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psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
January 22, 2017 - Commentary
View the world through a different lens: shadowing another provider.
Citation Text:
Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561.
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psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
November 24, 2021 - Book/Report
Vital Signs: Core Metrics for Health and Health Care Progress.
Citation Text:
Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…
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psnet.ahrq.gov/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
March 17, 2021 - Commentary
The contribution of labelling to safe medication administration in anaesthetic practice.
Citation Text:
Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…
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psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
September 13, 2023 - Book/Report
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.
Citation Text:
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…
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psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
July 05, 2016 - Book/Report
Classic
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Citation Text:
Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Healt…
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psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
October 02, 2013 - Government Resource
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs).
Citation Text:
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…
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psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
August 04, 2021 - Study
Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.
Citation Text:
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience with the reporting…
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
March 11, 2015 - Book/Report
Classic
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review.
Citation Text:
Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011.
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psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - Newspaper/Magazine Article
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.
Citation Text:
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care organizations deal with major failures.
Citation Text:
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11.
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psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention
August 25, 2010 - Commentary
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Citation Text:
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…
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psnet.ahrq.gov/issue/health-it-and-patient-safety-building-safer-systems-better-care
June 16, 2011 - Book/Report
Classic
Health IT and Patient Safety: Building Safer Systems for Better Care.
Citation Text:
Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - Book/Report
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
Citation Text:
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
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psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
January 25, 2023 - Study
Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
Citation Text:
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
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psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
February 09, 2022 - Book/Report
Patient Safety: Emerging Applications of Safety Science.
Citation Text:
Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834.
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psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
July 07, 2021 - Review
Assessing patient safety in the United States: challenges and opportunities.
Citation Text:
Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47.
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psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
July 09, 2019 - Book/Report
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Citation Text:
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…
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psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
October 13, 2018 - Commentary
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse.
Citation Text:
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471.
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psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings
March 27, 2018 - Study
Barriers and facilitators to communicating nursing errors in long-term care settings.
Citation Text:
Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e31…