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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/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/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/eliminating-clabsi-national-patient-safety-imperative
October 23, 2019 - Book/Report
Eliminating CLABSI: A National Patient Safety Imperative.
Citation Text:
Eliminating CLABSI: A National Patient Safety Imperative. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
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psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
November 06, 2015 - Newspaper/Magazine Article
Promote a culture of safety with good catch reports.
Citation Text:
Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
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psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
April 27, 2022 - Book/Report
Health Literacy Practices in Primary Care Settings: Examples from the Field.
Citation Text:
Health Literacy Practices in Primary Care Settings: Examples from the Field. Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008.
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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/national-patient-safety-goal-improve-health-care-equity
September 11, 2019 - Newspaper/Magazine Article
National patient safety goal to improve health care equity.
Citation Text:
National patient safety goal to improve health care equity. R3 Report. December 20, 2022;38:1-8.
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psnet.ahrq.gov/issue/patient-safety-indicators-overview
December 24, 2008 - Measurement Tool/Indicator
Classic
Patient Safety Indicators Overview.
Citation Text:
Patient Safety Indicators Overview. Agency for Healthcare Research and Quality
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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/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-infection-cauti
February 28, 2018 - Organizational Policy/Guidelines
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Citation Text:
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI). Joint Commission.
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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/diagnostic-excellence-icu-thinking-critically-and-masterfully
July 27, 2022 - Special or Theme Issue
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully.
Citation Text:
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158.
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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/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
June 01, 2023 - Book/Report
Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care
Citation Text:
Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020.
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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/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
August 08, 2007 - Book/Report
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.
Citation Text:
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
May 15, 2024 - Special or Theme Issue
Understanding And Addressing Pre-Hospital Diagnostic Delays.
Citation Text:
Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023.
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psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
September 13, 2006 - Newspaper/Magazine Article
To be sued less, doctors should consider talking to patients more.
Citation Text:
To be sued less, doctors should consider talking to patients more. Carroll AE.
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