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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Book/Report
Classic
Improving Hand-Off Communication.
Citation Text:
Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Medical Office Survey on Patient Safety Culture.
Citation Text:
Medical Office Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; June 2023.
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psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
October 16, 2008 - Special or Theme Issue
Validity of Patient Safety Indicators in the Veterans Health Administration.
Citation Text:
Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Commentary
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Citation Text:
Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D.
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events.
Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117.
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psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
February 28, 2018 - Measurement Tool/Indicator
Sentinel Event Data Summary.
Citation Text:
Sentinel Event Data Summary. Joint Commission.
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - Book/Report
Adverse Health Events in Minnesota: Annual Reports.
Citation Text:
Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health.
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psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Ambulatory Surgery Center Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
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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/er-doctors-misdiagnose-patients-unusual-symptoms
August 05, 2008 - Newspaper/Magazine Article
ER doctors misdiagnose patients with unusual symptoms.
Citation Text:
ER doctors misdiagnose patients with unusual symptoms. Abelson R. New York Times. December 15, 2022.
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
May 11, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults.
Citation Text:
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Horsham, PA: Institute for Safe Medication Practices; May 2017.
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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - Newspaper/Magazine Article
People, processes, health IT and accurate patient identification.
Citation Text:
People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
June 11, 2013 - Press Release/Announcement
The MacArthur Fellows Program: Peter Pronovost.
Citation Text:
The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-errors-ambulatory-care-settings
November 10, 2021 - Government Resource
AHRQ announces interest in research on diagnostic errors in ambulatory care settings.
Citation Text:
AHRQ announces interest in research on diagnostic errors in ambulatory care settings. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis N…
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psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
August 31, 2016 - Study
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.
Citation Text:
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…
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psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
March 10, 2021 - Book/Report
Implementing Closing the Loop. Safe Practices for Diagnostic Results
Citation Text:
Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020.
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
May 28, 2014 - Book/Report
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
Citation Text:
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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