS Surveys. Agency for Healthcare Research and Quality. January 24, 2024.
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.