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psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
November 13, 2019 - Newspaper/Magazine Article
Advancing safety with closed-loop communication of test results.
Citation Text:
Advancing safety with closed-loop communication of test results. Quick Safety. December 17, 2019;(52):1-3.
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psnet.ahrq.gov/issue/follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department
March 25, 2025 - Sentinel Event Alerts
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Citation Text:
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4.
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psnet.ahrq.gov/issue/harmful-errors-how-will-your-facility-respond
November 05, 2014 - Newspaper/Magazine Article
Harmful errors: how will your facility respond?
Citation Text:
Harmful errors: how will your facility respond? ISMP Medication Safety Alert! Acute care edition. October 5, 2006.
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psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
July 01, 2020 - Book/Report
Coding for Success: Simple Technology for Safer Patient Care.
Citation Text:
Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007.
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psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
July 06, 2011 - Book/Report
Misadventures in Health Care: Inside Stories.
Citation Text:
Misadventures in Health Care: Inside Stories. Bogner MS, ed. New York, NY: Psychology Press; 2013. ISBN: 9780805833775.
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. Third ed.
Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029.
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psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
August 06, 2016 - Book/Report
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS.
Citation Text:
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. London, UK: Swift Press; 2022. ISBN: 9781800751224.
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psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
July 26, 2017 - Multi-use Website
Each Baby Counts.
Citation Text:
Each Baby Counts. Royal College of Obstetricians and Gynaecologists.
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psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
February 06, 2019 - Organizational Policy/Guidelines
Guidance for the Safe Use of Automated Dispensing Cabinets.
Citation Text:
Guidance for the Safe Use of Automated Dispensing Cabinets. Horsham, PA: Institute for Safe Medication Practices; 2019.
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psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
November 29, 2016 - Newspaper/Magazine Article
Washington Hospital Center safety program seeks to catch 'near-misses.'
Citation Text:
Washington Hospital Center safety program seeks to catch 'near-misses.' Sun LH.
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - Newspaper/Magazine Article
Mistakes even good doctors make.
Citation Text:
Mistakes even good doctors make. Consumer Reports on Health. November 2013;25:6-7.
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psnet.ahrq.gov/issue/candor-webinar-series
June 01, 2023 - Webinar
CANDOR Webinar Series.
Citation Text:
CANDOR Webinar Series. Patient Safety Movement Foundation. 2021.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/variation-patient-safety-outcomes-and-importance-being-informed
July 02, 2014 - Book/Report
Variation in Patient Safety Outcomes and the Importance of Being Informed.
Citation Text:
Variation in Patient Safety Outcomes and the Importance of Being Informed. Golden, CO: Healthgrades; 2013.
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - Book/Report
The Habits of an Improver. Thinking About Learning for Improvement in Health Care.
Citation Text:
The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Review
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Citation Text:
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. Copeland AW. UpToDate. April 10, 2023.
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psnet.ahrq.gov/issue/management-operating-room-critical-events
March 27, 2024 - Special or Theme Issue
Management of Operating Room Critical Events.
Citation Text:
Management of Operating Room Critical Events. Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
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psnet.ahrq.gov/issue/medication-errors-2018-year-review
October 23, 2019 - Newspaper/Magazine Article
Medication errors 2018: the year in review.
Citation Text:
Medication errors 2018: the year in review. Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018.
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psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - Newspaper/Magazine Article
Family of woman who died after a medical error joins hospital's safety panel.
Citation Text:
Family of woman who died after a medical error joins hospital's safety panel. Shelton DL. Chicago Tribune. October 7, 2011.
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - Image/Poster
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.
Citation Text:
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI
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