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psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
November 17, 2010 - Government Resource
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.
Citation Text:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…
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psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
December 19, 2012 - Newspaper/Magazine Article
Patient and family advisory councils. The Massachusetts experience.
Citation Text:
Patient and family advisory councils. The Massachusetts experience. Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
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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/increasing-patient-safety-and-surgical-team-communication-using-counttime-out-board
February 22, 2012 - Commentary
Increasing patient safety and surgical team communication by using a count/time out board.
Citation Text:
Edel EM. Increasing patient safety and surgical team communication by using a count/time out board. AORN J. 2010;92(4):420-4. doi:10.1016/j.aorn.2010.03.013.
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - Newspaper/Magazine Article
Medication errors involving healthcare students.
Citation Text:
Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - Newspaper/Magazine Article
Analysis of reported drug interactions: a recipe for harm to patients.
Citation Text:
Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
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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/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/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/ismp-medication-safety-self-assessment-high-alert-medications
June 07, 2017 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for High-Alert Medications.
Citation Text:
ISMP Medication Safety Self Assessment for High-Alert Medications. Horsham, PA: Institute for Safe Medication Practices; 2017.
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psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
April 29, 2015 - Newspaper/Magazine Article
FDA Advise-ERR: avoid using the error-prone abbreviation, TPA.
Citation Text:
FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5.
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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/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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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/technological-methods-used-prevent-errors-arent-infallible
January 05, 2017 - Newspaper/Magazine Article
Technological methods used to prevent errors aren't infallible.
Citation Text:
Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30.
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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psnet.ahrq.gov/issue/10-derm-mistakes-you-dont-want-make
March 26, 2008 - Commentary
10 derm mistakes you don't want to make.
Citation Text:
Fox GN. 10 derm mistakes you don't want to make. J Fam Pract. 2008;57(3):162-9.
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psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
March 29, 2023 - Commentary
Developing a principle-based approach to safe medication practices.
Citation Text:
Developing a principle-based approach to safe medication practices. Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Newspaper/Magazine Article
10 ways to guarantee a lawsuit.
Citation Text:
Rice B. 10 ways to guarantee a lawsuit. Medical economics. 2005;82(13):66-9.
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