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psnet.ahrq.gov/issue/review-educational-philosophies-applied-radiation-safety-training-medical-institutions
May 31, 2017 - Commentary
A review of educational philosophies as applied to radiation safety training at medical institutions.
Citation Text:
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S6…
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psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-teams
August 04, 2021 - Review
Achieving dialysis safety: the critical role of higher-functioning teams.
Citation Text:
Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778.
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - Multi-use Website
Patient Safety Movement Foundation.
Citation Text:
Patient Safety Movement Foundation. 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - Commentary
Dangerous deception--hiding the evidence of adverse drug events.
Citation Text:
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71.
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psnet.ahrq.gov/issue/drug-shortages-0
February 22, 2023 - Review
Drug shortages.
Citation Text:
Drug shortages. Aronson JK, Heneghan C, Ferner RE. Br J Clin Pharmacol. 2023;89(10):2950-2963.
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
Citation Text:
Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e.
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture
December 16, 2020 - Review
Returning to the roots of culture: a review and re-conceptualisation of safety culture.
Citation Text:
Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004.
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Study
Audibility of patient clinical alarms to hospital nursing personnel.
Citation Text:
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10.
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/mcneil-consumer-specialty-pharmaceuticals-announces-nationwide-recall-childrens-tylenol
August 19, 2020 - Press Release/Announcement
McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release].
Citation Text:
McNeil Consumer & Specialty Pharmaceuticals…
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psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
January 26, 2022 - Study
Spike in fatal medication errors at the beginning of each month.
Citation Text:
Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month. Pharmacotherapy. 2005;25(1):1-9.
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
April 11, 2011 - Organizational Policy/Guidelines
Metric units and the preferred dosing of orally administered liquid medications.
Citation Text:
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-0072.
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/getting-havarti-moving-toward-patient-safety-obstetrics
October 19, 2022 - Commentary
Getting to havarti: moving toward patient safety in obstetrics.
Citation Text:
Veltman LL. Getting to havarti: moving toward patient safety in obstetrics. Obstet Gynecol. 2007;110(5):1146-1150.
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psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - Review
Critical incident monitoring in anaesthesia.
Citation Text:
Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6. doi:10.1097/ACO.0b013e3282f33592.
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psnet.ahrq.gov/issue/can-high-tech-save-your-life
August 07, 2024 - Newspaper/Magazine Article
Wired hospitals: can high tech save your life?
Citation Text:
Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-50, 52.
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Chapter 1. Background
Previous Page Next Page
Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Descript…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-experience-fry-webinar.pdf
January 01, 2014 - Understanding CAHPS® Surveys: A Primer for New Users
What Is Patient Experience and How
Does CAHPS Measure It?
Stephanie Fry
Senior Study Director
Westat
www.ahrq.gov/cahps
What is Patient Experience?
“Patient experience encompasses the range of interactions that
patients have with the health care system, inc…