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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - Study
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety.
Citation Text:
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Moore CR; Lin JJ; O'Connor N; Hal…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/building-bridges-consumer-needs-and-design-health-information-technology-participants
January 01, 2023 - Building Bridges: Consumer Needs and the Design of Health Information Technology - Participants
Back to Project
KEYNOTE SPEAKERS
Honorary Chair, Patricia Flatley Brennan, RN, PhD University of Wisconsin-Madison
Patricia Flatley…
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psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings
April 11, 2011 - Organizational Policy/Guidelines
Infection prevention and control in pediatric ambulatory settings.
Citation Text:
Infection prevention and control in pediatric ambulatory settings. Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857.
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psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
August 01, 2012 - Book/Report
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.
Citation Text:
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Casey MM, Moscovice I, Davidson G. Minn…
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psnet.ahrq.gov/issue/top-10-patient-safety-concerns
March 10, 2021 - Book/Report
Top 10 Patient Safety Concerns.
Citation Text:
Top 10 Patient Safety Concerns. Plymouth Meeting, PA: ECRI; March 2025.
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture
October 23, 2019 - Measurement Tool/Indicator
Community Pharmacy Survey on Patient Safety Culture.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; July 2018.
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psnet.ahrq.gov/issue/best-practices-administering-sops-surveys
January 10, 2024 - Webinar
Best Practices for Administering SOPS Surveys.
Citation Text:
Best Practices for Administering SOPS Surveys. Agency for Healthcare Research and Quality. January 24, 2024.
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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/independent-double-checks-undervalued-and-misused
July 12, 2023 - Newspaper/Magazine Article
Independent double checks: undervalued and misused.
Citation Text:
Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.
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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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psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
February 08, 2017 - Book/Report
Ways to Improve Electronic Health Record Safety.
Citation Text:
Ways to Improve Electronic Health Record Safety. Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018.
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psnet.ahrq.gov/issue/our-story
December 04, 2016 - Commentary
Our story.
Citation Text:
King S. Our story. Pediatr Radiol. 2006;36(4):284-6.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/how-common-mental-shortcuts-can-cause-major-physician-errors
August 15, 2018 - Newspaper/Magazine Article
How common mental shortcuts can cause major physician errors.
Citation Text:
How common mental shortcuts can cause major physician errors. Jena AB, Olenski AR. New York Times. February 20, 2020.
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psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors
June 10, 2018 - Newspaper/Magazine Article
Too many abandon the "second victims" of medical errors.
Citation Text:
Too many abandon the "second victims" of medical errors. ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3.
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psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
August 09, 2024 - Legislation/Regulation
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.
Citation Text:
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. 118th Cong (2023-2024).
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/made-whole-efficacy-legal-redress-black-women-who-have-suffered-injuries-medical-bias
February 23, 2022 - Commentary
Made whole: the efficacy of legal redress for black women who have suffered injuries from medical bias.
Citation Text:
Made whole: the efficacy of legal redress for black women who have suffered injuries from medical bias. Baker MB. Harv Civ Rights-Civil Lib Law Rev. 2022: 57(…
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psnet.ahrq.gov/issue/retrievals-reveals-painful-experiences-female-patients-are-often-ignored
September 11, 2019 - Audiovisual Presentation
‘The Retrievals’ reveals painful experiences of female patients are often ignored.
Citation Text:
‘The Retrievals’ reveals painful experiences of female patients are often ignored. Desjardins L. PBS NewsHour. August 29, 2023.
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www.ahrq.gov/cahps/surveys-guidance/hospital/about/child-survey-measures.html
May 01, 2016 - CAHPS Child Hospital Survey Measures
For more information: Patient Experience Measures from the CAHPS Child Hospital Survey (PDF, 483 KB)
Communication Between You and Your Child's Nurses
Q14 Nurses listened carefully to parent
Q15 Nurses explained things to parent in a way that was easy to…
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psnet.ahrq.gov/issue/sponges-surgical-instruments-miscounted-13-surgeries
June 23, 2010 - Newspaper/Magazine Article
Sponges, surgical instruments miscounted in 13% of surgeries.
Citation Text:
Sponges, surgical instruments miscounted in 13% of surgeries. O'Reilly KB. American Medical News. September 22, 2008;51:14.
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