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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
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View more articles from the same authors.
Citation Text:
Suda KJ, Fitall E, Hall KK, et al. Antibiotic and Opioid Stewardship in Dentistry. PSNet [internet]. Rockville (M…
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/40300/psn-pdf
March 16, 2011 - Informed Patient Institute.
March 16, 2011
Annapolis, MD.
https://psnet.ahrq.gov/issue/informed-patient-institute
Transparency is an important tool to support patient decision making. This organization rates online health
care report cards and provides tips for reporting quality concerns. They emphasize informatio…
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Departure From Central Line Ritual
May 1, 2015
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/departure-central-line-ritual
The Case
A 55-year-old man with a history of poorly controlled diabetes mellitus, pancreatic insufficiency, and alco…
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psnet.ahrq.gov/node/33906/psn-pdf
October 18, 2017 - Your Medicine, Be Smart, Be Safe.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A.
https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
This Web site assists consumers in learning how to take medications safely. The materials answer
common que…
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psnet.ahrq.gov/node/39077/psn-pdf
February 08, 2011 - Enhancing Patient Care: A Practical Guide to Improving
Quality and Safety in Hospitals.
February 8, 2011
Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665.
https://psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals
Authors from an Australian …
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system.
Citation Text:
Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
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psnet.ahrq.gov/issue/reducing-emergency-department-charting-and-ordering-errors-room-number-watermark-electronic
November 22, 2017 - Study
Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record display.
Citation Text:
Yamamoto LG. Reducing emergency department charting and ordering errors with a room number watermark on the electronic medical record dis…
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psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
December 29, 2014 - Study
Adverse events and near misses relating to information management in a hospital.
Citation Text:
Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551.
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psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
February 14, 2017 - Study
Incidence of speech recognition errors in the emergency department.
Citation Text:
Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005.
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…
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psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
June 16, 2011 - Study
Surgical specimen identification errors: a new measure of quality in surgical care.
Citation Text:
Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5.
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psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation
July 14, 2010 - Commentary
Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework.
Citation Text:
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…
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psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
February 01, 2011 - Study
Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit.
Citation Text:
Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
August 01, 2016 - Study
Preventable adverse drug events and their causes and contributing factors: the analysis of register data.
Citation Text:
Jylhä V, Saranto K, Bates DW. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. Int J Qual Health Care. 2…
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psnet.ahrq.gov/issue/preventing-dispensing-errors-alerting-drug-confusions-pharmacy-information-system-survey
August 19, 2009 - Study
Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users.
Citation Text:
Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of use…
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psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
August 20, 2016 - Study
Adverse drug event–related emergency department visits associated with complex chronic conditions.
Citation Text:
Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. …
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psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication
November 04, 2015 - Study
Barcode medication administration software technology use in the emergency department and medication error rates.
Citation Text:
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…
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psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
August 15, 2016 - Study
Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences.
Citation Text:
Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…