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psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency
February 26, 2009 - Commentary
Drug shortages and clinicians: no time for complacency.
Citation Text:
Rochon P, Gurwitz JH. Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500.
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - Commentary
Implementation of the SBAR communication technique in a tertiary center.
Citation Text:
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
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psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
April 23, 2012 - Fact Sheet/FAQs
Five Medication Safety Tips for Older Adults.
Citation Text:
Five Medication Safety Tips for Older Adults. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024.
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psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups
January 13, 2021 - Book/Report
Classic
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups.
Citation Text:
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. Public Health England. London, UK: Crown Copyright; 2020.
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psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
April 01, 2024 - Press Release/Announcement
COVID-19 Focused Inspection Initiative in Healthcare.
Citation Text:
COVID-19 Focused Inspection Initiative in Healthcare. Occupational Safety and Health Administration. March 2, 2022.
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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
March 14, 2018 - Organizational Policy/Guidelines
Pediatric Readiness in the Emergency Department.
Citation Text:
Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459.
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - Newspaper/Magazine Article
Perioperative medication errors: uncovering risk from behind the drapes.
Citation Text:
Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17.
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psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
January 12, 2011 - Commentary
TeamSTEPPS: assuring optimal teamwork in clinical settings.
Citation Text:
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7.
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psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
March 15, 2022 - Newspaper/Magazine Article
Do not let "Depo-" medications be a depot for mistakes.
Citation Text:
Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4.
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psnet.ahrq.gov/issue/medication-safety-issue-brief-look-alike-sound-alike-drugs
June 17, 2014 - Newspaper/Magazine Article
Medication safety issue brief. Look-alike, sound-alike drugs.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H & H. Medication safety issue brief, look-alike, sound-alike drugs. Hospitals and Health Networks. October 2005;79(10):57-58.
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psnet.ahrq.gov/issue/effects-sleep-inertia-cognition
April 21, 2021 - Study
Effects of sleep inertia on cognition.
Citation Text:
Wertz AT, Ronda JM, Czeisler CA, et al. Effects of sleep inertia on cognition. JAMA. 2006;295(2):163-4.
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cdsic.ahrq.gov/cdsic/year3-period-performance-report
September 30, 2024 - :
Skip to main content
HHS.gov
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Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/bias-radiology-how-and-why-misses-and-misinterpretations
March 01, 2023 - Commentary
Bias in radiology: the how and why of misses and misinterpretations.
Citation Text:
Busby LP, Courtier JL, Glastonbury CM. Bias in Radiology: The How and Why of Misses and Misinterpretations. Radiographics. 2018;38(1):236-247. doi:10.1148/rg.2018170107.
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psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
January 26, 2022 - Study
Spike in fatal medication errors at the beginning of each month.
Citation Text:
Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month. Pharmacotherapy. 2005;25(1):1-9.
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psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
January 27, 2021 - Commentary
Using technology to promote perinatal patient safety.
Citation Text:
McCartney PR. Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(3):424-31.
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psnet.ahrq.gov/issue/finding-patient-patient-safety
November 17, 2014 - Commentary
Finding the patient in patient safety.
Citation Text:
Hor S-Y, Godbold N, Collier A, et al. Finding the patient in patient safety. Health (London). 2013;17(6):567-83. doi:10.1177/1363459312472082.
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psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
September 13, 2010 - Commentary
Disclosure of medical errors: the right thing to do.
Citation Text:
Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9.
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - Toolkit
The CUSP Method
Citation Text:
The CUSP Method.
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psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-through-organizational-strategies
December 24, 2008 - Book/Report
Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies.
Citation Text:
Addressing Burnout in the Behavioral Health Workforce through Organizational Strategies. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022.&nbs…