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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - Newspaper/Magazine Article
Ways to avert potential patient care disasters.
Citation Text:
Spath P. Ways to avert potential patient care disasters. Hospital peer review. 2006;31(9):128-30.
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psnet.ahrq.gov/issue/report-ispe-drug-shortages-survey
January 26, 2022 - Book/Report
Report on the ISPE Drug Shortages Survey.
Citation Text:
Report on the ISPE Drug Shortages Survey. Tampa, FL: International Society for Pharmaceutical Engineering; June 2013.
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psnet.ahrq.gov/issue/quality-cot-connection-dont-be-fooled-illusion-patient-safety
March 01, 2007 - Commentary
Don't be fooled by the illusion of patient safety.
Citation Text:
Spath P. Don't be fooled by the illusion of patient safety. Hosp Peer Rev. 2005;30(5):69-71.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-and-quality-award
February 21, 2024 - Award Announcement
John M. Eisenberg Patient Safety and Quality Award.
Citation Text:
John M. Eisenberg Patient Safety and Quality Award. Joint Commission, National Quality Forum.
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psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy
June 07, 2017 - Book/Report
Root Cause Analysis Workbook for Community/Ambulatory Pharmacy.
Citation Text:
Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. Horsham, PA: Institute for Safe Medication Practices; 2013.
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psnet.ahrq.gov/issue/harm-free-care
April 15, 2020 - Multi-use Website
Harm Free Care.
Citation Text:
Harm Free Care. National Health Service.
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psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
August 17, 2016 - Newspaper/Magazine Article
Clues to better health care from old malpractice lawsuits.
Citation Text:
Clues to better health care from old malpractice lawsuits. Landro L.
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psnet.ahrq.gov/issue/better-safety-net-young-doctors
January 13, 2016 - Newspaper/Magazine Article
A better safety net for young doctors.
Citation Text:
A better safety net for young doctors. Landro L. Wall Street Journal. August. 8, 2016.
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psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit
May 01, 2017 - Toolkit
Health Care Facility Design Safety Risk Assessment Toolkit.
Citation Text:
Health Care Facility Design Safety Risk Assessment Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; 2017.
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psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
January 02, 2011 - Special or Theme Issue
Innovation in Perioperative Patient Safety.
Citation Text:
Innovation in Perioperative Patient Safety. Miller DR, Merry AF, eds. Can J Anesth. 2013;60(2):7-220.
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psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
June 24, 2015 - Book/Report
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks.
Citation Text:
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks. Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN: 9789289002943. …
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - Newspaper/Magazine Article
Alarm fatigue hazards: the sirens are calling.
Citation Text:
Alarm fatigue hazards: the sirens are calling. Welch J.
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www.ahrq.gov/news/newsroom/case-studies/201603.html
May 01, 2016 - AHRQ Tool Helps Memorial Sloan Kettering Cancer Center Improve Patient Education Materials
Search All Impact Case Studies
May 2016
Memorial Sloan Kettering (MSK) Cancer Center in New York City uses AHRQ's Patient Education Materials Assessment Tool (PEMAT) to help ensure that health information is present…
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psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
August 24, 2016 - Newspaper/Magazine Article
Report faults Children's Hospital for medication errors.
Citation Text:
Report faults Children's Hospital for medication errors. Kowalczyk L. Boston Globe. May 27, 2018.
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psnet.ahrq.gov/issue/many-well-known-hospitals-fail-score-high-medicare-rankings
June 01, 2016 - Newspaper/Magazine Article
Many well-known hospitals fail to score high in Medicare rankings.
Citation Text:
Many well-known hospitals fail to score high in Medicare rankings. Rau J. National Public Radio. July 27, 2016.
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - Newspaper/Magazine Article
Maternal deaths at MetroWest hospital prompt state probes.
Citation Text:
Maternal deaths at MetroWest hospital prompt state probes. Kowalczyk L. Boston Globe. July 29, 2017.
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psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant
September 22, 2021 - Newspaper/Magazine Article
Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant.
Citation Text:
Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant. Ramaswamy SV. Rockland/Westchester Journal News. September …
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psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety
June 08, 2011 - Newspaper/Magazine Article
Hospital tones down alarms to reduce fatigue, enhance safety.
Citation Text:
Hospital tones down alarms to reduce fatigue, enhance safety. Olson J.
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psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery
June 15, 2011 - Special or Theme Issue
Simulation in Anaesthesia and Surgery.
Citation Text:
Simulation in Anaesthesia and Surgery. Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96.
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psnet.ahrq.gov/issue/nurse-accidentally-kills-premature-son-swine-flu-victim-spain
July 17, 2013 - Newspaper/Magazine Article
Nurse accidentally kills premature son of swine flu victim in Spain.
Citation Text:
Nurse accidentally kills premature son of swine flu victim in Spain. Tremlett G. Guardian.co.uk; July 13, 2009.
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