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psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
November 16, 2022 - Study
Patient harm in general surgery--a prospective study.
Citation Text:
Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec.
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psnet.ahrq.gov/issue/patient-safety-systems-design-and-ergonomics
February 03, 2021 - Study
Patient safety, systems design and ergonomics.
Citation Text:
Buckle P, Clarkson PJ, Coleman R, et al. Patient safety, systems design and ergonomics. Appl Ergon. 2006;37(4):491-500. doi:10.1016/j.apergo.2006.04.016.
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
September 06, 2011 - Book/Report
Classic
Improving Diagnostic Quality and Safety Final Report.
Citation Text:
Improving Diagnostic Quality and Safety Final Report. Washington, DC: National Quality Forum. September 19, 2017.
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psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
August 17, 2022 - Grant Announcement
Understanding and Improving Diagnostic Safety in Ambulatory Care.
Citation Text:
Understanding and Improving Diagnostic Safety in Ambulatory Care. Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.
Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
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psnet.ahrq.gov/issue/condition-concern-innovative-response-system-enhancing-hospitalized-patient-care-and-safety
April 24, 2018 - Commentary
Condition concern: an innovative response system for enhancing hospitalized patient care and safety.
Citation Text:
Baird SK, Turbin LB. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. J Nurs Care Qual. 2011;26(3):199-207. d…
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psnet.ahrq.gov/issue/transformation-health-care-front-line
July 24, 2017 - Commentary
Transformation of health care at the front line.
Citation Text:
Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103.
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psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
February 16, 2011 - Commentary
System failure versus personal accountability--the case for clean hands.
Citation Text:
Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3.
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psnet.ahrq.gov/issue/patient-safety-beyond-hospital
August 24, 2011 - Commentary
Patient safety beyond the hospital.
Citation Text:
Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294.
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psnet.ahrq.gov/issue/no-excuses-reality-demands-action
July 20, 2022 - Meeting/Conference Proceedings
No excuses: the reality that demands action.
Citation Text:
Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d.
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psnet.ahrq.gov/issue/sepsis-recognizing-next-event
July 13, 2010 - Commentary
Sepsis: recognizing the next event.
Citation Text:
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53.
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
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psnet.ahrq.gov/issue/handoff-communication-tools
May 25, 2022 - Government Resource
Handoff Communication Tools.
Citation Text:
Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - Press Release/Announcement
2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…
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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - Study
Using the ISMP Medication Safety Self-Assessment to improve medication use processes.
Citation Text:
Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26.
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psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - Study
Medication prescribing errors involving the route of administration.
Citation Text:
Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053.
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psnet.ahrq.gov/issue/why-patient-safety-such-tough-nut-crack
May 03, 2023 - Commentary
Why patient safety is such a tough nut to crack.
Citation Text:
Leistikow IP, Kalkman CJ, de Bruijn H. Why patient safety is such a tough nut to crack. BMJ. 2011;342:d3447. doi:10.1136/bmj.d3447.
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psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - Newspaper/Magazine Article
Understanding human over-reliance on technology.
Citation Text:
Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - Toolkit
National Center for Patient Safety Falls Toolkit 2004.
Citation Text:
National Center for Patient Safety Falls Toolkit 2004. Department of Veterans Affairs (VA) National Center for Patient Safety
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