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psnet.ahrq.gov/issue/preventing-medication-errors-21-billion-opportunity
December 03, 2008 - Fact Sheet/FAQs
Preventing Medication Errors: A $21 Billion Opportunity.
Citation Text:
Preventing Medication Errors: A $21 Billion Opportunity. Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.
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psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
May 01, 2017 - Newspaper/Magazine Article
Medication reconciliation meets its MATCH.
Citation Text:
Medication reconciliation meets its MATCH. Agency for Healthcare Research and Quality. Research Activities. May 2013:1, 3-4.
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psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
February 06, 2019 - Organizational Policy/Guidelines
Guidance for the Safe Use of Automated Dispensing Cabinets.
Citation Text:
Guidance for the Safe Use of Automated Dispensing Cabinets. Horsham, PA: Institute for Safe Medication Practices; 2019.
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Image/Poster
Swiss Cheese Model.
Citation Text:
Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997.
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psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves
June 15, 2005 - Newspaper/Magazine Article
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult.
Citation Text:
Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Quick-Start-Clinicians.pdf
September 01, 2022 - Create a Safe Medicine List Together: Scripts
Clinician’s Quick-Start Guide
to Calibrate Dx
A Resource To Improve Diagnostic Decisions
What Is Calibrate Dx?
Calibrate Dx is a self-evaluation tool for clinicians to improve
their diagnostic decision making. The Agency for Healthcare
Research and Quality contracted …
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psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care
July 12, 2006 - Book/Report
Patients as Partners: How to Involve Patients and Families in Their Own Care.
Citation Text:
Patients as Partners: How to Involve Patients and Families in Their Own Care. McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206-498.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
December 07, 2022 - Special or Theme Issue
Eliminating Unintentionally Retained Surgical Items - Special Report.
Citation Text:
Eliminating Unintentionally Retained Surgical Items - Special Report. Saver C. AORN J. 2022;116(2):111-132.
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psnet.ahrq.gov/issue/national-patient-safety-foundation
November 23, 2016 - Multi-use Website
National Patient Safety Foundation.
Citation Text:
National Patient Safety Foundation. National Patient Safety Foundation.
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psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
July 14, 2021 - Book/Report
Medication Without Harm: WHO's Third Global Patient Safety Challenge.
Citation Text:
Medication Without Harm: WHO's Third Global Patient Safety Challenge. Geneva, Switzerland: World Health Association; 2017.
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psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
January 10, 2007 - Multi-use Website
Safety Assurance Factors for EHR Resilience: SAFER Guides.
Citation Text:
Safety Assurance Factors for EHR Resilience: SAFER Guides. Washington, DC: Assistant Secretary for Technology Policy.
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - Newspaper/Magazine Article
Classic
The checklist.
Citation Text:
The checklist. Gawande A. New Yorker. December 10, 2007:86-95.
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psnet.ahrq.gov/issue/doctor-uses-pre-flight-checklist
May 22, 2019 - Newspaper/Magazine Article
Doctor uses 'pre-flight' checklist.
Citation Text:
Doctor uses 'pre-flight' checklist. Bernard B. Orange County Register. April 19, 2006.
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - Newspaper/Magazine Article
Patient alarms often unheard, unheeded.
Citation Text:
Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011.
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - Sentinel Event Alerts
Preventing maternal death.
Citation Text:
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
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psnet.ahrq.gov/issue/infection-unnoticed-turns-unstoppable
November 07, 2012 - Newspaper/Magazine Article
An infection, unnoticed, turns unstoppable.
Citation Text:
An infection, unnoticed, turns unstoppable. Dwyer J. New York Times. July 11, 2012:A15.
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - Newspaper/Magazine Article
Pregnancy-related deaths: saving women’s lives before, during and after delivery.
Citation Text:
Pregnancy-related deaths: saving women’s lives before, during and after delivery. CDC Vital Signs. May 7, 2019.
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psnet.ahrq.gov/issue/all-right-reasons
March 06, 2005 - Newspaper/Magazine Article
For all the right reasons.
Citation Text:
For all the right reasons. Hagland M.
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psnet.ahrq.gov/issue/human-error-cause-prediction-and-reduction
July 13, 2016 - Book/Report
Classic
Human Error: Cause, Prediction and Reduction.
Citation Text:
Human Error: Cause, Prediction and Reduction. Senders JW, Morey NP. Hillsdale NJ: L. Erlbaum Associates; 1991. ISBN: 9780898595987.
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