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psnet.ahrq.gov/node/43824/psn-pdf
January 21, 2015 - Impact of a warning CPOE system on the inappropriate
pill splitting of prescribed medications in outpatients.
January 21, 2015
Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of
prescribed medications in outpatients. PLoS One. 2014;9(12):e114359. doi:10.1371/j…
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Researchers will continue to strive for the optimal technical design, workflow integration, and overall
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
February 25, 2019 - Newspaper/Magazine Article
Future directions for diagnostic decision support.
Citation Text:
Future directions for diagnostic decision support. Carr S. ImproveDx. April 2016;3:1-3.
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - Newspaper/Magazine Article
Developing resilience to combat nurse burnout.
Citation Text:
Developing resilience to combat nurse burnout. Quick Safety. July 15, 2019;(50):1-4.
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psnet.ahrq.gov/issue/doctor-uses-pre-flight-checklist
May 22, 2019 - Newspaper/Magazine Article
Doctor uses 'pre-flight' checklist.
Citation Text:
Doctor uses 'pre-flight' checklist. Bernard B. Orange County Register. April 19, 2006.
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - performance to reduce HAI events.( 13-16 ) In the face of widespread mandates for public reporting and integration
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psnet.ahrq.gov/node/38981/psn-pdf
September 30, 2009 - Computerized decision support to reduce potentially
inappropriate prescribing to older emergency department
patients: a randomized, controlled trial.
September 30, 2009
Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate
prescribing to older emergency departme…
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psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
July 30, 2008 - Commentary
WARNING health IT may be hazardous to your healthcare.
Citation Text:
WARNING health IT may be hazardous to your healthcare. Dimick C.
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psnet.ahrq.gov/issue/fixing-healthcare-delivery
February 05, 2014 - Audiovisual Presentation
Fixing Healthcare Delivery.
Citation Text:
Fixing Healthcare Delivery. University of Florida, Institute for Healthcare Improvement, Coursera.
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psnet.ahrq.gov/issue/common-cause-analysis
June 27, 2018 - Newspaper/Magazine Article
Common cause analysis.
Citation Text:
Common cause analysis. Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
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psnet.ahrq.gov/issue/safety-competencies-framework
October 25, 2017 - Multi-use Website
The Safety Competencies Framework.
Citation Text:
The Safety Competencies Framework. Ottawa, ON: Canadian Patient Safety Institute; 2020.
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psnet.ahrq.gov/issue/scottish-patient-safety-alliance
July 29, 2015 - Multi-use Website
Scottish Patient Safety Programme.
Citation Text:
Scottish Patient Safety Programme. Health Improvement Scotland
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Image/Poster
Swiss Cheese Model.
Citation Text:
Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997.
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psnet.ahrq.gov/issue/national-patient-safety-foundation
November 23, 2016 - Multi-use Website
National Patient Safety Foundation.
Citation Text:
National Patient Safety Foundation. National Patient Safety Foundation.
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psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
March 27, 2017 - Book/Report
Patient Safety and Managing Risk in Nursing.
Citation Text:
Patient Safety and Managing Risk in Nursing. Fisher MA, Scott M. London, UK: Sage Publishing; 2013. ISBN: 9781446266878.
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psnet.ahrq.gov/issue/what-happened-patient-safety
August 23, 2007 - Audiovisual
What Happened to Patient Safety.
Citation Text:
What Happened to Patient Safety. Sheridan S. Turn on the Lights. Institute for Healthcare Improvement. May 2023
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - Special or Theme Issue
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Citation Text:
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; Jun…
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psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
May 07, 2018 - Newspaper/Magazine Article
Fatal outcome after inadvertent injection of topical epinephrine.
Citation Text:
Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
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psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
September 08, 2010 - Book/Report
Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families.
Citation Text:
Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 978…