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psnet.ahrq.gov/issue/identifying-risk-use-tumor-markers-improve-patient-safety
March 09, 2022 - Study
Identifying risk in the use of tumor markers to improve patient safety.
Citation Text:
Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015…
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
May 20, 2009 - Commentary
Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.
Citation Text:
Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-…
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - Medication Handling and Compounding Errors in the
Operating Room.
March 15, 2023
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating
Room. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
The Case
A 62-y…
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - Medication Handling and Compounding Errors in the Operating Room.
Citation Text:
Chaudhry J, Manning C, Dakwa D, et al. Medication Handling and Compounding Errors in the Operating Room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - Press Release/Announcement
FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder.
Citation Text:
FDA recommends health care professionals discuss naloxone with all patients when prescri…
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - shortages in critical care are not available, the American Association of Critical Care Nurses states that requests
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Additional, standard communication
between the laboratory and the primary clinical team to clarify testing requests
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - When noise beyond conversation essential to patient care is
present, requests for information or equipment
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
Copy Cit…
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Citation Text:
Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…
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psnet.ahrq.gov/node/865721/psn-pdf
May 01, 2024 - Patient Safety Rights Charter.
May 1, 2024
Geneva, Switzerland: World Health Organization; April 2024. ISBN: 9789240093249.
https://psnet.ahrq.gov/issue/patient-safety-rights-charter
Patients have the right to expect safe, equitable, high-quality care. This 10-point charter serves to describe
the establishmen…
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
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psnet.ahrq.gov/node/853629/psn-pdf
September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety.
September 20, 2023
World Health Organization.
https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
The sharing of best practices is a key component of enabling successful strategy implementation in support
of patient safety plans and go…
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psnet.ahrq.gov/node/853246/psn-pdf
September 06, 2023 - ICN Position Statement: Patient Safety.
September 6, 2023
Geneva, Switzerland; International Council of Nurses: 2023.
https://psnet.ahrq.gov/issue/icn-position-statement-patient-safety
Nursing is foundational to safe patient care. This statement outlines recommendations for the nursing
community to support the Wor…
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psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
February 18, 2009 - Study
Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.
Citation Text:
Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …
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psnet.ahrq.gov/node/41236/psn-pdf
March 29, 2018 - Speak Up video posters.
March 29, 2018
Oakbrook Terrace, IL: Joint Commission.
https://psnet.ahrq.gov/issue/speak-video-posters
The Speak Up video series encourages patients to actively participate in their care. Posters to complement
the video series, in both English and Spanish are available upon request.
http…
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psnet.ahrq.gov/node/73713/psn-pdf
September 15, 2021 - Agency information collection activities: Ambulatory
Surgery Center Survey on Patient Safety Culture
Database; comment request.
September 15, 2021
Agency for Healthcare Quality and Research. Fed Register. August 31, 2021;86:48703-48705.
https://psnet.ahrq.gov/issue/agency-information-collection-activities-ambulato…
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psnet.ahrq.gov/node/73927/psn-pdf
October 06, 2021 - Agency information collection activities: Nursing Home
Survey on Patient Safety Culture Database; comment
request.
October 6, 2021
Agency for Healthcare Quality and Research. Fed Register. September 21, 2021;86:52471-52473.
https://psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-p…
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
November 23, 2015 - Legislation/Regulation
Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requir…