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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Commentary
FactFinders.
Citation Text:
FactFinders. SIS Patient Safety Committee. Spine Intervention Society.
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - Book/Report
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.
Citation Text:
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - Book/Report
Mistake-Proofing the Design of Health Care Processes.
Citation Text:
Mistake-Proofing the Design of Health Care Processes. Grout JR. Rockville, MD: Agency for Healthcare Research and Quality; May 2007. AHRQ Publication No. 07-0020.
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psnet.ahrq.gov/issue/repair-project
March 27, 2005 - Multi-use Website
The REPAIR Project.
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The REPAIR Project. University of California San Francisco, San Francisco, CA.
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psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
August 11, 2021 - Commentary
Patient safety: through the eyes of your peers.
Citation Text:
Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24.
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - Book/Report
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.
Citation Text:
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - Government Resource
Health IT Safety Center Roadmap.
Citation Text:
Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
March 13, 2013 - Commentary
Tracking progress in patient safety: an elusive target.
Citation Text:
Pronovost P, Miller MR, Wachter R. Tracking progress in patient safety: an elusive target. JAMA. 2006;296(6):696-9.
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - Newspaper/Magazine Article
Medication errors involving healthcare students.
Citation Text:
Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
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psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
December 21, 2018 - Commentary
Medication tracers: a systems approach to medication safety.
Citation Text:
Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety. Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916.
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psnet.ahrq.gov/issue/risks-prescribing-cascade
December 16, 2020 - Newspaper/Magazine Article
The risks of the prescribing cascade.
Citation Text:
Brody JE. The risks of the prescribing cascade. New York Times. 2020.
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psnet.ahrq.gov/issue/promethazine-hcl-marketed-phenergan-information
May 04, 2015 - Government Resource
Promethazine HCl (marketed as Phenergan) Information.
Citation Text:
Promethazine HCl (marketed as Phenergan) Information. FDA; Food and Drug Administration; CDER; Center for Drug Evaluation and Research
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psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Commentary
The partnership with patients: a call to action for leaders.
Citation Text:
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121. doi:10.1097/PTS.0b013e31822d6f2a.
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psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
February 12, 2020 - Commentary
Improving patient safety with team coordination: challenges and strategies of implementation.
Citation Text:
Improving patient safety with team coordination: challenges and strategies of implementation. Harris KT; Treanor CM; Salisbury ML.
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psnet.ahrq.gov/issue/new-frontier-patient-safety
February 03, 2011 - Commentary
A new frontier in patient safety.
Citation Text:
McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742.
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize
September 23, 2020 - Award Recipient
American Hospital Association-McKesson Quest for Quality Prize.
Citation Text:
American Hospital Association-McKesson Quest for Quality Prize. Jt Comm J Qual Patient Saf. 2006;32(10):541-572.
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psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
May 07, 2018 - Newspaper/Magazine Article
Preventing catheter/tubing misconnections: much needed help is on the way.
Citation Text:
Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2.
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