Topics

Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.

Featured Topics in Patient Safety

Updated Date: December 1, 2023

Error Reporting and Analysis

Medication Safety

Education and Training

Communication Improvement

All Topics

Behavioral change
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Care Coordination
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Communication Improvement
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Communication between Providers
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Medication Reconciliation
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Read Back Protocols
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SBAR
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Structured Hand-offs
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Provider-Patient Communication
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Health Literacy Improvement
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Informed Consent
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Culture of Safety
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Institutional Patient Safety Plan
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Just Culture
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Learning Organization
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Red Rules
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Education and Training
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Continuing Education
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Conferences and Workshops
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Educational Outreach/Academic Detailing
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Online Education
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Patient Education
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Residents and Fellows
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Simulations
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Students
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Teamwork Training
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Error Reporting and Analysis
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Error Analysis
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Failure Mode Effects Analysis
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Morbidity and Mortality Conferences
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Narrative/Storytelling
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Root Cause Analysis
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Error Reporting
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Governmental Reporting
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Institutional Reporting
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Never Events
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Inpatient Suicide
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Wrong Patient
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Wrong-Site Surgery
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Nongovernmental Reporting
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Patient Complaints
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Patient Disclosure
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Patient Safety Indicators
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Human Factors Engineering
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Checklists
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Forcing Functions
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Medical Alarm Design
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Medical Device Design
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Legal and Policy Approaches
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Credentialing, Licensure, and Discipline
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Incentives
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Financial
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Public Reporting
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Malpractice Litigation
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Regulation
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Role of the Media
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Logistical Approaches
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Duty Hour Limitation
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Laboratory Result Tracking Improvement
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Nurse Staffing Ratios
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Scheduling Changes
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Policies and Operations
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Quality Improvement Strategies
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Audit and Feedback
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Benchmarking
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Continuous Quality Improvement
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Critical Pathways
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Patient Self-Management
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Practice Guidelines
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Reminders
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Six Sigma
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Research Directions
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Specialization of Care
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Clinical Pharmacist Involvement
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Hospitalists
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Intensivists and Other ICU Strategies
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Specialized Teams
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Rapid Response Team
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Unit Based Safety Teams
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Volume-Based Referral
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Teamwork
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Technologic Approaches
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Automatic drug dispensers
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Bar Coding and Radiofrequency ID Tagging
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Clinical Information Systems
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Electronic Health Records
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Computer-Assisted Therapy
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Computer- or Robotic-Assisted Surgery
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Computer-Assisted Radiotherapy
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Computerized Adverse Event Detection
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Computerized Decision Support
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Computerized Provider Order Entry (CPOE)
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Telehealth
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Transparency and Accountability
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Allied Health Services
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Nutrition/Dietetics
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Physical and Occupational Therapy
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Complementary and Alternative Medicine
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COVID-19
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Dentistry
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Medicine
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Anesthesiology
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Critical Care
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Dermatology
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Emergency Medicine
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Family Medicine
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Gynecology
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Hospital Medicine
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Internal Medicine
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Allergy and Immunology
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Cardiology
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Endocrinology
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Gastroenterology
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General Internal Medicine
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Geriatrics
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Hematology
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Infectious Diseases
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Medical Oncology
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Nephrology
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Pulmonology
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Rheumatology
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Mental Health Care (Psychiatry and Clinical Psychology)
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Neurology
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Obstetrics
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Ophthalmology
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Pathology and Laboratory Medicine
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Pediatrics
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General Pediatrics
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Neonatology and Intensive Care
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Pediatric Allergy and Immunology
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Pediatric Cardiology
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Pediatric Emergency Medicine
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Pediatric Endocrinology
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Pediatric Gastroenterology
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Pediatric Hematology
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Pediatric Medical Oncology
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Pediatric Nephrology
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Pediatric Pulmonology
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Pediatric Radiology
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Pediatric Rheumatology
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Physical Medicine and Rehabilitation
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Primary Care
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Public Health
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Radiology
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Surgery
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Cardiothoracic Surgery
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General Surgery
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Neurosurgery
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Orthopedic Surgery
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Otolaryngology
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Pediatric Surgery
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Plastic Surgery
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Surgical Oncology
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Urology
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Vascular Surgery
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Nursing
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Anesthesia Nursing
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Critical Care Nursing
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Emergency Nursing
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Home Nursing
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Medical/Surgical Nursing
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Obstetrical Nursing
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Psychiatric Nursing
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Palliative Care
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Pharmacy
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Community Pharmacy
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Hospital Pharmacy
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Active Errors
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Cognitive Errors ("Mistakes")
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Noncognitive Errors ("Slips and Lapses")
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Epidemiology of Errors and Adverse Events
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Latent Errors
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Near Miss
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Audiovisual
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Audiovisual Presentation
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Image/Poster
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Slideset
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Award
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Award Announcement
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Award Recipient
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Bibliography
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Book/Report
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Clinical Guideline
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Grant
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Grant Announcement
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Grant Recipient
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Journal Article
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Commentary
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Review
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Study
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Legislation/Regulation
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Congressional Testimony
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Legislation/Case Law
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Organizational Policy/Guidelines
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Sentinel Event Alerts
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Regulation
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Meeting/Conference
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International Meeting/Conference
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Meeting/Conference Proceedings
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United States Meeting/Conference
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Newsletter/Journal
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Newspaper/Magazine Article
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Patient Safety Innovations
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Patient Safety Primers
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Perspectives on Safety
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Annual Perspective
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Interview
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Letter
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Perspective
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Press Release/Announcement
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Special or Theme Issue
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Tools/Toolkit
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Fact Sheet/FAQs
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Glossary
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Measurement Tool/Indicator
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Toolkit
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Training Catalog
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Web Resource
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Course Material/Curriculum
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Database/Directory
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Forum
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Government Resource
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Multi-use Website
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WebM&M Cases
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--United States
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ABQAURP
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ACP
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ACS
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Advanced Practice Strategies
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Advanced Practice Strategies, Inc.
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Africa
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Agency for Healthcare Research and Quality (AHRQ)
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AHA
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AHA Team Training Program
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AMA
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American Academy of Orthopaedic Surgeons
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American Academy of Pediatrics
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American Association for Clinical Chemistry
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American Association for Physician Leadership
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American Association of Critical-Care Nurses (AACN)
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American Association of Nurse Anesthetists (AANA)
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American Board of Quality Assurance and Utilization Review Physicians
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American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
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American College of Physicians
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American College of Physicians (ACP)
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American College of Surgeons
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American Congress of Obstetricians and Gynecologists (ACOG)
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American Hospital Association
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American Medical Association
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American Medical Association (AMA)
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American Medical Informatics Association
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American Medical Student Association
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American Nurses Association
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American Psychiatric Association (APA)
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American Society for Clinical Laboratory Science
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American Society for Health-System Pharmacists (ASHP)
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American Society for Healthcare Risk Management
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American Society for Healthcare Risk Management (ASHRM)
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American Society for Quaity
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American Society for Quality (ASQ)
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American Society of Anesthesiologists
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American Society of Health-System Pharmacists (ASHP)
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Aquifer and the Society to Improve Diagnosis in Medicine (SIDM)
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Armstrong Institute for Patient Safety and Quality
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ASHP Section of Inpatient Care Practitioners
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ASHRM
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ASHRM University
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Asia
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China
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Association of periOperative Registered Nurses (AORN)
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Atrius Health
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Australia and New Zealand
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Baylor Health Care System
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Biomedical Graduate Education
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BMJ
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British Medical Journal
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British Medical Journal (BMJ)
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California Hospital Patient Safety Organization
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Canadian Health Services Research Foundation
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Canadian Patient Safety Institute
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CareLearning
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CDC
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CE Learning Systems
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CEBM
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Center for Aging Services Risk Management
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Center for Medication Safety (VA MedSAFE)
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Centers for Disease Control and Prevention
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Central and South America
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Centre for Evidence-based Medicine
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Children's Hospital Association
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Cincinnati Children's Hosptial
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Clinical Directors Network
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College of Engineering, University of Missouri
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College of Health and Human Services
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Columbia University
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Consumer Reports
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Consumers Advancing Patient Safety (CAPS)
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Coursera
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CPSI
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Creative Training Solutions
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CRICO Harvard Risk Management Foundation
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Dartmouth Institute
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Department of Community and Family Medicine
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Department of Health Administration and Policy
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Drexel University
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Drexel University College of Medicine
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Drexel University Online
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Duke University Health System Patient Safety Center
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Duke University Medical Center
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Duke University Medical Center Department of Anesthesiology
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Duke University Medical Center Department of Community and Family Medicine
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Duke University School of Medicine
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ECRI Institute
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Edward P. Fitts Department of Industrial and Systems Engineering, North Carolina State University
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Europe
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United Kingdom
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FDA
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Feinberg School of Medicine Center for Education in Health Sciences
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Food and Drug Administration
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Gatlin International
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George Mason University
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George Washington University
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Georgetown University
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Global Health Care, LLC.
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Gulf Coast Consortia for Quantitative Biomedical Sciences
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H. Milton Stewart School of Industrial and Systems Engineering, Georgia Tech
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Harvard Medical School
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Harvard T.H. Chan School of Public Health
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Health Care Compliance Strategies, Inc.
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Health Quality Council of Alberta
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Health Quality Council of Alberta (HQCA)
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Health Research and Educational Trust (HRET)
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Health Service Journal
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Healthcare Systems Engineering Institute, Northeastern University
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Healthcare Team Training, LLC.
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HealthStream, Inc.
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Heath Research and Educational Trust
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Hennepin County Medical Center
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Hildebrand Healthcare Consulting
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Hospital Quality Institute
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HQCA
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HQI
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HRET
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IHA
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IHI
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Illinois Health and Hospital Association
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Imperial College London
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INDELTA Learning Systems, LLC.
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Institute for Healthcare Improvement
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Institute for Healthcare Improvement (IHI)
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Institute for Johns Hopkins Nursing
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Institute for Patient- and Family-Centered Care
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Institute for Safe Medication Practices
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Institute for Safe Medication Practices (ISMP)
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Institute for Safe Medication Practices Canada
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Institute of Health Policy, Management and Evaluation (IHPME)
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International Board for Certification of Safety Managers (BCHCM)
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International Pediatric Simulation Society (IPSS)
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International Society for Quality in Health Care
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ISMP
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ISMP Canada
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ISQua
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Jefferson University's School of Population Health
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Johns Hopkins
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Johns Hopkins Bloomberg School of Public Health
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Johns Hopkins Health System
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Johns Hopkins Hospital
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Johns Hopkins Medicine
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Johns Hopkins School of Medicine
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Johns Hopkins School of Nursing and the Armstrong Institute for Patient Safety and Quality
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Johns Hopkins University
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Johns Hopkins University Bloomberg School of Public Health
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Johns Hopkins Whiting School of Engineering
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Joint Commission Resources
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Just Culture Community
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Kaiser Permanente Regional Graduate Medical Education Office and Regional Quality and Safety Leadership
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Klimes Institute CE
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LabCE
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LeadingAge Florida
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Lehigh University
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LifeWings Partners, LLC.
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Loyola Marymount University
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MAG Mutual
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MAPS PSO
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Maryland Patient Safety Center
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Massachusettes College of Pharmacy and Health Sciences
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Massachusetts Coalition for the Prevention of Medical Errors
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Massachusetts College of Pharmacy and Health Sciences
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MCPHS
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Medical Group Management Association
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Medical Risk Management, Inc.
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MedRisk
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MedStar Health
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Memorial Sloan Kettering Cancer Center
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MGMA
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MGMA Center for Research
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MHA
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Michigan Hospital Association
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Michigan Surgical Quality Collaborative
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Midwest Alliance for Patient Safety PSO
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Military Health System (MHS)
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Milwaukee VA Medical Center
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Missouri Center for Patient Safety (CPS)
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MSQC
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N2 PBRN Virtual Training Series (AHRQ, Grant No. 1P30-HS-021667)
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National Center for Farmworker Health, Inc.
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National Center for Patient Safety
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National Healthcare Safety Network
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National Institute for Occupational Safety and Health
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National Medical Home Summit
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National Network of Libraries of Medicine
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National Patient Safety Foundation
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National Patient Safety Foundation (NPSF)
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National Quality Forum
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NCQC
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New Jersey Hospital Association
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NHSN
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NJHA
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Nonprofit
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North America
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Canada
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United States of America
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State Governments and Agencies
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United States Federal Government
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Department of Defense (DOD)
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Department of Health and Human Services (HHS)
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Agency for Healthcare Research and Quality (AHRQ)
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Centers for Disease Control and Prevention (CDC)
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Centers for Medicare and Medicaid Services (CMS)
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Food and Drug Administration (FDA)
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Indian Health Service (IHS)
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National Institutes of Health (NIH)
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Department of Veterans Affairs (VA)
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Drug Enforcement Administration (DEA)
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Federal Aviation Administration (FAA)
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National Science Foundation (NSF)
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North Carolina Center for Hospital Quality and Patient Safety
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North Carolina Quality Center (NCQC)
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Northwestern University
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NPSF
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NPSF / National Patient Safety Foundation
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Nursing Times
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Nursing Times Health Service Journal
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ODPHP
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Office of Disease Prevention and Health Promotion
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Opioid Post-Marketing Requirements Consortium (OPC)
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Oregon Patient Safety Commission
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Oregon State College of Pharmacy
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Oregon State University
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Outcome Engenuity
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Oxford University
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Patient Safety Organization
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Pennsylvania Patient Safety Authority
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Pharmacy OneSource
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PharmCon, Inc.
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Prime
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PSO
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Public Health Foundation
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Public Health Service
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Pulse Center for Patient Safety Advocacy and Education
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Queen's University
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Regis University
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Risky Business
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Royal College of Physicians and Surgeons of Canada
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Rueckert-Hartman College for Health Professions
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Santa Rosa Consulting
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SGIM
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SIDM
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Society for Simulation in Healthcare (SSH)
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Society of General Internal Medicine
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Society to Improve Diagnosis in Medicine
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Southern New Hampshire University (SNHU)
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Spanish Ministry of Health
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Sponsored by Creative Healthcare
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St. Jude Children's Research Hospital
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Stanford Medicine
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Stanford WellMD Center
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states
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STEEEP Global Institute
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Stony Brook Medicine
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Swanson School of Engineering and the Graduate School of Public Health, University of Pittsburgh
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TeamStepps Canada
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Texas Tech University Edward E. Whitacre, Jr. College of Engineering
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The American Board of Quality Assurance and Utilization Review Physicians, Inc.
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The Sullivan Group
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Thomas J. Watson School of Engineering and Applied Science, Binghamton University
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Thomas Jefferson University
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Thomas Jefferson University School of Population Health
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Transparent Learning Store
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Tricare
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UC Davis Medical Center
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UMass Memorial Medical Center
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University of Alabama at Birmingham
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University of Arkansas
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University of Calgary Cumming School of Medicine
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University of Calgary Medicine
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University of Central Florida - Orlando
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University of Florida
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University of Florida Center for Simulation, Education, and Safety Research
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University of Florida College of Pharmacy
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University of Illinois at Chicago
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University of Illinois at Chicago College of Medicine
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University of Kentucky
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University of Maryland Medical Center
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University of Maryland School of Medicine
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University of Southern California (USC)
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University of Southern California Viterbi School of Engineering
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University of Southern Maine
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University of Tennessee College of Medicine Chattanooga
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University of Toronto
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University of Virginia Health System
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University of Wisconsin-Madison, College of Engineering, Department of Industrial and Systems Engineering
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University of Wisconsin-Madison, School of Medicine and Public Health
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University of Wisconsin-Madison, School of Nursing
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University of Wisconsin-Madison, School of Pharmacy
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US Department of Defense (DoD)
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US Department of Health and Human Services
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US Veterans Administration
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USC School of Pharmacy
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USC Viterbi School of Engineering, University of Southern California
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UT Health Science Center San Antonio School of Nursing
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VA National Center for Patient Safety
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Vanderbilt Center for Patient and Professional Advocacy
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Veterans Affairs Office of Academic Affiliations
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Virgina Mason Institute
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Virginia Mason Institute
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W21C
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Ward of the 21st Century (W21C)
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Washington Patient Safety Coalition
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Wild Iris Medical Education
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Wild Iris Medical Education, Inc.
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Wiser Healthcare
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Yale Medicine
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Alert fatigue
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Device-Related Complications
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Device Malfunctions
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Indwelling Tubes and Catheters
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Infusion Pumps
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Prostheses and Implants
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Restraints
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Diagnostic Errors
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Clinical Misdiagnosis
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Diagnostic Test Interpretation Error
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Radiograph Interpretation Error
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Discontinuities, Gaps, and Hand-Off Problems
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Missed Care
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Missed or Critical Lab Results
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Drug shortages
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Failure to rescue
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Fatigue and Sleep Deprivation
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Identification Errors
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Wrong Patient
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Inpatient suicide
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Interruptions and distractions
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Medical Complications
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Delirium
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Nosocomial Infections
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Patient Falls
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Pressure Ulcers
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Venous Thrombosis and Thromboembolism
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Medication Safety
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Medication Errors/Preventable Adverse Drug Events
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Administration Errors
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Dispensing Errors
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Monitoring Errors and Failures
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Ordering/Prescribing Errors
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Transcription Errors
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Side Effects/Adverse Drug Reactions
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Specific to High-Risk Drugs
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Anticoagulants
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Chemotherapeutic Agents
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Insulin
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Look-Alike, Sound-Alike Drugs
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Opiates/Narcotics
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MRI safety
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Nonsurgical Procedural Complications
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Bedside Procedures
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Cardiology
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Gastroenterology
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Interventional Radiology
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Pulmonary Complications
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Overtreatment
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Psychological and Social Complications
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Privacy Violations
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Readmissions
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Second victims
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Surgical Complications
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Intraoperative Complications
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Retained Surgical Instruments and Sponges
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Wrong-Site Surgery
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Postoperative Surgical Complications
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Surgical Site Infections
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Preoperative Complications
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Transfusion Complications
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Transitions of Care
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Ambulatory Care
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Ambulatory Clinic or Office
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Home Care
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Outpatient Pharmacy
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Hospitals
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Children's Hospitals
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General Hospitals
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Emergency Departments
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Intensive Care Units
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Labor and Delivery
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Operating Room
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Specialty Hospitals
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Long-Term Care
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Outpatient Surgery
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Patient Transport
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Prehospital Care
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Psychiatric Facilities
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Residential Facilities
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Clinical Laboratory Managers and Supervisors
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Dentists
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