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psnet.ahrq.gov/node/34119/psn-pdf
June 11, 2019 - 2017 ISMP Medication Safety Self Assessment for
Community/Ambulatory Pharmacy.
June 11, 2019
Horsham, PA: Institute for Safe Medication Practices; 2017.
https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-
pharmacy
This community pharmacy measurement tool can be used to re…
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psnet.ahrq.gov/node/34598/psn-pdf
November 15, 2011 - Complexity and the Adoption of Innovation in Health
Care.
November 15, 2011
Plsek P. Washington DC: National Institute for Health Care Management Foundation and National
Committee for Quality Health Care; 2003.
https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
In discussing the complexit…
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psnet.ahrq.gov/node/40317/psn-pdf
November 21, 2016 - Achieving an Exceptional Patient and Family Experience
of Inpatient Hospital Care.
November 21, 2016
Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.
https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
This whit…
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psnet.ahrq.gov/node/60011/psn-pdf
March 04, 2020 - UCSD, doc who overdosed in hospital bathroom face
lawsuits.
March 4, 2020
Clark C. MedPage Today. February 10, 2020.
https://psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
It is an institutional responsibility to monitor physicians exhibiting performance issues that put pati…
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psnet.ahrq.gov/node/39427/psn-pdf
July 30, 2012 - Responding to patient safety incidents: the "seven
pillars."
July 30, 2012
McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the "seven pillars".
Qual Saf Health Care. 2010;19(6):e11. doi:10.1136/qshc.2008.031633.
https://psnet.ahrq.gov/issue/responding-patient-safety-incidents-sev…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/38223/psn-pdf
October 14, 2015 - Patient-Centered Care Improvement Guide.
October 14, 2015
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
This guide contains comprehensive information about best practices and implementation tool…
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psnet.ahrq.gov/node/36121/psn-pdf
April 29, 2018 - Practitioners agree on medication reconciliation value,
but frustration and difficulties abound.
April 29, 2018
ISMP Medication Safety Alert! Acute care edition. July 13, 2006.
https://psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-
abound
This article summar…
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psnet.ahrq.gov/node/38375/psn-pdf
December 01, 2019 - ISMP QuarterWatch Reports.
April 17, 2019
Horsham, PA: Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports
This website provides quarterly reports that identify and analyze new risks related to medications and
adverse drug events submitted to the Food and Drug Administra…
-
psnet.ahrq.gov/node/35581/psn-pdf
June 17, 2010 - Incident reporting in one UK accident and emergency
department.
June 17, 2010
Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency
department. Accid Emerg Nurs. 2006;14(1):27-37.
https://psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
The …
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psnet.ahrq.gov/node/50902/psn-pdf
February 12, 2020 - Improving care by using patient feedback.
February 12, 2020
National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019.
https://psnet.ahrq.gov/issue/improving-care-using-patient-feedback
Patient feedback is a problematic source of patient safety improvement information. This r…
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psnet.ahrq.gov/node/37045/psn-pdf
September 30, 2011 - Understanding and attitudes towards patient safety
concepts in obstetrics.
September 30, 2011
Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics.
Int J Gynaecol Obstet. 2007;98(3):212-6.
https://psnet.ahrq.gov/issue/understanding-and-attitudes-towards-patient-safet…
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psnet.ahrq.gov/node/38335/psn-pdf
March 23, 2009 - For patients, a list of hospital hazards.
March 23, 2009
Landro L. Wall Street Journal (Eastern edition). December 23, 2008;D2.
https://psnet.ahrq.gov/issue/patients-list-hospital-hazards
Emphasizing the importance of safe device use to prevent patient harm, this article reports on the top 10
technology hazards in…
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psnet.ahrq.gov/node/41563/psn-pdf
December 04, 2016 - Harm to Healing - Partnering with Patients Who Have
Been Harmed.
December 4, 2016
Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012.
https://psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
This publication describes an investigation into e…
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psnet.ahrq.gov/node/39172/psn-pdf
December 09, 2009 - Advancing Patient Safety: A Decade of Evidence, Design,
and Implementation.
December 9, 2009
Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No.
09(10)-0084.
https://psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation
This publication …
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psnet.ahrq.gov/training-catalog/ismp-education-solutions
August 09, 2025 - ISMP Education Solutions
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Organization:
Organization
ECRI Institute
Event Description: As a global leader in medication s…
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psnet.ahrq.gov/node/40111/psn-pdf
December 14, 2012 - Disruptive behavior affects hospital financial health.
December 14, 2012
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital.
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk
Management. 2010;30(2):20-6. doi:10.1002/jhrm.20…
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psnet.ahrq.gov/node/39494/psn-pdf
May 13, 2019 - Chasing Zero: Winning the War on Healthcare Harm.
May 13, 2019
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
https://psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
This documentary reports on families affected by medical errors; it includes the story of a high-pro…
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psnet.ahrq.gov/node/36077/psn-pdf
July 05, 2006 - Perinatal patient safety from the perspective of nurse
executives: a round table discussion.
July 5, 2006
Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
https://psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
The authors summarize a discussion be…
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psnet.ahrq.gov/node/35036/psn-pdf
March 29, 2007 - Escape Fire: Designs for the Future of Health Care.
March 29, 2007
Berwick DM. San Francisco, CA: John Wiley & Sons; 2004.
https://psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
This book presents a decade's worth of keynote speeches made by the Institute for Healthcare
Improvement's cofounder and pre…