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psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
June 10, 2018 - Newspaper/Magazine Article
Survey shows recession has weakened patient safety net.
Citation Text:
Survey shows recession has weakened patient safety net. ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4.
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psnet.ahrq.gov/issue/using-pharmacogenetics-improve-drug-safety-and-efficacy
November 18, 2016 - Commentary
Using pharmacogenetics to improve drug safety and efficacy.
Citation Text:
Haga SB, Burke W. Using pharmacogenetics to improve drug safety and efficacy. JAMA. 2004;291(23):2869-71.
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digital.ahrq.gov/sites/default/files/docs/page/2006RaynerGorman_051911comp.pdf
June 16, 2021 - Normalizing RxNorm: Experiences using medication information standards for data integration
Normalizing RxNorm:
Experiences using medication
information standards for data
integration
Nicolas B Rayner David Maier
Portland State University
Paul N Gorman Judith R Logan
Oregon Health & S…
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psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
July 27, 2005 - Newspaper/Magazine Article
USP drug safety review: medication errors involving NMBAs.
Citation Text:
USP drug safety review: medication errors involving NMBAs. Santell JP. Drug Topics. May 22, 2006.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/ahcptemplsp.pdf
June 02, 2025 - Template for Manual Creation of the AHCP: Spanish-Speaking Patients
1
Template for Manual Creation of the AHCP: Spanish-Speaking Patients
** Triaga este plan a TODAS sus citas **
Plan de Cuidado Para:
[Patient name]
Dia de Alta: [discharge date]
¿Preguntas o problemas sobre este paquete?
Llam…
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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - Government Resource
The Food and Drug Administration's National Drug Code Directory.
Citation Text:
The Food and Drug Administration's National Drug Code Directory. Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human Services: August 2006. R…
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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/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
June 10, 2018 - Newspaper/Magazine Article
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections.
Citation Text:
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections. ISMP Medication Safety Alert! Acute care edition. July 26, 2007.
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - Newspaper/Magazine Article
Error-prone conditions that lead to student nurse-related errors.
Citation Text:
Error-prone conditions that lead to student nurse-related errors. ISMP Medication Safety Alert! Acute care edition. October 18, 2007.
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk.
Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/036-ss-nursing-practice-guide.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Decolonization Nursing Practice Guide
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decoloniz…
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psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course
December 05, 2024 - International Meeting/Conference
Certified Professional in Patient Safety Review Course.
Citation Text:
Certified Professional in Patient Safety Review Course. Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern).
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psnet.ahrq.gov/issue/global-state-patient-safety-2023
April 06, 2016 - Book/Report
Global State of Patient Safety 2023.
Citation Text:
Global State of Patient Safety 2023. Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
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Sh…
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health care.
Citation Text:
Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008.
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psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
June 14, 2023 - Study
The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units.
Citation Text:
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - Book/Report
Adverse Health Care Events Reporting System: What Have We Learned?
Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned? St. Paul, MN: Minnesota Department of Health; January 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
June 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentinel events. Communication among disciplines can be improved if viewed through the eyes of an objective observer.
What are obser…
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psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
January 04, 2017 - Commentary
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative.
Citation Text:
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Nadzam DM; Atkins PM; Waggoner DM; Shonk R.
Co…
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psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
June 28, 2017 - Newspaper/Magazine Article
Despite technology, verbal orders persist, read back is not widespread, and errors continue.
Citation Text:
Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
November 24, 2021 - Commentary
'Inattentional blindness': what captures your attention?
Citation Text:
Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555.
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