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  1. psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…
  2. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/statistical-process-control
    January 01, 2023 - Statistical Process Control Acronym SPC Also Known As Control Chart Run Chart Examples Taveras M. Increasing charge capture using scheduling techniques for a hospital-based ancillary service. 17th Annual Society for Health Systems Management Engineering Forum; 2005; Dallas, TX;…
  3. psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
  4. psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
    June 29, 2016 - Book/Report How to Identify and Address Unsafe Conditions Associated With Health IT. Citation Text: How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…
  5. psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
    December 15, 2021 - Fact Sheet/FAQs ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Citation Text: ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Horsham, PA: Institute of Safe Medication Practices; 2021 Copy Citation Save Save to your lib…
  6. psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
    April 20, 2022 - Newspaper/Magazine Article Start the year off right by addressing these top 10 medication safety concerns from 2021. Citation Text: Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
  7. psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…
  8. psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. Citation Text: Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…
  9. psnet.ahrq.gov/issue/patient-safety-emergency-department
    July 13, 2016 - Commentary Patient safety in the emergency department. Citation Text: Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  10. psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
    June 12, 2008 - Commentary A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Citation Text: Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …
  11. psnet.ahrq.gov/issue/err-human-patient-misinterpretations-prescription-drug-label-instructions
    February 28, 2011 - Study To err is human: patient misinterpretations of prescription drug label instructions. Citation Text: Wolf MS, Davis TC, Shrank WH, et al. To err is human: patient misinterpretations of prescription drug label instructions. Patient Educ Couns. 2007;67(3):293-300. Copy Citation …
  12. psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
    March 09, 2022 - Book/Report Global Report on Infection Prevention and Control: Executive Summary. Citation Text: Global Report on Infection Prevention and Control: Executive Summary. Geneva, Switzerland; World Health Organization; May 5, 2022. Copy Citation Save Save to your li…
  13. psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
    April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…
  14. psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
    May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…
  15. psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
    December 23, 2008 - Book/Report Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement. Citation Text: Clinical Uncertainty In Primary Care. Springer New York; 2013. doi:10.1007/978-1-4614-6812-7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …
  16. psnet.ahrq.gov/issue/patient-safety-hhs-has-taken-steps-address-unsafe-injection-practices-more-action-needed
    September 05, 2012 - Book/Report Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Citation Text: Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. Kohn LT. Washington, DC: United States Government Acc…
  17. psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
    April 03, 2019 - Newspaper/Magazine Article Surgical fires: decreasing incidence relies on continued prevention efforts. Citation Text: Surgical fires: decreasing incidence relies on continued prevention efforts. Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June…
  18. psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
    December 21, 2022 - Book/Report Malnutrition in Hospitalized Adults: A Systematic Review. Citation Text: Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021.  AHRQ Publication No. 21(22)…
  19. psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
    September 16, 2015 - Book/Report Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Citation Text: Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…
  20. psnet.ahrq.gov/issue/eau-policy-live-surgery-events
    December 29, 2014 - Review EAU policy on live surgery events. Citation Text: Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…