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psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
November 29, 2023 - Book/Report
Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings.
Citation Text:
Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Dorset, UK: Health Services Safety Investigatio…
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Commentary
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Citation Text:
Preventing catheter-related bloodstream infections: thinking outside the checklist. Perencevich EN; Pittet D.
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - Review
Hospital discharge and readmission.
Citation Text:
Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
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psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology
May 29, 2019 - Special or Theme Issue
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.
Citation Text:
Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626.…
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psnet.ahrq.gov/issue/patient-safety-systems-chapter
November 27, 2018 - Organizational Policy/Guidelines
Patient Safety Systems Chapter.
Citation Text:
Patient Safety Systems Chapter. In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint Commission; January 2021:PS1-PS46.
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psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
March 10, 2021 - Book/Report
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.
Citation Text:
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
March 14, 2018 - Book/Report
Beyond the Quick Fix: Strategies for Improving Patient Safety.
Citation Text:
Beyond the Quick Fix: Strategies for Improving Patient Safety. Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015.
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psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - Newspaper/Magazine Article
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.
Citation Text:
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. Hamilton WL.
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psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
June 16, 2012 - Book/Report
Oxford Professional Practice: Handbook of Patient Safety.
Citation Text:
Oxford Professional Practice: Handbook of Patient Safety. Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN: 9780192846877.
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psnet.ahrq.gov/issue/defining-role-social-sciences-patient-safety
October 23, 2013 - Special or Theme Issue
Defining the Role of Social Sciences in Patient Safety.
Citation Text:
Defining the Role of Social Sciences in Patient Safety. Su L, Fernandez R, Grand J, et al, eds. Curr Probl Pediatr Adolesc Health Care. 2015;45:365-394.
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psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
August 04, 2021 - Commentary
To err is human: quality and safety issues in spine care.
Citation Text:
Wong DA, Watters WC. To err is human: quality and safety issues in spine care. Spine (Phila Pa 1976). 2007;32(11 Suppl):S2-8.
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
June 10, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4.
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psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery
March 03, 2021 - Newspaper/Magazine Article
She was headed to a locked psych ward. Then an ER doctor made a startling discovery.
Citation Text:
She was headed to a locked psych ward. Then an ER doctor made a startling discovery. Boodman SG. Washington Post. February 12, 2022.
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - Book/Report
Adverse Health Care Events Reporting System: What Have We Learned?
Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned? St. Paul, MN: Minnesota Department of Health; January 2009.
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6.
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psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course
December 05, 2024 - International Meeting/Conference
Certified Professional in Patient Safety Review Course.
Citation Text:
Certified Professional in Patient Safety Review Course. Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern).
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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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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(…