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  1. Medicare takes aim at boomerang hospitalizations of nursing home patients. | PSNet

    psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
    December 12, 2018 - Newspaper/Magazine Article Medicare takes aim at boomerang hospitalizations of nursing home patients. Citation Text: Medicare takes aim at boomerang hospitalizations of nursing home patients. Rau J. Kaiser Health News. June 13, 2018. Copy Citation Save Save to you…

  2. Look-alike and sound-alike medicines: risks and 'solutions.' | PSNet

    psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
    March 29, 2023 - Commentary Look-alike and sound-alike medicines: risks and 'solutions.' Citation Text: Emmerton LM, Rizk MFS. Look-alike and sound-alike medicines: risks and 'solutions'. Int J Clin Pharm. 2012;34(1):4-8. doi:10.1007/s11096-011-9595-x. Copy Citation Format: DOI Google Sch…

  3. Preventing home medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-home-medication-errors
    September 15, 2021 - Audiovisual Presentation Preventing home medication errors. Citation Text: Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

  4. FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. | PSNet

    psnet.ahrq.gov/issue/fda-updates-vinca-alkaloid-labeling-preparation-intravenous-infusion-bags-only
    February 10, 2021 - Press Release/Announcement FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. Citation Text: FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

  5. Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-health-it-practice-redesign-impact-health-it-workflow/annual-summary/2012
    January 01, 2012 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012 Project Name Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Principal Investigator Carayon, Pascale …

  6. A framework for classifying factors that contribute to error in the emergency department. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
    February 14, 2024 - Commentary A framework for classifying factors that contribute to error in the emergency department. Citation Text: Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23. Copy Citation Format: G…

  7. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Introduction On-Time Falls Prevention was developed to provide the multidisciplinary nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall risk and implement proactive strategies to prevent fal…

  8. IQ Health Survey for Clinicians (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/iq-health-survey-clinician.pdf
    October 01, 2008 - IQ Health Survey for Clinicians IQ Health Survey for Clinicians University of Missouri, Columbia, MO This is a questionnaire designed to be completed by nurses and physicians in an ambulatory setting. The tool includes questions to assess user's perceptions of personal health records and secure messaging. Permis…

  9. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet

    psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
    March 27, 2005 - Newspaper/Magazine Article We're not your enemy: an appeal from a consumer to re-imagine tort reform. Citation Text: We're not your enemy: an appeal from a consumer to re-imagine tort reform. Sheridan SS, Hatlie MJ. Patient Safety Quality Healthcare. July / August 2007. Copy Citat…

  10. Examining the Increase in Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/examining-increase-drug-shortages
    March 01, 2017 - Government Resource Examining the Increase in Drug Shortages. Citation Text: Examining the Increase in Drug Shortages. Hearings before the Subcommittee on Health of the Committee on Energy and Commerce Committee, 112th Cong, 1st Sess (September 23, 2011). Copy Citation …

  11. The challenge of competency assessment of the late-career practitioner. | PSNet

    psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
    July 15, 2020 - Commentary The challenge of competency assessment of the late-career practitioner. Citation Text: Steffany M. The challenge of competency assessment of the late‐career practitioner. J Healthc Risk Manag. 2022;41(3):31-38. doi:10.1002/jhrm.21492. Copy Citation Format: DOI Go…

  12. Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
    June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…

  13. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-clinical-laboratory-longitudinal-analysis-specimen-identification-errors
    March 19, 2019 - Study Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Citation Text: Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2…

  14. How Collective Design Triumphed Over Competition in the Fight Against HAIs. | PSNet

    psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
    February 05, 2019 - Book/Report How Collective Design Triumphed Over Competition in the Fight Against HAIs. Citation Text: How Collective Design Triumphed Over Competition in the Fight Against HAIs. Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. Copy Citation Save S…

  15. Toward the modelling of safety violations in healthcare systems. | PSNet

    psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
    May 01, 2024 - Commentary Toward the modelling of safety violations in healthcare systems. Citation Text: Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf. 2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604. Copy Citation Format: DOI Google Scholar…

  16. The role for leaders of health care organizations in patient safety. | PSNet

    psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
    September 27, 2010 - Commentary The role for leaders of health care organizations in patient safety. Citation Text: Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8. Copy Citation Format: Google Scholar PubM…

  17. Mistakes and disclosure. | PSNet

    psnet.ahrq.gov/issue/mistakes-and-disclosure
    October 19, 2022 - Commentary Mistakes and disclosure. Citation Text: Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  18. Special Issue on Prescription Drug Misuse. | PSNet

    psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
    November 25, 2020 - Special or Theme Issue Special Issue on Prescription Drug Misuse. Citation Text: Special Issue on Prescription Drug Misuse. Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056. Copy Citation Save Save to your library Print …

  19. Relenza (zanamivir) inhalation powder. | PSNet

    psnet.ahrq.gov/issue/relenza-zanamivir-inhalation-powder
    March 12, 2010 - Press Release/Announcement Relenza (zanamivir) inhalation powder. Citation Text: Relenza (zanamivir) inhalation powder. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009. Copy Citation Save Save to your library …

  20. Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. | PSNet

    psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
    April 08, 2020 - Press Release/Announcement Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. Citation Text: Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …
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