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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
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psnet.ahrq.gov/node/33898/psn-pdf
October 03, 2012 - Quick Tips for Buying Medicines Over the Internet.
October 3, 2012
Food and Drug Administration.
https://psnet.ahrq.gov/issue/buying-medicines-over-internet
This Web site provides information related to the dangers of purchasing medical products online, including
a link for consumers to report suspected illegal si…
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psnet.ahrq.gov/node/39018/psn-pdf
October 14, 2009 - When the doctor is distressed.
October 14, 2009
Chen PW.
https://psnet.ahrq.gov/issue/when-doctor-distressed
This column discusses how life stresses affect the reliability and safety of care provided by over-extended
clinicians in light of a recent study on the topic.
https://psnet.ahrq.gov/issue/when-doctor-dist…
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psnet.ahrq.gov/node/40246/psn-pdf
February 23, 2011 - Global Patient Safety Alerts.
February 23, 2011
Canadian Patient Safety Institute; CPSI.
https://psnet.ahrq.gov/issue/global-patient-safety-alerts
This Web site provides access to incident reports with the aim of stimulating innovation and driving patient
safety improvement efforts.
https://psnet.ahrq.gov/issue/g…
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psnet.ahrq.gov/node/40076/psn-pdf
October 20, 2014 - Learning to Use Patient Stories.
October 20, 2014
Cardiff, UK: NHS Wales; April 2010.
https://psnet.ahrq.gov/issue/learning-use-patient-stories
This report provides insights from participants in the 1000 Lives Campaign on how patient stories can focus
attention on safety improvements and drive commitment to change…
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psnet.ahrq.gov/node/36665/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-10
This monthly selection of medication error reports provides examples of look-alike solution confusion, order
entry error, and inhaler dose counter malfunction.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/37765/psn-pdf
May 24, 2015 - The Rebecca O'Malley Report.
May 24, 2015
Cork, Ireland: Health Information and Quality Authority; March 21, 2008.
https://psnet.ahrq.gov/issue/rebecca-omalley-report
This report analyzes the findings of a diagnostic error investigation and provides numerous
recommendations to improve standards for treating sympto…
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psnet.ahrq.gov/node/38320/psn-pdf
July 28, 2013 - State of Healthcare 2008.
July 28, 2013
Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2008. ISBN:
9780102958362.
https://psnet.ahrq.gov/issue/state-healthcare-2008
This report assesses care in the United Kingdom, provides data on a variety of issues related to safety, and
…
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psnet.ahrq.gov/node/41830/psn-pdf
November 07, 2012 - Drug, Healthcare and Patient Safety.
November 7, 2012
Aparasu R, ed. Princeton, NJ: Dove Press. ISSN: 1179-1365.
https://psnet.ahrq.gov/issue/drug-healthcare-and-patient-safety
This journal provides articles that cover a variety of safety issues in health care, including risk
management, health literacy, and patie…
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psnet.ahrq.gov/node/38004/psn-pdf
November 01, 2024 - Canadian Patient Safety Week.
April 5, 2024
Healthcare Excellence Canada.
https://psnet.ahrq.gov/issue/canadian-patient-safety-week
This site provides promotional materials and registration information for an awareness campaign on patient
safety that takes place in the autumn. The annual observance will take place…
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psnet.ahrq.gov/node/35789/psn-pdf
March 22, 2006 - Preventing adverse drug events.
March 22, 2006
Manno MS.
https://psnet.ahrq.gov/issue/preventing-adverse-drug-events
The author provides a comprehensive introduction to adverse drug events (ADEs), their impact, and
strategies to prevent them. Nursing continuing education credits are available for the test on page …
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psnet.ahrq.gov/node/36534/psn-pdf
March 09, 2009 - Standardizing hand-off processes.
March 9, 2009
Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
https://psnet.ahrq.gov/issue/standardizing-hand-processes
The author suggests ways to improve hand-off communications and provides an assessment form to assist
staff in detecting weaknesses in…
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psnet.ahrq.gov/node/35821/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen M.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
This monthly selection of medication error reports provides examples of oral to IV dosing conflicts, name
confusion with a new sleep aid, and radiology errors.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/37142/psn-pdf
August 29, 2007 - Patient Safety in Canada: An Update.
August 29, 2007
Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
https://psnet.ahrq.gov/issue/patient-safety-canada-update
Using survey data as well as information on patient safety indicators, this report provides an update on the
frequency of certain ty…
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psnet.ahrq.gov/node/35768/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3
This monthly selection of medication error reports provides examples of problems with drug name
confusion and misspellings, oral medication misadministration, and dispensing dose disc…
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psnet.ahrq.gov/node/34124/psn-pdf
April 16, 2018 - TIPS (Topics in Patient Safety).
April 16, 2018
National Center for Patient Safety.
https://psnet.ahrq.gov/issue/tips-topics-patient-safety
The National Center for Patient Safety provides six issues of this general interest newsletter each year. The
site houses an archive that spans from 2001 to 2019 when it cease…
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psnet.ahrq.gov/node/37867/psn-pdf
June 25, 2008 - The Transforming Care at the Bedside (TCAB) Toolkit.
June 25, 2008
Princeton, NJ: Robert Wood Johnson Foundation; 2008.
https://psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
This toolkit provides materials for hospital units interested in adopting the transforming care at the bedside
(TCAB) model of …
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psnet.ahrq.gov/node/41529/psn-pdf
July 18, 2012 - Medical errors disclosure and apology.
July 18, 2012
Weiss PM; Koch S.
https://psnet.ahrq.gov/issue/medical-errors-disclosure-and-apology
This commentary discusses barriers to error disclosure, describes the emotional impact medical errors can
have on physicians, and provides tips for effective disclosure.
https:…
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psnet.ahrq.gov/node/37553/psn-pdf
February 20, 2008 - A Guide to Patient Safety in the Medical Practice.
February 20, 2008
Vance JE. Chicago, IL: American Medical Association: 2008.
https://psnet.ahrq.gov/issue/guide-patient-safety-medical-practice
This publication discusses patient safety in ambulatory care and provides business cases, technology tips,
and examples …
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - SPOTLIGHT CASE
Compare and Contrast
Citation Text:
Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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