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psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
August 23, 2017 - Book/Report
Learning From Serious Failings in Care: Main Report.
Citation Text:
Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015.
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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - Newspaper/Magazine Article
Medication errors affecting pediatric patients: unique challenges for this special population.
Citation Text:
Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…
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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/actions-renew-focus-safety-culture
July 24, 2024 - Newspaper/Magazine Article
Actions to renew focus on safety culture.
Citation Text:
Actions to renew focus on safety culture. Salvon-Harman J. Healthcare Executive. 2023;39(3):48-49.
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psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent
December 14, 2022 - Newspaper/Magazine Article
Hidden medication loss when using a primary administration set for small-volume intermittent infusions.
Citation Text:
Hidden medication loss when using a primary administration set for small-volume intermittent infusions. ISMP Medication Safety Alert! Acute ca…
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
November 13, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part I: Where we've been.
Citation Text:
Our long journey towards a safety-minded just culture. Part I: Where we've been. ISMP Medication Safety Alert! Acute care edition. September 7, 2006;11.
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psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
November 30, 2022 - Newspaper/Magazine Article
Strategies for optimizing OR drug safety.
Citation Text:
Strategies for optimizing OR drug safety. Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
September 02, 2016 - Tool 5: Portfolio Design
Tool 5: Portfolio Design
Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital.
Purpose: To facilitate the formulation of you…
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psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - Newspaper/Magazine Article
Before mea culpa, Children’s was confident its air systems weren’t source of infection
Citation Text:
Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019.
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psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
February 07, 2019 - Book/Report
The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations.
Citation Text:
The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 97807879651…
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psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
July 26, 2017 - Newspaper/Magazine Article
Some doctors questioning whether shorter shifts for interns are endangering patients.
Citation Text:
Some doctors questioning whether shorter shifts for interns are endangering patients. Boodman SG. Kaiser Health News. July 9, 2013.
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psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - Newspaper/Magazine Article
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.
Citation Text:
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. Hamilton WL.
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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/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
October 23, 2019 - Newspaper/Magazine Article
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases.
Citation Text:
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Rein L. Washington Post. August 30, 2019.
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psnet.ahrq.gov/issue/2012-john-m-eisenberg-patient-safety-and-quality-awards
November 30, 2016 - Award Recipient
2012 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2012 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2013;39(6):243-266.
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psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
October 23, 2019 - Newspaper/Magazine Article
My patient almost died from a mistake I made. I apologized and it changed my life.
Citation Text:
My patient almost died from a mistake I made. I apologized and it changed my life. McLean K. Huffington Post. October 16, 2019.
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psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
February 22, 2017 - Book/Report
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.
Citation Text:
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
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psnet.ahrq.gov/issue/rethinking-patient-safety
April 13, 2018 - Book/Report
Rethinking Patient Safety.
Citation Text:
Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541.
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psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe
November 29, 2016 - Newspaper/Magazine Article
Meet the cancer patient in room 52: his name is Joseph, but call him Joe.
Citation Text:
Meet the cancer patient in room 52: his name is Joseph, but call him Joe. Sun LH.
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psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings
April 11, 2011 - Organizational Policy/Guidelines
Infection prevention and control in pediatric ambulatory settings.
Citation Text:
Infection prevention and control in pediatric ambulatory settings. Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857.
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