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psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
October 09, 2013 - Book/Report
Strategic Plan for Preventing and Mitigating Drug Shortages.
Citation Text:
Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013.
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/patient-safety-rights-charter
June 05, 2024 - Book/Report
Patient Safety Rights Charter.
Citation Text:
Patient Safety Rights Charter. Geneva, Switzerland: World Health Organization; April 2024. ISBN: 9789240093249.
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psnet.ahrq.gov/issue/handoffs-and-fumbles
June 12, 2007 - Book/Report
Handoffs and fumbles.
Citation Text:
Handoffs and fumbles. Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004.
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psnet.ahrq.gov/issue/clinical-reminder-about-safe-use-insulin-vials
June 10, 2018 - Newspaper/Magazine Article
A clinical reminder about the safe use of insulin vials.
Citation Text:
A clinical reminder about the safe use of insulin vials. ISMP Medication Safety Alert! Acute care edition. February 21, 2013;18:1-3.
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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/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - Book/Report
Classic
Complications: A Surgeon's Notes on an Imperfect Science.
Citation Text:
Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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digital.ahrq.gov/sites/default/files/docs/survey/ccd-functionality-colorado-chc-emr.pdf
September 01, 2008 - CCD Functionality of Colorado Community Health Center
Report on Continuity of Care Document (CCD) Functionality of Colorado
Community Health Center Electronic Medical Record Systems
University of Colorado Health Sciences Center, Denver CO
This is a questionnaire designed to be completed by vendors for an ambulator…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support/annual-summary/2011
January 01, 2011 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery - 2011
Project Name
Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery
Principal Investigator
Lamer, Christopher
Organiza…
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural and restorative justice.
Citation Text:
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…
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psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
July 18, 2018 - Book/Report
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report.
Citation Text:
Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support
January 01, 2023 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery
Project Description
Annual Summaries
Project Details -
Completed
Contract Number
10-663F-10
Funding Mechanism(s)
Inter-Agency…
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www.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - AHRQ's TeamSTEPPS® Boosts Patient Safety, Efficiency for Texas Military Hospital's Operating Rooms
Search All Impact Case Studies
January 2016
Patient safety problems decreased dramatically and operating room procedures improved significantly after the 425-bed San Antonio Military Medical Center implemented…
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www.ahrq.gov/news/newsroom/case-studies/201513.html
June 01, 2015 - Wisconsin Dialysis Centers Use AHRQ Toolkit to Reduce Infections
Search All Impact Case Studies
June 2015
The Purity Dialysis Center in Watertown, Wisconsin, achieved a 75 percent decline in healthcare-associated infections among dialysis patients after participating in an AHRQ-funded project that promotes …
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psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
August 24, 2016 - Newspaper/Magazine Article
"Use as directed" can cause confusion for both patients and practitioners.
Citation Text:
"Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0108_05-24-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0156
Document Completion Date: 1-12-10
1
Results of Topic Selection Process & Next Steps
Acute migraine treatment in emergency settings will go forward for refinement as a systematic review.
The scope of this topic, including populations, interventions, c…
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
June 05, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. Part II: where we're going.
Citation Text:
Our long journey towards a safety-minded just culture. Part II: where we're going. ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2.
C…
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psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
October 23, 2019 - Book/Report
Iowans' Views on Medical Errors: Iowa Patient Safety Study.
Citation Text:
Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018.
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