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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/rhios-aim-transform-quality-care-and-patient-safety
August 26, 2020 - Newspaper/Magazine Article
RHIOs aim to transform quality of care and patient safety.
Citation Text:
RHIOs aim to transform quality of care and patient safety. van der Grinten P.
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psnet.ahrq.gov/issue/teamwork-toolkit
July 21, 2021 - Toolkit
Teamwork Toolkit.
Citation Text:
Teamwork Toolkit. Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
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psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - Tools/Toolkit
My Medicines.
Citation Text:
My Medicines. Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores.
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psnet.ahrq.gov/issue/technical-series-safer-primary-care
November 19, 2014 - Book/Report
Technical Series on Safer Primary Care.
Citation Text:
Technical Series on Safer Primary Care. Geneva, Switzerland: World Health Organization; 2016.
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - Multi-use Website
2006 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2006 Update on Consumers' Views of Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation; 2006.
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psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council
November 30, 2016 - Toolkit
Guide for Developing a Community-Based Patient Safety Advisory Council.
Citation Text:
Guide for Developing a Community-Based Patient Safety Advisory Council. Leonhardt, K, Bonin D, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication N…
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psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
November 16, 2022 - Organizational Policy/Guidelines
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings.
Citation Text:
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
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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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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/box-and-whisker-plot
January 01, 2023 - Box and Whisker Plot
Also Known As
Box Plot
Description
A box and whisker plot is a graphical means of displaying the variation in a dataset. This plot provides more detail than a histogram and allows multiple sets of data to be displayed in the same graph.
Uses
When comparing…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/building-bridges-consumer-needs-and-design-health-information-technology-participants
January 01, 2023 - Building Bridges: Consumer Needs and the Design of Health Information Technology - Participants
Back to Project
KEYNOTE SPEAKERS
Honorary Chair, Patricia Flatley Brennan, RN, PhD University of Wisconsin-Madison
Patricia Flatley…
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psnet.ahrq.gov/issue/health-care-comes-home-human-factors
June 08, 2011 - Book/Report
Health Care Comes Home: The Human Factors.
Citation Text:
Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
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psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
June 16, 2012 - Book/Report
Complexity and the Adoption of Innovation in Health Care.
Citation Text:
Complexity and the Adoption of Innovation in Health Care. Plsek P. Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality Health Care; 2003.
Co…
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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - Government Resource
The Food and Drug Administration's National Drug Code Directory.
Citation Text:
The Food and Drug Administration's National Drug Code Directory. Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human Services: August 2006. R…
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psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
June 10, 2018 - Newspaper/Magazine Article
Disrespectful behaviors—part 1 and part 2.
Citation Text:
Disrespectful behaviors—part 1 and part 2. ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - Newspaper/Magazine Article
Error-prone conditions that lead to student nurse-related errors.
Citation Text:
Error-prone conditions that lead to student nurse-related errors. ISMP Medication Safety Alert! Acute care edition. October 18, 2007.
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psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
March 14, 2023 - Newspaper/Magazine Article
Your attention please... designing effective warnings.
Citation Text:
Your attention please... designing effective warnings. ISMP Medication Safety Alert! Acute care edition. February 28, 2019.
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psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
June 10, 2018 - Newspaper/Magazine Article
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections.
Citation Text:
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. ISMP Medication Safety Alert! Acute care edition. July 26, 2007.
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psnet.ahrq.gov/issue/positive-patient-identification
June 19, 2024 - Book/Report
Positive Patient Identification.
Citation Text:
Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety Investigations Body; February 2024.
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psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - Newspaper/Magazine Article
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
Citation Text:
Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
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