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psnet.ahrq.gov/issue/best-practices-developing-proprietary-names-human-prescription-drug-products-guidance
January 13, 2021 - Book/Report
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry.
Citation Text:
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. Rockville, MD: US Department of Health and Huma…
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psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
July 24, 2019 - Toolkit
Josie's Story: A Patient Safety Curriculum.
Citation Text:
Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013.
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psnet.ahrq.gov/issue/safety-considerations-imrt
March 17, 2021 - Organizational Policy/Guidelines
Safety considerations for IMRT.
Citation Text:
Safety considerations for IMRT. Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.
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psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
January 25, 2023 - Study
Fatality involving vinblastine overdose as a result of a complex medical error.
Citation Text:
Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95.
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psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
March 02, 2011 - Commentary
Personal accountability in healthcare: searching for the right balance.
Citation Text:
Wachter R. Personal accountability in healthcare: searching for the right balance. BMJ Qual Saf. 2013;22(2):176-80. doi:10.1136/bmjqs-2012-001227.
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psnet.ahrq.gov/issue/mistakes-and-disclosure
October 19, 2022 - Commentary
Mistakes and disclosure.
Citation Text:
Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7.
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psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
September 28, 2010 - Commentary
A practical tool to learn from defects in patient care.
Citation Text:
Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108.
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psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
November 23, 2015 - Book/Report
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.
Citation Text:
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/overtreatment-united-states
November 21, 2017 - Study
Overtreatment in the United States.
Citation Text:
Lyu H, Xu T, Brotman D, et al. Overtreatment in the United States. PLoS One. 2017;12(9):e0181970. doi:10.1371/journal.pone.0181970.
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psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and-medication-safety
April 13, 2022 - Meeting/Conference Proceedings
At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety.
Citation Text:
At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. J Med Toxicol.…
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psnet.ahrq.gov/issue/patient-safety-clinical-laboratory-longitudinal-analysis-specimen-identification-errors
March 19, 2019 - Study
Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors.
Citation Text:
Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2…
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psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
October 19, 2022 - Study
Standardizing hospital discharge planning at the Mayo Clinic.
Citation Text:
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36.
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psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals
July 24, 2024 - Newspaper/Magazine Article
4 actions to reduce medical errors in U.S. hospitals.
Citation Text:
4 actions to reduce medical errors in U.S. hospitals. Toussaint JS, Segel KT. Harvard Business Review. April 20, 2022.
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psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
April 19, 2016 - Commentary
How to use online clinician rating systems.
Citation Text:
Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA. 2015;314(13):1418. doi:10.1001/jama.2015.11957.
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psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medication-safety-programs
October 31, 2017 - Commentary
Using contemporary leadership skills in medication safety programs.
Citation Text:
Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338.
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psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
May 15, 2024 - Commentary
Among the elderly, many mental illnesses go undiagnosed.
Citation Text:
Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-31. doi:10.1377/hlthaff.2015.0314.
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psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
February 24, 2021 - Commentary
The challenges in defining and measuring diagnostic error.
Citation Text:
Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069.
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psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
October 29, 2014 - Commentary
Addressing medication errors - the role of undergraduate nurse education.
Citation Text:
Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24.
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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - Meeting/Conference Proceedings
Improving patient safety in radiation oncology.
Citation Text:
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
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