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psnet.ahrq.gov/issue/soaring-numbers-111-callers-forced-wait-call-back
September 21, 2016 - Newspaper/Magazine Article
Soaring numbers of 111 callers forced to wait for a call back.
Citation Text:
Soaring numbers of 111 callers forced to wait for a call back. Donnelly L. The Telegraph. January 31, 2016.
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psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
May 07, 2019 - Book/Report
ISMP Guidelines for Safe Electronic Communication of Medication Information.
Citation Text:
ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019.
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
May 11, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults.
Citation Text:
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Horsham, PA: Institute for Safe Medication Practices; May 2017.
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psnet.ahrq.gov/issue/stay-connected-faqs-about-small-bore-connectors-and-tubing-misconnections
March 12, 2016 - Book/Report
Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections.
Citation Text:
Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections. Arlington, VA: Association for the Advancement of Medical Instrumentation; October 2013.
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psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
August 23, 2007 - Newspaper/Magazine Article
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat.
Citation Text:
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Medical Office Survey on Patient Safety Culture.
Citation Text:
Medical Office Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; June 2023.
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psnet.ahrq.gov/issue/guidelines-practice
March 05, 2010 - Special or Theme Issue
Guidelines in Practice.
Citation Text:
Guidelines in Practice. AORN J. 2020-2024.
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Book/Report
Learning Not Blaming.
Citation Text:
Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
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psnet.ahrq.gov/issue/physician-resiliency-and-wellness-transforming-health-system
November 23, 2024 - Commentary
Physician resiliency and wellness for transforming a health system.
Citation Text:
Physician resiliency and wellness for transforming a health system. Armato CS, Jenike TE. NEJM Catalyst. May 2, 2018.
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psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
May 25, 2016 - Book/Report
How PSOs Help Health Care Organizations Improve Patient Safety Culture.
Citation Text:
How PSOs Help Health Care Organizations Improve Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF.
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psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology
May 29, 2019 - Special or Theme Issue
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.
Citation Text:
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626.…
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psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - Newspaper/Magazine Article
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.
Citation Text:
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. Hamilton WL.
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psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
June 16, 2012 - Book/Report
Oxford Professional Practice: Handbook of Patient Safety.
Citation Text:
Oxford Professional Practice: Handbook of Patient Safety. Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN: 9780192846877.
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
June 10, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4.
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Newspaper/Magazine Article
She was headed to a locked psych ward. Then an ER doctor made a startling discovery.
Citation Text:
She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022.
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psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - Book/Report
Adverse Health Care Events Reporting System: What Have We Learned?
Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned? St. Paul, MN: Minnesota Department of Health; January 2009.
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6.
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psnet.ahrq.gov/issue/error-reporting-organizations
May 24, 2006 - Commentary
Error reporting in organizations.
Citation Text:
Error reporting in organizations. Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030.
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psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
August 24, 2016 - Newspaper/Magazine Article
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
Citation Text:
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…
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psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing
September 01, 2021 - Audiovisual Presentation
Patient Safety: A Health Affairs Briefing.
Citation Text:
Patient Safety: A Health Affairs Briefing. Project Hope.
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