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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - Book/Report
Classic
Patient Safety in Anesthetic Practice.
Citation Text:
Patient Safety in Anesthetic Practice. Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824.
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psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
July 27, 2018 - Government Resource
Costs and Benefits of Health Information Technology.
Citation Text:
Costs and Benefits of Health Information Technology. Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Commentary
Medication errors in outpatient pediatrics.
Citation Text:
Berrier K. Medication Errors in Outpatient Pediatrics. MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261.
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psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - Newspaper/Magazine Article
Before mea culpa, Children’s was confident its air systems weren’t source of infection
Citation Text:
Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019.
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psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
March 30, 2022 - Book/Report
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner.
Citation Text:
Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Paterson R. Auckland, NZ; Office of the Health and Disability Commiss…
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - Newspaper/Magazine Article
ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy.
Citation Text:
ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. ISMP Medication Safety Alert! Acute care edition. November 5…
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psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
August 01, 2012 - Book/Report
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.
Citation Text:
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. Casey MM, Moscovice I, Davidson G. Minn…
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psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
August 12, 2020 - Book/Report
Never Events for Hospital Care in Canada: Safer Care for Patients.
Citation Text:
Never Events for Hospital Care in Canada: Safer Care for Patients. Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180.
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psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
March 14, 2018 - Book/Report
Beyond the Quick Fix: Strategies for Improving Patient Safety.
Citation Text:
Beyond the Quick Fix: Strategies for Improving Patient Safety. Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015.
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - Government Resource
Guidance on Safe Medical Staffing: Report of a Working Party.
Citation Text:
Guidance on Safe Medical Staffing: Report of a Working Party. London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270.
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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - Study
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety.
Citation Text:
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safety. Moore CR; Lin JJ; O'Connor N; Hal…
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psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
September 09, 2020 - Newspaper/Magazine Article
Doctors turned my sister away; less than two years later she died of cervical cancer.
Citation Text:
Doctors turned my sister away; less than two years later she died of cervical cancer. Harvey-Jenner C. Cosmopolitan. August 27, 2020.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - Newspaper/Magazine Article
During in-flight emergencies, sometimes airlines’ medical kits fall short.
Citation Text:
During in-flight emergencies, sometimes airlines’ medical kits fall short. Ramachandran V. Kaiser Health News. January 6, 2023.
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psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - Government Resource
Serious Reportable Events.
Citation Text:
Serious Reportable Events. Nova Scotia Department of Health and Wellness.
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psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
May 26, 2021 - Multi-use Website
QI Gateway: Quality Improvement for Residents.
Citation Text:
QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare.
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - We have trained up a large cadre of
patient safety people who have learned how to make change, who are
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - test algorithm accuracy and identify false positives and false negatives, leaving the algorithm to be trained
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case November 2008
Dangerous Shift
Source and Credits
This presentation is based on the November 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Emily S. Patterson, PhD
Institute for Ergonomics, Ohi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day
prevention…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - Community Pharmacy Survey on Patient Safety
SOPS
TM
Community Pharmacy Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based survey, and
preparing and anal…