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psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
December 19, 2012 - Newspaper/Magazine Article
Patient and family advisory councils. The Massachusetts experience.
Citation Text:
Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
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psnet.ahrq.gov/issue/procedures-should-promote-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Procedures should promote patient safety.
Citation Text:
Spath P. Procedures should promote patient safety. Hospital peer review. 2006;31(8):113-6.
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psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
July 18, 2018 - Newspaper/Magazine Article
Rapid response team activation by patients can mitigate errors.
Citation Text:
Rapid response team activation by patients can mitigate errors. ISMP Medication Safety Alert! Acute care edition. June 1, 2006.
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psnet.ahrq.gov/issue/communication-devices-operating-room
December 02, 2020 - Review
Communication devices in the operating room.
Citation Text:
Ruskin KJ. Communication devices in the operating room. Curr Opin Anaesthesiol. 2006;19(6):655-9.
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psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
December 18, 2013 - Book/Report
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Citation Text:
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…
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psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
June 28, 2013 - Image/Poster
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.
Citation Text:
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Commentary
A piece of my mind. Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179.
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psnet.ahrq.gov/issue/nurses-role-communication-and-patient-safety
July 23, 2008 - Commentary
Nurses' role in communication and patient safety.
Citation Text:
Nadzam DM. Nurses' role in communication and patient safety. J Nurs Care Qual. 2009;24(3):184-188. doi:10.1097/01.NCQ.0000356905.87452.62.
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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death.
Citation Text:
National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Newspaper/Magazine Article
10 ways to guarantee a lawsuit.
Citation Text:
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
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psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
September 14, 2016 - Newspaper/Magazine Article
Safety still compromised by computer weaknesses.
Citation Text:
Safety still compromised by computer weaknesses. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
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psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Citation Text:
Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
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psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
March 17, 2011 - Book/Report
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement.
Citation Text:
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Salt Lake City, UT: Utah Department of Health, HealthIn…
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psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
August 29, 2017 - Book/Report
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture.
Citation Text:
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…
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psnet.ahrq.gov/issue/integrating-patient-safety-curriculum
July 15, 2009 - Commentary
Integrating patient safety into curriculum.
Citation Text:
Integrating patient safety into curriculum. Rapala K, Novak JC. Patient Safety Quality in Healthcare. March/April 2007.
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psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
March 23, 2011 - Commentary
A tragic death: a time to blame or a time to learn?
Citation Text:
Runciman WB, Merry AF. A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.
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www.ahrq.gov/news/newsroom/case-studies/201414.html
August 01, 2014 - AHRQ's Patient Safety Culture Survey Integral to MedStar Washington Hospital Center's Quality Efforts
Search All Impact Case Studies
August 2014
MedStar Washington Hospital Center, a 926-bed teaching and research hospital in Washington, D.C., has used AHRQ's Hospital Survey on Patient Safety Culture since…
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psnet.ahrq.gov/issue/blaming-others-threatening-events
November 25, 2009 - Review
Classic
Blaming others for threatening events.
Citation Text:
Blaming others for threatening events. Tennen H; Affleck G.
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psnet.ahrq.gov/issue/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
April 08, 2020 - Government Resource
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors.
Citation Text:
Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. U…