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psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
September 24, 2016 - Review
Interruptions in healthcare: theoretical views.
Citation Text:
Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001.
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psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
June 29, 2016 - Book/Report
How to Identify and Address Unsafe Conditions Associated With Health IT.
Citation Text:
How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…
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psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
December 15, 2021 - Fact Sheet/FAQs
ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings.
Citation Text:
ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Horsham, PA: Institute of Safe Medication Practices; 2021
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psnet.ahrq.gov/issue/origins-and-solutions-neonatal-medication-dispensing-errors
July 21, 2009 - Study
Origins of and solutions for neonatal medication-dispensing errors.
Citation Text:
Sauberan JB, Dean LM, Fiedelak J, et al. Origins of and solutions for neonatal medication-dispensing errors. Am J Health Syst Pharm. 2010;67(1):49-57. doi:10.2146/ajhp090122.
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psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
May 04, 2016 - Book/Report
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.
Citation Text:
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…
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psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - Commentary
Crew resource management: applications in healthcare organizations.
Citation Text:
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406.
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psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
January 15, 2020 - Newspaper/Magazine Article
Pandemic imperiled non-English speakers more than others.
Citation Text:
Pandemic imperiled non-English speakers more than others. Bebinger M. WBUR and Kaiser Health News. April 27, 2021.
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psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
March 13, 2019 - Newspaper/Magazine Article
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Citation Text:
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019.
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psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
December 24, 2007 - Government Resource
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.
Citation Text:
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005.
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psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
September 12, 2018 - Commentary
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Citation Text:
Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…
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psnet.ahrq.gov/issue/emergency-medicine-quality-improvement-and-patient-safety-curriculum
November 30, 2012 - Course Material/Curriculum
Emergency medicine quality improvement and patient safety curriculum.
Citation Text:
Kelly JJ, Thallner E, Broida RI, et al. Emergency Medicine Quality Improvement and Patient Safety Curriculum. Academic Emergency Medicine. 2010;17. doi:10.1111/j.1553-2712.20…
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psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
August 31, 2011 - Commentary
Policy and the future of adverse event detection using information technology.
Citation Text:
Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8.
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psnet.ahrq.gov/issue/adult-hospital-stays-infections-due-medical-care-2007
April 27, 2011 - Book/Report
Adult Hospital Stays with Infections Due to Medical Care, 2007.
Citation Text:
Adult Hospital Stays with Infections Due to Medical Care, 2007. Lucado J, Paez K, Andrews R, Steiner C. HCUP Statistical Brief #94. Rockville, MD: Agency for Healthcare Research and Quality; Au…
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psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-prevention-request-proposal
June 16, 2021 - Press Release/Announcement
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment.
Citation Text:
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
November 01, 2016 - Book/Report
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.
Citation Text:
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…
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psnet.ahrq.gov/issue/why-do-so-many-black-women-die-pregnancy-one-reason-doctors-dont-take-them-seriously
June 07, 2023 - Newspaper/Magazine Article
Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.
Citation Text:
Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously. Stafford K. AP News. May 23, 2023.
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psnet.ahrq.gov/issue/crisis-within-crisis
May 05, 2021 - Newspaper/Magazine Article
A crisis within a crisis.
Citation Text:
A crisis within a crisis. Ellis NT, Broaddus A. CNN. August 25, 2021.
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psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
September 27, 2017 - Study
Do staffing levels predict missed nursing care?
Citation Text:
Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011;23(3):302-8. doi:10.1093/intqhc/mzr009.
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psnet.ahrq.gov/issue/error-disclosure-pathology-and-laboratory-medicine-review-literature
July 28, 2021 - Review
Error disclosure in pathology and laboratory medicine: a review of the literature.
Citation Text:
Perkins IU. Error Disclosure in Pathology and Laboratory Medicine: A Review of the Literature. AMA J Ethics. 2016;18(8):809-16. doi:10.1001/journalofethics.2016.18.8.nlit1-1608.
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psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
September 16, 2015 - Book/Report
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance.
Citation Text:
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…