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psnet.ahrq.gov/issue/best-practices-administering-sops-surveys
January 10, 2024 - Webinar
Best Practices for Administering SOPS Surveys.
Citation Text:
Best Practices for Administering SOPS Surveys. Agency for Healthcare Research and Quality. January 24, 2024.
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - Newspaper/Magazine Article
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.
Citation Text:
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. ISMP Medication Safety Alert! Acute Care Edition…
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psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries-medical-bias
February 23, 2022 - Commentary
Made whole: the efficacy of legal redress for black women who have suffered injuries from medical bias.
Citation Text:
Made whole: the efficacy of legal redress for black women who have suffered injuries from medical bias. Baker MB. Harv Civ Rights-Civil Lib Law Rev. 2022: 57(…
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psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
January 20, 2021 - Commentary
Unintended side effects: arbitration and the deterrence of medical error.
Citation Text:
Unintended side effects: arbitration and the deterrence of medical error. Shieh D. N Y Univ Law Rev. 2014;89:1806-1835.
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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - Commentary
We need leaders: the 48th Annual Rovenstine Lecture.
Citation Text:
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-785. doi:10.1097/ALN.0b013e3181d32047.
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psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
May 04, 2022 - Book/Report
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System.
Citation Text:
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System. Stremikis K, Schoen C, Fryer AK. Issue Brief. Washington DC: The …
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psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
August 24, 2016 - Newspaper/Magazine Article
"Use as directed" can cause confusion for both patients and practitioners.
Citation Text:
"Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
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psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
July 24, 2018 - Commentary
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases.
Citation Text:
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases…
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psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care-delivery
January 08, 2020 - Book/Report
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery.
Citation Text:
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery. Lucian Leape Institute. Boston: Institute for Healthcare Improvement; 20…
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psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
August 04, 2021 - Commentary
What 'patient-centered' should mean: confessions of an extremist.
Citation Text:
Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65. doi:10.1377/hlthaff.28.4.w555.
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs. Rockville, MD: Agency for He…
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psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
October 19, 2016 - Book/Report
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. Chicago, IL: Health Resea…
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psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
October 23, 2019 - Book/Report
Iowans' Views on Medical Errors: Iowa Patient Safety Study.
Citation Text:
Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018.
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psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
July 27, 2018 - Government Resource
Costs and Benefits of Health Information Technology.
Citation Text:
Costs and Benefits of Health Information Technology. Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - Organizational Policy/Guidelines
Disclosure of Adverse Events to Patients.
Citation Text:
Disclosure of Adverse Events to Patients. Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. VHA Directive 1004.08.
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - Toolkit
Classic
Safe Surgery.
Citation Text:
Safe Surgery. World Health Organization.
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psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - Newspaper/Magazine Article
Reporting and second-order problem solving can turn short-term fixes into long-term remedies.
Citation Text:
Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, …
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psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
June 10, 2018 - Newspaper/Magazine Article
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP).
Citation Text:
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
November 16, 2015 - Newspaper/Magazine Article
Strengthen your resolve: no unlabeled containers anywhere, ever!
Citation Text:
Strengthen your resolve: no unlabeled containers anywhere, ever! ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4.
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psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
May 23, 2018 - Newspaper/Magazine Article
How one health system overcame resistance to a surgical checklist.
Citation Text:
How one health system overcame resistance to a surgical checklist. Hilton K, Anderson A. Harv Bus Rev. May 20, 2019.
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