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psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century
February 26, 2025 - Sentinel Event Alerts
Sentinel Event Alert 68: updated surgical fire prevention for the 21st Century.
Citation Text:
Sentinel Event Alert 68: Updated Surgical Fire Prevention for the 21st Century. Jt Comm J Qual Patient Saf. 2024;50(2):157-160. doi:10.1016/j.jcjq.2023.10.003.
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psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
January 26, 2023 - Press Release/Announcement
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion.
Citation Text:
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
March 30, 2016 - Newspaper/Magazine Article
Bad hospital design is making us sicker.
Citation Text:
Bad hospital design is making us sicker. Khullar D. New York Times. February 22, 2017.
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Multi-use Website
Collaborative for Accountability and Improvement.
Citation Text:
Collaborative for Accountability and Improvement. University of Washington.
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psnet.ahrq.gov/issue/saying-sorry
October 20, 2021 - Fact Sheet/FAQs
Saying Sorry.
Citation Text:
Saying Sorry. London, England: NHS Resolution; 2018.
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June 12, 2…
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - Multi-use Website
Global Knowledge Sharing Platform for Patient Safety.
Citation Text:
Global Knowledge Sharing Platform for Patient Safety. World Health Organization.
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psnet.ahrq.gov/issue/improvement-cymru
October 20, 2014 - Multi-use Website
Improvement Cymru.
Citation Text:
Improvement Cymru. NHS Wales.
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July 10, 2012
NHS …
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psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-abound
August 09, 2023 - Newspaper/Magazine Article
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
Citation Text:
Practitioners agree on medication reconciliation value, but frustration and difficulties abound. ISMP Medication Safety Alert! Acute care edition. Ju…
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psnet.ahrq.gov/issue/patient-safety-surgery-study
March 01, 2017 - Special or Theme Issue
The Patient Safety in Surgery Study.
Citation Text:
The Patient Safety in Surgery Study. J Am Coll Surg. 2007;204(6):1087-1300.
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psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients
November 14, 2011 - Newspaper/Magazine Article
Medical errors are hard for doctors to admit, but it's wise to apologize to patients.
Citation Text:
Medical errors are hard for doctors to admit, but it's wise to apologize to patients. Jain M.
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psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - Group Administrators
Medicine
Epidemiology of Errors and Adverse Events
Quality Improvement Strategies
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - We spoke with
him about the opioid epidemic and strategies to address this growing patient safety concern
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - outcomes.11,13 However, there have
been concerns raised regarding the toxicity of ICG, and mitigation strategies
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - name of patient safety
squanders the good will of the staff, thereby making useful error-reduction strategies
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - delirium during hospitalization.16,17
Due to the high incidence of delirium among hospitalized patients, strategies
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - Download Citation
Related Resources
Compendium of Strategies
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - I would try to figure out
what strategies you have available to either identify patients at high risk
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - So we need technology strategies. We need technology design.
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - Review some common errors in the care of adolescent patients and strategies to prevent them.
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - Effective screening strategies require protocols for notifying patients of initial and confirmatory results