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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
September 08, 2010 - Book/Report
Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families.
Citation Text:
Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 978…
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psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
September 02, 2014 - Book/Report
Fluorouracil Incident Root Cause Analysis Report.
Citation Text:
Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
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psnet.ahrq.gov/issue/barcode-technology-flaws-put-some-patients-risk
July 23, 2008 - Newspaper/Magazine Article
Barcode technology flaws put some patients at risk.
Citation Text:
Barcode technology flaws put some patients at risk. Preidt R. ABC News. July 4, 2008.
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psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-quality-information
December 17, 2008 - Audiovisual Presentation
National Survey on Consumers' Experiences With Patient Safety and Quality Information.
Citation Text:
National Survey on Consumers' Experiences With Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation, Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/health-it-hazard-manager
August 01, 2012 - Government Resource
Health IT Hazard Manager.
Citation Text:
Health IT Hazard Manager. Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012.
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psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natural-language-processing
May 01, 2017 - Webinar
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation.
Citation Text:
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accura…
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psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
May 11, 2016 - Newspaper/Magazine Article
Are we finally getting serious about medical errors?
Citation Text:
Are we finally getting serious about medical errors? Burns J.
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psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
June 04, 2024 - Book/Report
Consumer Guide to Adverse Health Events.
Citation Text:
Consumer Guide to Adverse Health Events. St Paul, MN: Minnesota Department of Health; 2015.
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - Newspaper/Magazine Article
Stop using these adult bed rails, warns the Consumer Product Safety Commission.
Citation Text:
Stop using these adult bed rails, warns the Consumer Product Safety Commission. Treisman R. National Public Radio. June 6, 2022
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psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
June 17, 2014 - Organizational Policy/Guidelines
ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications.
Citation Text:
ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications. Am J Health-Syst Pharm. 2011;68:44…
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psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients
August 29, 2018 - Newspaper/Magazine Article
Nurses say stress interferes with caring for their patients.
Citation Text:
Nurses say stress interferes with caring for their patients. Yu A. Health Shots. National Public Radio. April 15, 2016.
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psnet.ahrq.gov/issue/spotlight-electronic-health-record-errors-errors-related-use-default-values
February 11, 2014 - Government Resource
Spotlight on electronic health record errors: errors related to the use of default values.
Citation Text:
Spotlight on electronic health record errors: errors related to the use of default values. Sparnon E. PA-PSRS Patient Saf Advis. September 2013;10:92-95.
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psnet.ahrq.gov/issue/medical-errors-still-claiming-many-lives
September 19, 2007 - Newspaper/Magazine Article
Medical errors still claiming many lives.
Citation Text:
Medical errors still claiming many lives. Weise E. USA Today. May 18, 2005.
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psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
December 24, 2008 - Government Resource
Patient Centered Medical Home Resource Center: Quality and Safety.
Citation Text:
Patient Centered Medical Home Resource Center: Quality and Safety. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - Fact Sheet/FAQs
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.
Citation Text:
AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011. Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P0…
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psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
May 01, 2015 - Fact Sheet/FAQs
Explicit and Standardized Prescription Medicine Instructions.
Citation Text:
Explicit and Standardized Prescription Medicine Instructions. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/guidelines-design-and-construction
April 29, 2020 - Book/Report
Guidelines for Design and Construction.
Citation Text:
Guidelines for Design and Construction. St Louis, Missouri; Facilities Guidelines Institute; 2018.
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Newspaper/Magazine Article
Medication errors involving overrides of healthcare technology.
Citation Text:
Medication errors involving overrides of healthcare technology. Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process
January 01, 2023 - Process Improvement
Lean
Description
Lean is a systematic method for streamlining a process by identifying and eliminating unnecessary elements of a process that do not contribute value to the desired outcome or the product being created (also known as waste). The seven types …