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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - So we did
some pilot studies, and then we set out to do a big study to see if we could find adverse … drug events, and
then see if we could determine indeed whether there were systems failures... and then … https://psnet.ahrq.gov/issue/error-medicine
https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
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psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - The Magnetic Deflection
May 1, 2019
Kanal E. The Magnetic Deflection. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/magnetic-deflection
The Case
A 68-year-old woman with a prior history of cerebrovascular accident and hypertension presented to the
hospital with new left-sided weakness and hypertensive urg…
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psnet.ahrq.gov/node/60174/psn-pdf
March 30, 2020 - been added to this report, including practices within
infection control, diagnostic errors, delirium, adverse … drug events, and others.[5] This edition of the report
also includes contextual factors and lessons
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - Relationship between medication errors and adverse drug events.
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psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
April 05, 2013 - reinstated as a Joint Commission National Patient Safety Goal in 2011, with the goal of reducing adverse … drug events (ADEs) due to inadvertent medication discrepancies.
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - Audiovisual
Speak Up Video Series.
Citation Text:
Speak Up Video Series. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
December 17, 2008 - Book/Report
Medication Use: A Systems Approach to Reducing Errors, Second Edition.
Citation Text:
Medication Use: A Systems Approach to Reducing Errors, Second Edition. Porché RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976.
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psnet.ahrq.gov/issue/crico
June 24, 2019 - Multi-use Website
CRICO.
Citation Text:
CRICO. 1325 Boylston Street, Boston, MA 02215
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December 1…
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psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-abound
August 09, 2023 - Newspaper/Magazine Article
Practitioners agree on medication reconciliation value, but frustration and difficulties abound.
Citation Text:
Practitioners agree on medication reconciliation value, but frustration and difficulties abound. ISMP Medication Safety Alert! Acute care edition. Ju…
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psnet.ahrq.gov/issue/focusing-medical-errors
May 29, 2019 - Special or Theme Issue
Focusing on Medical Errors.
Citation Text:
Focusing on Medical Errors. Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199.
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psnet.ahrq.gov/issue/partnership-health-it-patient-safety
March 10, 2021 - Multi-use Website
Partnership for Health IT Patient Safety.
Citation Text:
Partnership for Health IT Patient Safety. ECRI. Plymouth Meeting, PA.
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psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
November 26, 2008 - Book/Report
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.
Citation Text:
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Weiss BD. Chicago, IL: American Medical Association Foundation; 2007.
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psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why
October 17, 2018 - Newspaper/Magazine Article
Surgical checklists save lives—but once in a while, they don't. Why?
Citation Text:
Surgical checklists save lives—but once in a while, they don't. Why? Mukherjee S. New York Times Magazine. May 9, 2018.
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psnet.ahrq.gov/issue/ismps-safe-medicine
January 26, 2023 - Newsletter/Journal
Consumer Safe Medicine.
Citation Text:
Consumer Safe Medicine. Plymouth Meeting, PA; Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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psnet.ahrq.gov/issue/call-safety-anticipating-and-mitigating-risk-across-obstetrics-and-gynecology-service-line
February 24, 2016 - Commentary
A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line.
Citation Text:
Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…
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psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
August 26, 2009 - Study
Feedback from incident reporting: information and action to improve patient safety.
Citation Text:
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…
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psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
September 26, 2018 - Study
A multi-disciplinary approach to medication safety and the implication for nursing education and practice.
Citation Text:
Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…
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psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance
November 16, 2022 - Study
Impact of time pressure on dentists' diagnostic performance.
Citation Text:
Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011.
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
June 08, 2022 - Newspaper/Magazine Article
Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic.
Citation Text:
Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5.
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