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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events
Citation Text:
Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - Annual Perspective
Improving Diagnostic Safety and Quality
Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD
| April 26, 2023
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Citation Text:
Al-Khafaji J, Lee M, Mossburg S. Improving Di…
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psnet.ahrq.gov/issue/practice-advisory-anesthetic-care-magnetic-resonance-imaging-report-american-society
August 09, 2023 - Commentary
Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.
Citation Text:
Practice advisory on anesthetic care for magnetic resonance imaging: an updat…
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - For example, the REPAIR project initiates conversations on topics such as medical reparations.
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psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
May 08, 2024 - Newspaper/Magazine Article
Anticoagulant safety practices call for pharmacist supervision.
Citation Text:
Anticoagulant safety practices call for pharmacist supervision. Scott A.
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psnet.ahrq.gov/issue/should-dignity-preservation-be-precondition-safety-and-design-priority-healing-inpatient
November 20, 2024 - Commentary
Should dignity preservation be a precondition for safety and a design priority for healing in inpatient psychiatry spaces?
Citation Text:
Should dignity preservation be a precondition for safety and a design priority for healing in inpatient psychiatry spaces? AMA J Ethics. 20…
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psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
March 12, 2025 - Audiovisual
Engineering Safety into Practice through Implementation of the EHR SAFER Guides.
Citation Text:
National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (easte…
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psnet.ahrq.gov/issue/pulse-oximeters-medical-purposes-non-clinical-and-clinical-performance-testing-labeling-and
January 22, 2025 - Press Release/Announcement
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations.
Citation Text:
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarke…
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psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
January 16, 2025 - Book/Report
Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare.
Citation Text:
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety In…
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psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
October 01, 2024 - Toolkit
Toolkit for Reducing Central Line-Associated Blood Stream Infections.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 2023.
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psnet.ahrq.gov/issue/new-analysis-shows-hospitals-improving-performance-key-patient-safety-measures-surpassing-pre
October 23, 2024 - Book/Report
New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre-pandemic Levels.
Citation Text:
New Analysis Shows Hospitals Improving Performance On Key Patient Safety Measures Surpassing Pre-Pandemic Levels. Chicago, IL: American Hospital As…
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psnet.ahrq.gov/issue/hallmarks-quality-and-patient-safety-recommended-baccalaureate-competencies-and-curricular
November 27, 2023 - Newspaper/Magazine Article
Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.
Citation Text:
Hallmarks of quality and patient safety: recommended baccalaureate competencies and curricula…
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psnet.ahrq.gov/issue/hospitalinspectionsorg
February 24, 2025 - Database/Directory
HospitalInspections.org
Citation Text:
HospitalInspections.org Columbia, MO: Association of Health Care Journalists.
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psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
December 04, 2024 - Newspaper/Magazine Article
Use barcode scanning to prevent errors with enteral nutrition feedings.
Citation Text:
Use barcode scanning to prevent errors with enteral nutrition feedings. ISMP Medication Safety Alert! Acute Care. August 08, 2024;29(16).
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psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
January 17, 2024 - Toolkit
The Transforming Care at the Bedside (TCAB) Toolkit.
Citation Text:
The Transforming Care at the Bedside (TCAB) Toolkit. Princeton, NJ: Robert Wood Johnson Foundation; 2008.
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psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
November 06, 2024 - Commentary
Errors in the EMR: under-recognized hazard for AI in healthcare.
Citation Text:
Morreim EH. Errors in the EMR: under-recognized hazard for AI in healthcare. Hous J Health Law Policy. 2025;24:127-165.
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psnet.ahrq.gov/issue/medication-related-harm
August 14, 2024 - Book/Report
Medication Related Harm.
Citation Text:
Medication Related Harm. Health Services Safety Investigations Body. 2024-2025
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psnet.ahrq.gov/node/35460/psn-pdf
June 17, 2014 - Medication safety issue brief. Look-alike, sound-alike
drugs.
June 17, 2014
Association AH, Pharmacists AS of H-S, Networks H & H. Medication safety issue brief, look-alike, sound-
alike drugs. Hospitals and Health Networks. October 2005;79(10):57-58.
https://psnet.ahrq.gov/issue/medication-safety-issue-brief-look…
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psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
April 26, 2023 - Multi-use Website
Core Elements of Hospital Diagnostic Excellence (DxEx).
Citation Text:
Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention.
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psnet.ahrq.gov/training-catalog/capture-falls-collaboration-and-proactive-teamwork-used-reduce-falls-program
CAPTURE Falls (Collaboration And Proactive Teamwork Used to Reduce Falls) Program
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Organization:
Organization
University of Nebraska College of…