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psnet.ahrq.gov/issue/prescription-drug-time-guarantees-and-their-impact-patient-safety-community-pharmacies
June 10, 2018 - Newspaper/Magazine Article
Prescription drug time guarantees and their impact on patient safety in community pharmacies.
Citation Text:
Prescription drug time guarantees and their impact on patient safety in community pharmacies. ISMP Medication Safety Alert! Acute care edition! Septembe…
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psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
May 20, 2009 - Commentary
AHRQ quality and safety initiatives.
Citation Text:
Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6.
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psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
May 04, 2016 - Book/Report
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition.
Citation Text:
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
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psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
January 23, 2019 - Toolkit
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.
Citation Text:
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…
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psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
October 16, 2024 - Book/Report
Safer Together: A National Action Plan to Advance Patient Safety.
Citation Text:
Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement: September 2020.
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - Book/Report
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report
Citation Text:
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Washington DC; National Quality Forum: Octobe…
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psnet.ahrq.gov/issue/opioid-stewardship
February 06, 2019 - Special or Theme Issue
Opioid Stewardship.
Citation Text:
Opioid Stewardship. Ochsner J. 2018;18(1):20-45.
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psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Press Release/Announcement
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Citation Text:
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006.
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - Toolkit
TeamSTEPPS for Diagnosis Improvement.
Citation Text:
TeamSTEPPS for Diagnosis Improvement.
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psnet.ahrq.gov/issue/joshuas-story
February 26, 2014 - Audiovisual
Joshua’s Story.
Citation Text:
Joshua’s Story. Anderson-Wallace M, Denning R. Leeds, UK: Patient Stories; October 18, 2014.
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psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
March 28, 2012 - Newspaper/Magazine Article
Doctors fear criminalization of medical mistakes.
Citation Text:
Doctors fear criminalization of medical mistakes. Sorrel AL. American Medical News. November 27, 2006.
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psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
February 05, 2020 - Multi-use Website
Radiotherapy Incident Reporting and Analysis System.
Citation Text:
Radiotherapy Incident Reporting and Analysis System. Center for Assessment of Radiological Sciences. 4913 Wuakesha Street, Madison,WI 53705. 608-345-5795. Email: brthomad@cars-pso.org.
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psnet.ahrq.gov/issue/safety-first
June 09, 2011 - Newspaper/Magazine Article
Safety first.
Citation Text:
Feinmann J. Safety first. BMJ. 2009;338:b420. doi:10.1136/bmj.b420.
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psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
August 19, 2009 - Commentary
Laboratory results that should be ignored.
Citation Text:
Elston DM. Laboratory results that should be ignored. MedGenMed. 2006;8(4):9.
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - Sentinel Event Alerts
Managing the risks of direct oral anticoagulants.
Citation Text:
Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5.
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psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
November 02, 2016 - Book/Report
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report.
Citation Text:
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - Newspaper/Magazine Article
Beware of basal opioid infusions with PCA therapy.
Citation Text:
Beware of basal opioid infusions with PCA therapy. ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
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psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
December 24, 2008 - Grant Recipient
Challenge Competition: Impact of Patient Safety Tools.
Citation Text:
Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023.
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care.
Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152.
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