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psnet.ahrq.gov/node/35577/psn-pdf
April 06, 2011 - Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the
Manchester Patient Safety Assessment Framework.
April 6, 2011
Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy:
development, face validity, and feasibility of the Manchester…
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Looking for Meds in All the Wrong Places
October 1, 2012
Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
The Case
A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She
went to t…
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psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States.
February 13, 2019
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621.
doi:10.1001/jamanetworkopen.2018.76…
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psnet.ahrq.gov/node/37706/psn-pdf
December 23, 2016 - Preventing pediatric medication errors.
December 23, 2016
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk
and to p…
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psnet.ahrq.gov/node/42705/psn-pdf
November 26, 2013 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2013.
November 26, 2013
Oakbrook Terrace, IL: The Joint Commission; October 2013.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2013
This Joint Commission…
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psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Error reduction in pediatric chemotherapy: computerized
order entry and failure modes and effects analysis.
May 27, 2011
Kim G, Chen AR, Arceci RJ, et al. Error reduction in pediatric chemotherapy: computerized order entry and
failure modes and effects analysis. Arch Pediatr Adolesc Med. 2006;160(5):495-8.
https:/…
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psnet.ahrq.gov/periodic-issue/periodic-issue-438
May 29, 2024 - studies identified considerable variability in how the costs associated with medication errors are calculated
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psnet.ahrq.gov/node/42652/psn-pdf
October 31, 2014 - Safety in numbers: the development of Leapfrog's
composite patient safety score for US hospitals.
October 31, 2014
Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite
patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):64-71.
doi:10.1097/PTS.0b013e31…
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psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2012.
September 26, 2012
Oakbrook Terrace, IL: The Joint Commission; September 2012.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2012
The seventh annual Joint…
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psnet.ahrq.gov/node/42831/psn-pdf
October 31, 2014 - Overdiagnosis in low-dose computed tomography
screening for lung cancer.
October 31, 2014
Patz EF, Pinsky P, Gatsonis C, et al. Overdiagnosis in low-dose computed tomography screening for lung
cancer. JAMA Intern Med. 2014;174(2):269-74. doi:10.1001/jamainternmed.2013.12738.
https://psnet.ahrq.gov/issue/overdiagno…
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psnet.ahrq.gov/node/34688/psn-pdf
March 28, 2005 - Adverse drug events in hospitalized patients: excess
length of stay, extra costs, and attributable mortality.
March 28, 2005
Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of
stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6.
https://psne…
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psnet.ahrq.gov/node/47752/psn-pdf
May 29, 2019 - How do nurses use early warning scoring systems to
detect and act on patient deterioration to ensure patient
safety? A scoping review.
May 29, 2019
Wood C, Chaboyer W, Carr P. How do nurses use early warning scoring systems to detect and act on
patient deterioration to ensure patient safety? A scoping review. Int …
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - The risk of embolic events is often calculated based on the annual rate determined in other,
nonprocedural … with atrial fibrillation (an irregular heart rhythm that
can lead to stroke) and a CHADS score (a calculated
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psnet.ahrq.gov/node/43448/psn-pdf
August 20, 2014 - Cost-benefit analysis of a medical emergency team in a
children's hospital.
August 20, 2014
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's
hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
https://psnet.ahrq.gov/issue/cost-benefit-analys…
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psnet.ahrq.gov/node/46203/psn-pdf
June 14, 2017 - Prescription errors related to the use of computerized
provider order-entry system for pediatric patients.
June 14, 2017
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider
order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19.
doi:10.1016/j…
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psnet.ahrq.gov/web-mm/volume-too-low-and-out
July 01, 2017 - medications, fluids, and even tracking outputs in all infants and children should be quantitatively calculated
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psnet.ahrq.gov/issue/indiana-patient-safety-center
January 08, 2020 - Multi-use Website
Indiana Patient Safety Center.
Citation Text:
Indiana Patient Safety Center. Indiana Hospital Association; IHA.
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psnet.ahrq.gov/node/845358/psn-pdf
March 29, 2023 - Implementation of a medication reconciliation risk
stratification tool integrated within an electronic health
record: a case series of three academic medical centers.
March 29, 2023
Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratification tool
integrated within an elec…
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - In Conversation With… Gordon Schiff, MD
July 1, 2018
Citation Text:
In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/issue/better-health-mothers-and-babies
April 15, 2021 - Multi-use Website
Better Health for Mothers and Babies.
Citation Text:
Better Health for Mothers and Babies. American Hospital Association.
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