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psnet.ahrq.gov/issue/mistakes-and-disclosure
October 19, 2022 - Commentary
Mistakes and disclosure.
Citation Text:
Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7.
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psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
September 24, 2017 - Commentary
Managing the risks of concurrent surgeries.
Citation Text:
Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305.
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psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
January 26, 2022 - Commentary
Opioids for pain management in older adults: strategies for safe prescribing.
Citation Text:
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10.
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-setting-opportunity-and-challenge-nursing
June 02, 2021 - Commentary
Medication reconciliation in the acute care setting: opportunity and challenge for nursing.
Citation Text:
Sullivan C, Gleason KM, Rooney D, et al. Medication reconciliation in the acute care setting: opportunity and challenge for nursing. J Nurs Care Qual. 2005;20(2):95-98.…
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psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
August 09, 2017 - Newspaper/Magazine Article
VA hospitals flooded with complaints about care.
Citation Text:
VA hospitals flooded with complaints about care. Estes A. Boston Globe. September 16, 2017.
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psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
January 26, 2022 - Commentary
The lost sponge: patient safety in the operating room.
Citation Text:
Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - Book/Report
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing.
Citation Text:
New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - Study
Pharmacy student knowledge and communication of medication errors.
Citation Text:
Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60.
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psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
September 24, 2010 - Commentary
On the scene at Children's Hospitals and Clinics of Minnesota.
Citation Text:
Malone G, Akre M, Hauck M. On the scene at Children's Hospitals and Clinics of Minnesota. Nurs Adm Q. 2009;33(1):54-61. doi:10.1097/01.NAQ.0000343349.93537.08.
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psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
February 24, 2016 - Newspaper/Magazine Article
Drug shortages continue to compromise patient care.
Citation Text:
Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4.
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psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
July 20, 2022 - Book/Report
The Patients' View: 2004 ISQSH National Survey.
Citation Text:
The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Newspaper/Magazine Article
Survey shows room for improvement with three new best practices for hospitals.
Citation Text:
Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
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www.ahrq.gov/hai/tools/mvp/cusp.html
March 01, 2017 - Module on How To Apply CUSP for Mechanically Ventilated Patients
This module demonstrates how to apply the Comprehensive Unit-based Safety Program (CUSP) method to improve care for mechanically ventilated patients.
CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PD…
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psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
June 01, 2016 - Newspaper/Magazine Article
Safety for all: integrated design for inpatient units.
Citation Text:
Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
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psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance
June 12, 2008 - Commentary
Nontechnical skills in pediatric surgery: factors influencing operative performance.
Citation Text:
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
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psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
January 16, 2019 - Government Resource
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.
Citation Text:
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. Kutner M, Greenberg E, Jin Y, et al. Washin…
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
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psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
August 30, 2017 - Study
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.
Citation Text:
Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…
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psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
December 21, 2014 - Newspaper/Magazine Article
Rapid response teams: ten essentials leaders need to know.
Citation Text:
Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive. 2006;21(4):28-32, 34.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
October 08, 2024 - Press Release/Announcement
Common Formats for Patient Safety Data Collection.
Citation Text:
Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992.
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