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psnet.ahrq.gov/issue/role-non-icu-staff-nurse-medical-emergency-team-perceptions-and-understanding
April 12, 2006 - Study
The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.
Citation Text:
The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding. Pusateri ME; Prior MM; Kiely SC.
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psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common
December 27, 2018 - Newspaper/Magazine Article
Errors with injectable medications: unlabeled syringes are surprisingly common!
Citation Text:
Errors with injectable medications: unlabeled syringes are surprisingly common! ISMP Medication Safety Alert! Acute care edition. November 15, 2007.
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-part-2-process-and-implementation
May 11, 2014 - Commentary
Developing a medication patient safety program, part 2: process and implementation.
Citation Text:
Developing a medication patient safety program, part 2: process and implementation. Mark SM, Weber RJ. Hosp Pharm. 2007;42(3):249-254.
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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - Newspaper/Magazine Article
Medical disrespect.
Citation Text:
Medical disrespect. Yurkiewicz I. Aeon Magazine. January 29, 2014.
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psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need
September 13, 2017 - Newspaper/Magazine Article
Are second victims getting the help they need?
Citation Text:
Are second victims getting the help they need? Headley M. Patient Saf Qual Healthc. May/June 2018.
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psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
September 22, 2021 - Toolkit
Improving Diagnosis and Treatment of Maternal Sepsis.
Citation Text:
Improving Diagnosis and Treatment of Maternal Sepsis. Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
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psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
May 21, 2016 - Book/Report
Exploring the Potential Use of Safety Cases in Health Care.
Citation Text:
Exploring the Potential Use of Safety Cases in Health Care. Safety Cases Working Group. London, UK: Health Foundation; 2015.
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psnet.ahrq.gov/issue/patient-safety-21
October 14, 2020 - Multi-use Website
Patient Safety
Citation Text:
Patient Safety Organisation for Economic Co-operation and Development.
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psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
July 12, 2018 - Commentary
Battling the obstetric malpractice crisis: improving patient safety, part 2.
Citation Text:
Battling the obstetric malpractice crisis: improving patient safety, part 2. Bernstein PS.
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Sentinel Event Alerts
Preventing infection from the misuse of vials.
Citation Text:
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
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psnet.ahrq.gov/issue/oral-syringes-crucial-and-economical-risk-reduction-strategy-has-not-been-fully-utilized
June 10, 2018 - Newspaper/Magazine Article
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.
Citation Text:
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - Sentinel Event Alerts
Preventing maternal death.
Citation Text:
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
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psnet.ahrq.gov/issue/surgical-checklists-unused-10-hospitals-cms-data-shows
October 01, 2014 - Newspaper/Magazine Article
Surgical checklists unused in 10% of hospitals, CMS data shows.
Citation Text:
Surgical checklists unused in 10% of hospitals, CMS data shows. Clark C. HealthLeaders Media. July 24, 2014.
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psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
May 05, 2018 - Newspaper/Magazine Article
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.
Citation Text:
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. ISMP Medication Safety Alert! Acute Care Edition. Au…
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psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
April 24, 2007 - Toolkit
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13.
Citation Text:
Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13. Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
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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 …
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/project
January 01, 2023 - Project Planning and Management
Allocation of Function Analysis
Description
An allocation of function analysis is used during design to determine how to allocate jobs, tasks, functions, and responsibilities for the system under analysis. During the analysis, each task must be …
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psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
August 02, 2017 - Book/Report
Antibiotic Stewardship in Acute Care: A Practical Playbook.
Citation Text:
Antibiotic Stewardship in Acute Care: A Practical Playbook. National Quality Partners. Washington, DC: National Quality Forum; 2016.
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psnet.ahrq.gov/issue/edge-nursing-age-complexity
August 20, 2012 - Book/Report
On the Edge: Nursing in the Age of Complexity.
Citation Text:
On the Edge: Nursing in the Age of Complexity. Lindberg C, Nash S, Lindberg C. Bordentown, NJ: PlexusPress; 2008. ISBN: 1438246765.
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psnet.ahrq.gov/issue/candor-webinar-series
June 01, 2023 - Webinar
CANDOR Webinar Series.
Citation Text:
CANDOR Webinar Series. Patient Safety Movement Foundation. 2021.
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