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psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
August 02, 2016 - Book/Report
Sway: Unravelling Unconscious Bias
Citation Text:
Sway: Unravelling Unconscious Bias Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - Special or Theme Issue
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Citation Text:
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; Jun…
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psnet.ahrq.gov/issue/sentinel-event-alert
May 30, 2012 - Newsletter/Journal
Sentinel Event Alert.
Citation Text:
Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission.
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psnet.ahrq.gov/issue/reducing-patient-harm-opiates
April 29, 2018 - Newspaper/Magazine Article
Reducing patient harm from opiates.
Citation Text:
Reducing patient harm from opiates. ISMP Medication Safety Alert! Acute care edition. February 22, 2007.
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - Newspaper/Magazine Article
Double key bounce and double keying errors.
Citation Text:
Double key bounce and double keying errors. ISMP Medication Safety Alert! Acute care edition. January 12, 2006.
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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/foundations-safety-science
August 07, 2019 - Special or Theme Issue
The Foundations of Safety Science.
Citation Text:
The Foundations of Safety Science. LeCoze JC, Pettersen K, Reiman T, eds. Safety Sci. 2014;67:1-70.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0367_11-08-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number: 0309
Document Completion Date: 03-22-11
1
Results of Topic Selection Process & Next Steps
Efficacy and safety of screening and treatment of postpartum depression will go forward for refinement
as a systematic review. The scope of this topic, including popula…
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psnet.ahrq.gov/issue/pain-wrong-site-surgery
November 28, 2016 - Newspaper/Magazine Article
The pain of wrong site surgery.
Citation Text:
The pain of wrong site surgery. Boodman SG. Washington Post. June 21, 2011:E1.
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psnet.ahrq.gov/issue/partnering-patients-and-families-enhance-safety-and-quality-mini-toolkit
September 12, 2018 - Toolkit
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.
Citation Text:
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit. Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.
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psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through-quality-safety-and
June 24, 2015 - Book/Report
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).
Citation Text:
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (T…
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psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-safety
January 29, 2020 - Newspaper/Magazine Article
Shining a glaring light on surgery: technology that records every move aims to improve safety.
Citation Text:
Shining a glaring light on surgery: technology that records every move aims to improve safety. Freyer FJ. Boston Globe. January 13, 2024.
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psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
February 26, 2025 - Special or Theme Issue
Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.
Citation Text:
Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis. Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593.
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www.ahrq.gov/news/newsroom/case-studies/201530.html
November 01, 2015 - Research Medical Center Develops Video to Encourage Continued Use of TeamSTEPPS®
Search All Impact Case Studies
November 2015
The Graduate Nurse Residency Program at Research Medical Center in Kansas City, Missouri, created a video highlighting nine concepts of AHRQ's TeamSTEPPS® program as a way to re-…
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psnet.ahrq.gov/issue/iv-potassium-given-epidurally-getting-route-problem
April 20, 2022 - Newspaper/Magazine Article
IV potassium given epidurally: getting to the "route" of the problem.
Citation Text:
IV potassium given epidurally: getting to the "route" of the problem. ISMP Medication Safety Alert! Acute care edition. April 6, 2006.
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psnet.ahrq.gov/issue/burnout-crisis-american-medicine
September 03, 2014 - Newspaper/Magazine Article
The burnout crisis in American medicine.
Citation Text:
The burnout crisis in American medicine. Xu R. The Atlantic. May 11, 2018.
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psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
March 14, 2012 - Newspaper/Magazine Article
Patients taking their own medications while in the hospital.
Citation Text:
Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.
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psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and-polsts
July 18, 2018 - Newspaper/Magazine Article
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs.
Citation Text:
Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15…
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psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
March 01, 2007 - Newspaper/Magazine Article
Maintain accountability in patient safety efforts.
Citation Text:
Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32.
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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - Newspaper/Magazine Article
Ways to avert potential patient care disasters.
Citation Text:
Spath P. Ways to avert potential patient care disasters. Hospital peer review. 2006;31(9):128-30.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…