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psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
April 21, 2015 - Newspaper/Magazine Article
Quality and patient safety. Engaging your board to take the lead.
Citation Text:
Bader BS. Quality and patient safety. Engaging your board to take the lead. Healthcare executive. 2006;21(2):64, 66-7.
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psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
May 06, 2015 - Book/Report
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.
Citation Text:
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011.
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psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
September 07, 2016 - Commentary
Necessity of a good surgical history: detection of a gossypiboma.
Citation Text:
Coleman JA, Wolfgang CL. Necessity of a Good Surgical History: Detection of a Gossypiboma. The Journal for Nurse Practitioners. 2013;9(5). doi:10.1016/j.nurpra.2013.02.021.
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psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
October 12, 2022 - Review
Classification of antecedents towards safety use of health information technology: a systematic review.
Citation Text:
Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…
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psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
March 28, 2012 - Newspaper/Magazine Article
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.
Citation Text:
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. Wilson L.
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psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
April 17, 2025 - Meeting/Conference Proceedings
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.
Citation Text:
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Armstrong Institute for Patient Safety and Quality…
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psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
December 18, 2013 - Book/Report
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Citation Text:
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…
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psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
March 10, 2021 - Book/Report
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.
Citation Text:
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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psnet.ahrq.gov/issue/state-va-health-care
May 01, 2015 - Congressional Testimony
The State of VA Health Care.
Citation Text:
The State of VA Health Care. Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014).
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psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
October 22, 2014 - Newspaper/Magazine Article
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
Citation Text:
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…
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psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Citation Text:
Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
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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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