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psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
July 15, 2010 - Commentary
ACOG Committee Opinion #320: partnering with patients to improve safety.
Citation Text:
ACOG Committee Opinion #320: partnering with patients to improve safety. ACOG Committee on Quality Improvement and Patient Safety.
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children.
Citation Text:
Weight-based Medication Errors in Children. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely
September 02, 2016 - Fact Sheet/FAQs
FDA Pharmacists Help Consumers Use Medicines Safely.
Citation Text:
FDA Pharmacists Help Consumers Use Medicines Safely. Silver Spring, MD: United States Food and Drug Administration; October 31, 2014.
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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - Newspaper/Magazine Article
Medical disrespect.
Citation Text:
Medical disrespect. Yurkiewicz I. Aeon Magazine. January 29, 2014.
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psnet.ahrq.gov/issue/decontamination-surgical-instruments
September 21, 2022 - Book/Report
Decontamination of Surgical Instruments.
Citation Text:
Decontamination of Surgical Instruments. Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.
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psnet.ahrq.gov/issue/teaching-clinical-reasoning
August 20, 2018 - Book/Report
Teaching Clinical Reasoning.
Citation Text:
Teaching Clinical Reasoning. Trowbridge RL Jr, Rencic JJ, Durning SJ, eds. Philadelphia, PA: American College of Physicians; 2015. ISBN: 9781938921056.
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psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
May 02, 2018 - Newspaper/Magazine Article
Misprogramming PCA concentration leads to dosing errors.
Citation Text:
Misprogramming PCA concentration leads to dosing errors. ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
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psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
May 02, 2018 - Newspaper/Magazine Article
Heparin errors continue despite prior, high-profile, fatal events.
Citation Text:
Heparin errors continue despite prior, high-profile, fatal events. ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2.
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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
December 19, 2016 - Government Resource
Oral medications inadvertently given via the intravenous route.
Citation Text:
Oral medications inadvertently given via the intravenous route. Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
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psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
May 02, 2018 - Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams.
Citation Text:
Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
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psnet.ahrq.gov/issue/inpatient-quality-indicators
December 22, 2014 - Multi-use Website
Inpatient Quality Indicators.
Citation Text:
Inpatient Quality Indicators. Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting.
Citation Text:
Common Formats for Event Reporting. National Quality Forum.
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - Newspaper/Magazine Article
A deadly epidural, delivered by a doctor with a history of mistakes.
Citation Text:
A deadly epidural, delivered by a doctor with a history of mistakes. Goldstein J. New York Times. January 23, 2023.
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psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
October 21, 2016 - Book/Report
National Action Plan to Improve Health Literacy.
Citation Text:
National Action Plan to Improve Health Literacy. Washington, DC: United States Department of Health and Human Services; 2010.
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psnet.ahrq.gov/issue/barcode-technology-flaws-put-some-patients-risk
July 23, 2008 - Newspaper/Magazine Article
Barcode technology flaws put some patients at risk.
Citation Text:
Barcode technology flaws put some patients at risk. Preidt R. ABC News. July 4, 2008.
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. Third ed.
Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029.
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psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-quality-information
December 17, 2008 - Audiovisual Presentation
National Survey on Consumers' Experiences With Patient Safety and Quality Information.
Citation Text:
National Survey on Consumers' Experiences With Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation, Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natural-language-processing
May 01, 2017 - Webinar
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation.
Citation Text:
A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accura…
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psnet.ahrq.gov/issue/patient-safety-dialysis-access
September 29, 2017 - Book/Report
Patient Safety in Dialysis Access.
Citation Text:
Patient Safety in Dialysis Access. Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051.
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