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psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
May 11, 2016 - Book/Report
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…
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psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
October 28, 2020 - Commentary
The emotional fallout from the culture of blame and shame.
Citation Text:
Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691.
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psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
December 24, 2007 - Government Resource
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.
Citation Text:
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005.
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psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
March 13, 2019 - Newspaper/Magazine Article
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Citation Text:
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019.
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psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
April 20, 2022 - Newspaper/Magazine Article
Start the year off right by addressing these top 10 medication safety concerns from 2021.
Citation Text:
Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
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psnet.ahrq.gov/issue/findings-and-lessons-improving-management-individuals-complex-health-care-needs-through
October 02, 2013 - Book/Report
Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative.
Citation Text:
Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…
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psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
September 27, 2017 - Study
Do staffing levels predict missed nursing care?
Citation Text:
Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011;23(3):302-8. doi:10.1093/intqhc/mzr009.
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psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-state-hospital
March 22, 2024 - Meeting/Conference Proceedings
Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association.
Citation Text:
Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. Agency for Healthc…
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psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - Special or Theme Issue
Cultivate discussions in a psychologically safe workplace: part 1 and part II.
Citation Text:
Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…
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psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
April 20, 2022 - Newspaper/Magazine Article
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime.
Citation Text:
Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…
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psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
July 26, 2023 - Book/Report
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients.
Citation Text:
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…
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psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
July 22, 2024 - Meeting/Conference Proceedings
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety.
Citation Text:
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/patient-safety-patients-role
May 26, 2011 - Commentary
Patient safety: the patient's role.
Citation Text:
Ford D. Patient safety: the patient's role. . World Hosp Health Serv. 2006;42(3):45-48.
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psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - Newspaper/Magazine Article
Classic
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.
Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
July 21, 2021 - Newspaper/Magazine Article
Design for reliability: barcoded medication administration.
Citation Text:
Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ.
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Book/Report
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports.
Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…
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psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
June 22, 2022 - Commentary
Implementing a safe and reliable process for medication administration.
Citation Text:
Richardson B, Bromirski B, Hayden A. Implementing a safe and reliable process for medication administration. Clin Nurse Spec. 2012;26(3):169-76. doi:10.1097/NUR.0b013e3182503fbe.
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psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
November 04, 2020 - Commentary
Medical error and vulnerable communities.
Citation Text:
Medical error and vulnerable communities. Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392.
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psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
November 17, 2010 - Book/Report
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report.
Citation Text:
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Rese…