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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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digital.ahrq.gov/principal-investigator/ciemins-elizabeth
January 01, 2023 - Ciemins, Elizabeth
Using EHR audit trail logs to analyze clinical workflow: a case study from community-based ambulatory clinics.
Citation
Wu DTY, Smart N, Ciemins EL, et al. Using EHR audit trail logs to analyze clinical workflow: a case study from community-based ambulatory…
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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
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psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
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psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
January 18, 2011 - Commentary
Improving nursing unit teamwork.
Citation Text:
Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. doi:10.1097/00005110-200512000-00009.
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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion
August 15, 2012 - Book/Report
Health Literacy: A Prescription to End Confusion.
Citation Text:
Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of Medicine. Washington, DC: The National Academies Press; 2004. …
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psnet.ahrq.gov/issue/how-can-health-care-organizations-become-more-health-literate-workshop-summary
October 08, 2014 - Book/Report
How Can Health Care Organizations Become More Health Literate?: Workshop Summary.
Citation Text:
How Can Health Care Organizations Become More Health Literate?: Workshop Summary. Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Pra…
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psnet.ahrq.gov/issue/medication-errors-2nd-ed
March 29, 2007 - Book/Report
Classic
Medication Errors. 2nd ed.
Citation Text:
Medication Errors. 2nd ed. Cohen MR, ed. Washington DC: American Pharmacists Association; 2007.
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Newspaper/Magazine Article
Overreaction.
Citation Text:
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Commentary
The partnership with patients: a call to action for leaders.
Citation Text:
Denham CR. The partnership with patients: a call to action for leaders. J Patient Saf. 2011;7(3):113-121. doi:10.1097/PTS.0b013e31822d6f2a.
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - Multi-use Website
2006 Update on Consumers' Views of Patient Safety and Quality Information.
Citation Text:
2006 Update on Consumers' Views of Patient Safety and Quality Information. Washington DC: Kaiser Family Foundation; 2006.
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psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
March 29, 2023 - Commentary
Development of a patient safety web-based education curriculum for physicians, nurses, and patients.
Citation Text:
Development of a patient safety web-based education curriculum for physicians, nurses, and patients. Hendee WR, Keating-Christensen C, Loh YH. J Patient Saf.…
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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards
September 03, 2011 - Special or Theme Issue
2010 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2011;37(5):194-239.
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psnet.ahrq.gov/issue/communication-perioperative-setting
July 22, 2020 - Commentary
Communication in the perioperative setting.
Citation Text:
Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017.
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psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - Newspaper/Magazine Article
Proactive prevention of maternal death from maternal hemorrhage.
Citation Text:
Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3.
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psnet.ahrq.gov/issue/improving-health-care-work-environment
March 28, 2018 - Special or Theme Issue
Improving the Health Care Work Environment.
Citation Text:
Improving the Health Care Work Environment. Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.
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psnet.ahrq.gov/issue/ny-medicaid-ups-ante-refusing-pay-14-never-events-nations-biggest-medicaid-program-could
December 16, 2009 - Newspaper/Magazine Article
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.
Citation Text:
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid p…
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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