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psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid
August 17, 2016 - Newspaper/Magazine Article
Drug errors show need for tech aid.
Citation Text:
Drug errors show need for tech aid. Landro L.
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psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
May 01, 2017 - Toolkit
Health Literacy Tools for Providers of Medication Therapy Management.
Citation Text:
Health Literacy Tools for Providers of Medication Therapy Management. Rockville, MD: Agency for Healthcare Research and Quality; July 2017.
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psnet.ahrq.gov/issue/safety-numbers-try-connectivity
October 07, 2008 - Newspaper/Magazine Article
Safety in numbers? Try connectivity.
Citation Text:
Safety in numbers? Try connectivity. Dyell D.
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psnet.ahrq.gov/issue/hospital-tells-surgery-wrong-side
July 02, 2008 - Newspaper/Magazine Article
Hospital tells of surgery on wrong side.
Citation Text:
Hospital tells of surgery on wrong side. Smith S.
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psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative
December 24, 2008 - Government Resource
Medical Liability Reform & Patient Safety Initiative.
Citation Text:
Medical Liability Reform & Patient Safety Initiative. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/quality-improvement-organizations
October 19, 2022 - Multi-use Website
Quality Improvement Organizations.
Citation Text:
Quality Improvement Organizations. Medicare Quality Improvement Community; MedQIC
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psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
August 24, 2011 - Newspaper/Magazine Article
Medical malpractice: why is it so hard for doctors to apologize?
Citation Text:
Medical malpractice: why is it so hard for doctors to apologize? Sanghavi D.
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psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data
March 06, 2005 - Newspaper/Magazine Article
Panel set to study safety of electronic patient data.
Citation Text:
Panel set to study safety of electronic patient data. Freudenheim M.
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psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses
November 21, 2018 - Study
Medication errors and professional practice of registered nurses.
Citation Text:
Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33.
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psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
April 25, 2018 - Newspaper/Magazine Article
Loud wake-up call: unlabeled containers lead to patient’s death.
Citation Text:
Loud wake-up call: unlabeled containers lead to patient’s death. ISMP Medication Safety Alert! Acute care edition. December 2, 2004.
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psnet.ahrq.gov/issue/safety-requires-state-mindfulness
May 02, 2018 - Newspaper/Magazine Article
Safety requires a state of mindfulness.
Citation Text:
Safety requires a state of mindfulness. ISMP Medication Safety Alert! Acute care edition. July 31, 2014.
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psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance
September 07, 2016 - Image/Poster
Making health care safer: protect patients from antibiotic resistance.
Citation Text:
Making health care safer: protect patients from antibiotic resistance. CDC; Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/standardizing-patient-safety-taxonomy
September 06, 2011 - Organizational Policy/Guidelines
Standardizing a Patient Safety Taxonomy.
Citation Text:
Standardizing a Patient Safety Taxonomy. Washington, DC: National Quality Forum; 2006.
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Multi-use Website
NAM Action Collaborative on Clinician Well-Being and Resilience.
Citation Text:
NAM Action Collaborative on Clinician Well-Being and Resilience. Washington, DC: National Academy of Medicine.
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psnet.ahrq.gov/issue/buying-wrong-medicine-overseas
August 22, 2007 - Newspaper/Magazine Article
Buying the wrong medicine overseas.
Citation Text:
Buying the wrong medicine overseas. Chase M.The Wall Street Journal. Aug 2005
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psnet.ahrq.gov/issue/just-flash-simple-surgery-can-turn-deadly
August 17, 2016 - Newspaper/Magazine Article
In just a flash, simple surgery can turn deadly.
Citation Text:
In just a flash, simple surgery can turn deadly. Landro L.
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - Strategies and Approaches for Investigating Patient
Safety Events
March 30, 2022
Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
Background
This primer provides a broad …
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
April 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Bad Writing, Wrong Medication
*
*
Source and Credits
This presentation is based on the April 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Beth Devine, PharmD, MBA, PhD
University of Washingto…
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…