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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare.
Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
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psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
July 08, 2015 - Newspaper/Magazine Article
Technology and error-prevention strategies: why are we still overlooking the IV room?
Citation Text:
Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…
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psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
October 21, 2021 - Newspaper/Magazine Article
Learning from errors with the new COVID-19 vaccines.
Citation Text:
Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - Newspaper/Magazine Article
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
Citation Text:
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…
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psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
September 14, 2016 - Newspaper/Magazine Article
Accidental IV infusion of heparinized irrigation in the OR.
Citation Text:
Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3.
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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/lessons-learned-radonda-vaught-ruling
April 26, 2023 - Newspaper/Magazine Article
Lessons learned from the RaDonda Vaught ruling.
Citation Text:
Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21
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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/aorn-guidance-statement-creating-patient-safety-culture
March 14, 2018 - Organizational Policy/Guidelines
AORN guidance statement: creating a patient safety culture.
Citation Text:
Nurses A of periOR. AORN guidance statement: creating a patient safety culture. AORN journal. 2006;83(4):936-42.
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psnet.ahrq.gov/issue/all-her-head-truth-and-lies-early-medicine-taught-us-about-womens-bodies-and-why-it-matters
March 06, 2024 - Book/Report
All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today.
Citation Text:
All in Her Head. The Truth and Lies Early Medicine Taught Us About Women's Bodies and Why It Matters Today. New York, NY: Harper Wave; 2024. ISBN: 978006…
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psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
April 15, 2015 - Audiovisual
Breaking the silence on medical mistakes.
Citation Text:
Breaking the silence on medical mistakes. Scott M. The Pulse. New York Public Radio; April 26, 2024.
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Special or Theme Issue
Patient Safety: Committing to Learn and Acting to Improve.
Citation Text:
Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.
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psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
April 28, 2021 - Commentary
MRI suites: safety outside the bore.
Citation Text:
MRI suites: safety outside the bore. Gilk T. Patient Safety and Quality Healthcare. September/October 2006:1-8.
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - Organizational Policy/Guidelines
Disclosure of Adverse Events to Patients.
Citation Text:
Disclosure of Adverse Events to Patients. Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA Directive 1004.08.
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psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - Book/Report
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.
Citation Text:
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
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psnet.ahrq.gov/issue/putting-patients-first-best-practices-patient-centered-care-2nd-ed
November 04, 2015 - Book/Report
Putting Patients First: Best Practices in Patient-Centered Care. Second Edition.
Citation Text:
Putting Patients First: Best Practices in Patient-Centered Care. Second Edition. Frampton SB, Charmel PA, eds. San Francisco, CA: Jossey-Bass; 2009. ISBN: 9780470377024.
Co…
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psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
December 24, 2008 - Newspaper/Magazine Article
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
Citation Text:
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…
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effectivehealthcare.ahrq.gov/sites/default/files/mrsascreening_protocol_20110602.pdf
August 10, 2017 - Home | AHRQ Effective Health Care Program
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psnet.ahrq.gov/issue/improving-heparin-safety-multidisciplinary-invited-conference
July 10, 2019 - Meeting/Conference Proceedings
Improving heparin safety: a multidisciplinary invited conference.
Citation Text:
Peterson C, Ham CW, Vanderveen T. Improving Heparin Safety: A Multidisciplinary Invited Conference. doi:10.1310/hpj4306-491.
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Book/Report
Error and Uncertainty in Diagnostic Radiology.
Citation Text:
Error and Uncertainty in Diagnostic Radiology. Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
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