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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
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psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culture-diagnostic-safety-supplemental-items-medical-offices
December 24, 2008 - Webinar
New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental Items for Medical Offices.
Citation Text:
New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental Items for Medical Offices. Agency for Healthcare Research and Quality. June 2, 2021.
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
May 04, 2016 - Grant Announcement
Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed).
Citation Text:
Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report.
Citation Text:
Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
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psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
July 12, 2017 - Press Release/Announcement
Safer Together Survey: Advancing Patient and Workforce Safety
Citation Text:
Safer Together Survey: Advancing Patient and Workforce Safety Cambridge, MA: Institute for Healthcare Improvement: January 2023.
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psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
June 02, 2010 - Book/Report
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain.
Citation Text:
Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. van Vuuren W. Eindhoven, NL; Eindhoven University of Technology: 1998. ISBN 9038605…
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psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
May 07, 2018 - Newspaper/Magazine Article
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
Citation Text:
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…
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psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
March 05, 2010 - Book/Report
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011.
Citation Text:
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013.
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psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
June 10, 2018 - Webinar
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety.
Citation Text:
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020.
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psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
November 16, 2011 - Course Material/Curriculum
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Citation Text:
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.
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psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
January 06, 2017 - Review
Enteral feeding misconnections: an update.
Citation Text:
Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174.
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psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies
July 15, 2009 - Book/Report
Case Studies in Patient Safety: Foundations for Core Competencies.
Citation Text:
Case Studies in Patient Safety: Foundations for Core Competencies. Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548.
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psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
July 31, 2019 - Meeting/Conference Proceedings
Deprescribing Guidelines: Special Section on Symposium Results.
Citation Text:
Deprescribing Guidelines: Special Section on Symposium Results. Res Social Adm Pharm. 2019;15(6):780-810.
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psnet.ahrq.gov/issue/how-can-health-care-organizations-become-more-health-literate-workshop-summary
October 08, 2014 - Book/Report
How Can Health Care Organizations Become More Health Literate?: Workshop Summary.
Citation Text:
How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Pra…
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psnet.ahrq.gov/issue/medication-errors-2nd-ed
March 29, 2007 - Book/Report
Classic
Medication Errors. 2nd ed.
Citation Text:
Medication Errors. 2nd ed. Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
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psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
September 29, 2021 - Book/Report
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital.
Citation Text:
Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
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psnet.ahrq.gov/issue/medicine-safety-take-care
February 21, 2018 - Book/Report
Medicine Safety: Take Care.
Citation Text:
Medicine Safety: Take Care. Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019.
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - Book/Report
Classic
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed.
Citation Text:
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499
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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…