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psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
May 17, 2023 - Book/Report
Clinical Investigation Booking Systems Failures: Written Communications in Community Languages.
Citation Text:
Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
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psnet.ahrq.gov/issue/implication-covid-19-pandemic-patient-safety-rapid-review
March 09, 2022 - Book/Report
Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review.
Citation Text:
Implication of the COVID-19 Pandemic for Patient Safety: A Rapid Review. Integrated Health Services. Geneva, Switzerland: World Health Organization; 2022. ISBN: 9789240055094.
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psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
January 09, 2019 - Book/Report
No Place Like Home: Advancing the Safety of Care in the Home.
Citation Text:
No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
January 01, 2021 - Special or Theme Issue
COVID-19 Content. ISMP Medication Safety Alert!
Citation Text:
COVID-19 Content. ISMP Medication Safety Alert! March 2020--January 2021.
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psnet.ahrq.gov/issue/medicare-cuts-payment-774-hospitals-over-patient-complications
February 16, 2022 - Newspaper/Magazine Article
Medicare cuts payment to 774 hospitals over patient complications.
Citation Text:
Medicare cuts payment to 774 hospitals over patient complications. Rau J. Kaiser Health News. February 19, 2021.
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psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
January 12, 2011 - Commentary
Medical liability and patient safety: setting the proper course.
Citation Text:
Pearlman MD, Gluck PA. Medical liability and patient safety: setting the proper course. Obstet Gynecol. 2005;105(5 Pt 1):941-943.
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psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
June 24, 2020 - Commentary
Criminalization of medical error: who draws the line?
Citation Text:
Dekker SWA. Criminalization of medical error: who draws the line? ANZ J Surg. 2007;77(10):831-7.
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psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
November 16, 2011 - Course Material/Curriculum
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Citation Text:
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.
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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/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - Book/Report
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.
Citation Text:
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-errors
February 17, 2021 - Press Release/Announcement
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.
Citation Text:
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Adm…
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psnet.ahrq.gov/issue/my-medicines
January 13, 2016 - Tools/Toolkit
My Medicines.
Citation Text:
My Medicines. Silver Spring, MD: US Food and Drug Administration. Office of Women's Health and National Association of Chain Drug Stores.
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psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review
December 09, 2020 - Book/Report
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review.
Citation Text:
First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. Cumberlege J. London, England, Crown Copyright. July 8, 2020.
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psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis
October 05, 2022 - Book/Report
Improved Diagnostic Accuracy Through Probability-Based Diagnosis.
Citation Text:
Improved Diagnostic Accuracy Through Probability-Based Diagnosis. Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22-0026-3-EF.
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psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
June 09, 2021 - Book/Report
Never Events Analysis of HSIB's National Investigations Report.
Citation Text:
Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Book/Report
Error and Uncertainty in Diagnostic Radiology.
Citation Text:
Error and Uncertainty in Diagnostic Radiology. Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
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psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-improvement
November 30, 2016 - Book/Report
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches.
Citation Text:
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Edmonton, Alberta; Canadian Patient Safety Inst…
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psnet.ahrq.gov/issue/patient-safety-tool-kit
February 14, 2024 - Toolkit
Patient Safety Tool Kit.
Citation Text:
Patient Safety Tool Kit. WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596.
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psnet.ahrq.gov/issue/transformational-effort-patient-safety
October 05, 2022 - Book/Report
A Transformational Effort on Patient Safety.
Citation Text:
A Transformational Effort on Patient Safety. Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023.
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