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psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
December 17, 2008 - Book/Report
Medication Use: A Systems Approach to Reducing Errors, Second Edition.
Citation Text:
Medication Use: A Systems Approach to Reducing Errors, Second Edition. Porché RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976.
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psnet.ahrq.gov/issue/mris-and-sandbags-filled-metal-shot
April 26, 2006 - Government Resource
MRIs and sandbags filled with metal shot.
Citation Text:
MRIs and sandbags filled with metal shot. New Jersey Department of Health and Senior Services.
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psnet.ahrq.gov/issue/safetyleadersorg
August 31, 2011 - Multi-use Website
Safetyleaders.org
Citation Text:
Safetyleaders.org Texas Medical Institute of Technology
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psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported
September 05, 2012 - Newspaper/Magazine Article
Most adverse events at hospitals still go unreported.
Citation Text:
Most adverse events at hospitals still go unreported. Shaw G. The Hospitalist. August 2012.
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psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide
November 23, 2016 - Toolkit
Nursing Home Antimicrobial Stewardship Guide.
Citation Text:
Nursing Home Antimicrobial Stewardship Guide. Rockville, MD: Agency for Healthcare Research and Quality; October 2016.
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psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
May 03, 2023 - Newspaper/Magazine Article
Considering insulin pens for routine hospital use? Consider this...
Citation Text:
Considering insulin pens for routine hospital use? Consider this... ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
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psnet.ahrq.gov/issue/new-analysis-shows-hospitals-improving-performance-key-patient-safety-measures-surpassing-pre
October 23, 2024 - Book/Report
New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre-pandemic Levels.
Citation Text:
New Analysis Shows Hospitals Improving Performance On Key Patient Safety Measures Surpassing Pre-Pandemic Levels. Chicago, IL: American Hospital As…
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psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
September 10, 2014 - Organizational Policy/Guidelines
National Safety Standards for Invasive Procedures (NatSSIPs2).
Citation Text:
National Safety Standards for Invasive Procedures (NatSSIPs2). Centre for Perioperative Care. London, UK; January 2023.
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - Making Health Care Safer II: An Updated Critical Analysis
of the Evidence for Patient Safety Practices.
January 6, 2018
Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis
Of The Evidence For Patient Safety Practices.; 2013:Evid Rep Technol Assess (Full Rep).(211)…
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psnet.ahrq.gov/issue/medication-related-harm
August 14, 2024 - Book/Report
Medication Related Harm.
Citation Text:
Medication Related Harm. Health Services Safety Investigations Body. 2024-2025
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people
March 18, 2015 - Book/Report
Review of Patient Safety for Children and Young People.
Citation Text:
Review of Patient Safety for Children and Young People. London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.
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psnet.ahrq.gov/issue/diagnostic-error-acute-care
December 15, 2010 - Newspaper/Magazine Article
Diagnostic error in acute care.
Citation Text:
Diagnostic error in acute care. PA-PSRS Patient Saf Advis. September 2010;7:76-86.
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psnet.ahrq.gov/node/36901/psn-pdf
February 08, 2011 - Special Report: Quality of Care Survey.
February 8, 2011
Physician Executive. 2007 May-Jun;33(3):6-36.
https://psnet.ahrq.gov/issue/special-report-quality-care-survey
This series of articles discusses the results of a national survey of physician executives that explored
quality and safety issues such as barriers …
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - The Emergence of the Trigger Tool as the Premier
Measurement Strategy for Patient Safety
May 1, 2012
Sharek PJ. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety.
PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-pa…
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - Patient Safety Indicators
April 26, 2023
Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/patient-safety-indicators
Background
Over the past 25 years, policymakers and providers, payers, and purchasers of health care have
increasingly focused attention on pati…
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2013-14-and-q1-and-q2-2014-15
February 18, 2009 - Government Resource
December 17, 2014
Complaints About Acute Trusts 2013–14 and Q1 and Q2 2014–15.
Citation Text:
Parliamentary and Health Service Ombudsman.
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psnet.ahrq.gov/node/41250/psn-pdf
December 21, 2014 - Disclosure of "nonharmful" medical errors and other
events: duty to disclose.
December 21, 2014
Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events:
duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005.
https://psnet.ahrq.gov/issue/disclos…
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - Error or "act of God"? A study of patients' and operating
room team members' perceptions of error definition,
reporting, and disclosure.
June 23, 2010
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team
members' perceptions of error definition, reporting, and d…
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psnet.ahrq.gov/node/41746/psn-pdf
October 10, 2012 - The relationship of self-report of quality to practice size
and health information technology.
October 10, 2012
Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health
information technology. J Am Board Fam Med. 2012;25(5):614-24. doi:10.3122/jabfm.2012.05.120063.
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psnet.ahrq.gov/node/35665/psn-pdf
March 18, 2010 - Clear liquids may place patients at risk.
March 18, 2010
Pennsylvania Patient Safety Reporting System.
https://psnet.ahrq.gov/issue/clear-liquids-may-place-patients-risk
Using reports submitted to the Pennsylvania Patient Safety Reporting System, this advisory cautions
against using unlabeled clear liquids and pro…