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psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
December 27, 2018 - Newspaper/Magazine Article
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here!
Citation Text:
A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019
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psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
May 07, 2018 - Newspaper/Magazine Article
Building patient safety skills: common pitfalls when conducting a root cause analysis.
Citation Text:
Building patient safety skills: common pitfalls when conducting a root cause analysis. ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.…
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psnet.ahrq.gov/issue/medication-errors-2nd-ed
March 29, 2007 - Book/Report
Classic
Medication Errors. 2nd ed.
Citation Text:
Medication Errors. 2nd ed. Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
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psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - Newspaper/Magazine Article
Audit of missed or delayed antimicrobial drugs.
Citation Text:
Audit of missed or delayed antimicrobial drugs. Wright J.
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psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
May 29, 2024 - Webinar
The Impact of Artificial Intelligence (AI) on the Safety of Patients.
Citation Text:
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
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psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
June 10, 2018 - Webinar
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety.
Citation Text:
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020.
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psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
December 21, 2016 - Newspaper/Magazine Article
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.
Citation Text:
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Carbas…
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psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-families
October 23, 2019 - Book/Report
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families.
Citation Text:
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Research and Quality; April 2018.
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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - Congressional Testimony
Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations.
Citation Text:
Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations. Cla…
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psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-advisors
July 01, 2015 - Book/Report
Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors.
Citation Text:
Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. Chicago, IL: Health Research & Educational Trust; 2015.
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations
October 10, 2018 - Commentary
Bringing diagnosis into the quality and safety equations.
Citation Text:
Graber ML, Wachter R, Cassel C. Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2.
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psnet.ahrq.gov/issue/mirror-mirror-comparing-health-systems-across-countries
October 07, 2008 - Book/Report
Mirror, Mirror: Comparing Health Systems Across Countries.
Citation Text:
Mirror, Mirror: Comparing Health Systems Across Countries. New York, NY: The Commonwealth Fund; 2004-2024.
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psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
September 11, 2019 - Book/Report
Error Reduction and Prevention in Surgical Pathology, Second Edition.
Citation Text:
Error Reduction and Prevention in Surgical Pathology, Second Edition. Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636.
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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Book/Report
Unintended Consequences: New Problems and New Solutions.
Citation Text:
Unintended Consequences: New Problems and New Solutions. Lehmann CU, Sroussi B, Jaulent MC, eds. Yearb Med Inform. 2016;1:1-271.
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psnet.ahrq.gov/issue/patient-safety-tool-kit
February 14, 2024 - Toolkit
Patient Safety Tool Kit.
Citation Text:
Patient Safety Tool Kit. WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0272_03-06-2008.pdf
January 01, 2008 - Effective Health Care
Topic Numbers: 0011b, 0039, 0083b
Document Completion Date: 5-19-09
1
Results of Topic Selection Process & Next Steps
Sleep apnea treatment will go forward for refinement as a comparative effectiveness or effectiveness
review. The scope of this topic, including popul…
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psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - Newspaper/Magazine Article
At the hospital, better responses to those beeping alarms.
Citation Text:
At the hospital, better responses to those beeping alarms. Landro L. Wall Street Journal. January 4, 2016.
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psnet.ahrq.gov/issue/teamwork-and-quality-during-neonatal-care-delivery-room
July 20, 2016 - Study
Teamwork and quality during neonatal care in the delivery room.
Citation Text:
Teamwork and quality during neonatal care in the delivery room. Thomas EJ; Sexton JB; Lasky RE; Helmreich RL; Crandell DS; Tyson J.
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