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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Commentary
Medication errors in outpatient pediatrics.
Citation Text:
Berrier K. Medication Errors in Outpatient Pediatrics. MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261.
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psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-mothers
May 19, 2021 - Newspaper/Magazine Article
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers.
Citation Text:
Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. Eldeib D. ProPublica. November 13, 2022.
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psnet.ahrq.gov/issue/themed-issue-opioid-epidemic
January 14, 2019 - Special or Theme Issue
Themed Issue on the Opioid Epidemic.
Citation Text:
Themed Issue on the Opioid Epidemic. Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778.
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psnet.ahrq.gov/issue/communication-devices-operating-room
December 02, 2020 - Review
Communication devices in the operating room.
Citation Text:
Ruskin KJ. Communication devices in the operating room. Curr Opin Anaesthesiol. 2006;19(6):655-9.
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/issue/opioid-stewardship
February 06, 2019 - Special or Theme Issue
Opioid Stewardship.
Citation Text:
Opioid Stewardship. Ochsner J. 2018;18(1):20-45.
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psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
August 17, 2022 - Toolkit
Addressing Medical Gaslighting to Improve Maternal Health—Together.
Citation Text:
Addressing Medical Gaslighting to Improve Maternal Health—Together. Oregon Patient Safety Commission: 2023.
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psnet.ahrq.gov/issue/harm-healing-partnering-patients-who-have-been-harmed
May 08, 2019 - Book/Report
Harm to Healing - Partnering with Patients Who Have Been Harmed.
Citation Text:
Harm to Healing - Partnering with Patients Who Have Been Harmed. Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012.
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psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
January 24, 2024 - Review
Effective discharge communication in the emergency department.
Citation Text:
Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023.
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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Slideset
Multiple accountabilities in incident reporting and management.
Citation Text:
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
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psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
August 30, 2023 - Commentary
An education-service partnership to achieve safety and quality improvement competencies in nursing.
Citation Text:
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…
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psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2
October 04, 2023 - Review
Patient safety in dermatologic surgery: parts 1 and 2.
Citation Text:
Patient safety in dermatologic surgery: parts 1 and 2. Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26.
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psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-1
July 27, 2005 - Book/Report
Hospital-acquired Infections in Pennsylvania.
Citation Text:
Hospital-acquired Infections in Pennsylvania. Harrisburg PA: Pennsylvania Health Care Cost Containment Council -- 2005-2010.
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psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities
December 22, 2008 - Book/Report
Medication Safety: A Guide for Health Care Facilities.
Citation Text:
Medication Safety: A Guide for Health Care Facilities. Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896.
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psnet.ahrq.gov/issue/doctor-administered-fatal-dose-calcium-baby-inquest-told
March 06, 2005 - Newspaper/Magazine Article
Doctor administered fatal dose of calcium to baby, inquest told.
Citation Text:
Doctor administered fatal dose of calcium to baby, inquest told. Morris S.
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psnet.ahrq.gov/issue/closing-safety-loop-auto-patient-id
December 03, 2007 - Newspaper/Magazine Article
Closing the safety loop with auto patient ID.
Citation Text:
Closing the safety loop with auto patient ID. Akridge J. Healthcare Purchasing News. January 2005.
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
March 28, 2018 - Award Recipient
American Hospital Association-McKesson Quest for Quality Prize.
Citation Text:
American Hospital Association-McKesson Quest for Quality Prize. Jt Comm J Qual Patient Saf. 2007;33(10):592-604.
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psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
December 24, 2008 - Grant Recipient
Challenge Competition: Impact of Patient Safety Tools.
Citation Text:
Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023.
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psnet.ahrq.gov/periodic-issue/periodic-issue-441
May 29, 2024 - Notably, the majority of included studies were from the United Kingdom, highlighting the need for other regions
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…