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psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
August 23, 2007 - Newspaper/Magazine Article
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat.
Citation Text:
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…
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psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
June 13, 2011 - Newspaper/Magazine Article
Eliminating insulin errors: RPhs share tricks.
Citation Text:
Eliminating insulin errors: RPhs share tricks. Cassell D. Drug Topics. March 20, 2006.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
Classic
ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/information/Terms
Terms & Conditions
Security
For site security purposes and to ensure that this service remains available to all users, we employ software programs to monitor traffic to identify unauthorized attempts to upload or change information, or otherwise cause damage. Such attempts are strictly prohibited and may be punisha…
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - Newspaper/Magazine Article
Beware of basal opioid infusions with PCA therapy.
Citation Text:
Beware of basal opioid infusions with PCA therapy. ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
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psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
September 25, 2013 - Newspaper/Magazine Article
The role of the electronic health record in patient safety events.
Citation Text:
The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21.
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psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
March 01, 2007 - Newspaper/Magazine Article
Manage staff fatigue to improve patient safety.
Citation Text:
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
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psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death.
Citation Text:
National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD
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psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
July 27, 2005 - Newspaper/Magazine Article
USP drug safety review: medication errors involving NMBAs.
Citation Text:
USP drug safety review: medication errors involving NMBAs. Santell JP. Drug Topics. May 22, 2006.
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psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
September 26, 2017 - Commentary
Unlabeled containers lead to patient's death.
Citation Text:
Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.
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psnet.ahrq.gov/issue/patient-safety-global-action-patient-safety
July 18, 2018 - Book/Report
Patient Safety: Global Action on Patient Safety.
Citation Text:
Patient Safety: Global Action on Patient Safety. Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018.
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psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
February 14, 2018 - Book/Report
Surgical Patient Safety: A Case-Based Approach.
Citation Text:
Surgical Patient Safety: A Case-Based Approach. Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631.
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psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors
November 03, 2021 - Newspaper/Magazine Article
Check your medical records for dangerous errors.
Citation Text:
Check your medical records for dangerous errors. Graham J. Kaiser Health News. November 21, 2018.
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
June 30, 2019 - Commentary
Measuring shared mental models in healthcare.
Citation Text:
Measuring shared mental models in healthcare. Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219.
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/role-hospitalists-patient-safety
July 12, 2006 - Book/Report
The Role of Hospitalists in Patient Safety.
Citation Text:
The Role of Hospitalists in Patient Safety. Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045.
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Book/Report
Strategies and tips for maximizing failure mode and effect analysis in your organization.
Citation Text:
Strategies and tips for maximizing failure mode and effect analysis in your organization. Chicago, IL: American Society of Healthcare Risk Management; 2002.
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psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
October 03, 2018 - Newspaper/Magazine Article
Latex: a lingering and lurking safety risk.
Citation Text:
Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
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