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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/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/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/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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psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
January 15, 2020 - Multi-use Website
The National Center for Human Factors Engineering in Healthcare.
Citation Text:
The National Center for Human Factors Engineering in Healthcare. MedStar Health.
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - In Conversation With… Gordon Schiff, MD
July 1, 2018
In Conversation With… Gordon Schiff, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
Editor's note: Dr. Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research
and Practice, Associate Pr…
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
November 03, 2023 - Multi-use Website
Recognizing Excellence in Diagnosis.
Citation Text:
Recognizing Excellence in Diagnosis. The Leapfrog Group.
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Medication Overdose
Citation Text:
Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/42395/psn-pdf
July 31, 2013 - Return on investment for vendor computerized physician
order entry in four community hospitals: the importance
of decision support.
July 31, 2013
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order
entry in four community hospitals: the importance of decision suppo…
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psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
August 05, 2020 - Sentinel Event Alerts
Preventing pediatric medication errors.
Citation Text:
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - Coming Up Short
October 1, 2008
Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/coming-short
The Case
A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months
prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…
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psnet.ahrq.gov/issue/weight-based-medication-errors-children
March 16, 2022 - Book/Report
Weight-based Medication Errors in Children.
Citation Text:
Weight-based Medication Errors in Children. Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
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psnet.ahrq.gov/issue/medication-safety-dashboard
April 15, 2020 - Government Resource
Medication Safety Dashboard.
Citation Text:
Medication Safety Dashboard. National Health Service.
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psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board
May 13, 2019 - Audiovisual
Surfing the Healthcare Tsunami: Bring Your Best Board.
Citation Text:
Surfing the Healthcare Tsunami: Bring Your Best Board. Austin, TX: Texas Medical Institute for Technology; 2012.
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psnet.ahrq.gov/issue/hospital-safety-grade
June 21, 2023 - Multi-use Website
Hospital Safety Grade.
Citation Text:
Hospital Safety Grade. Leapfrog Group
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November 15, 2…
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psnet.ahrq.gov/issue/leapfrog-hospital-survey
June 21, 2023 - Database/Directory
The Leapfrog Hospital Survey.
Citation Text:
The Leapfrog Hospital Survey. Leapfrog Group.
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psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit
April 15, 2021 - Tools/Toolkit
Antimicrobial Stewardship Toolkit.
Citation Text:
Antimicrobial Stewardship Toolkit. Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014.
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psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain
November 01, 2023 - Newspaper/Magazine Article
How America’s health care system fails women in pain.
Citation Text:
Neklason A. How America’s health care system fails women in pain. The Hill. September 23, 2024;
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psnet.ahrq.gov/issue/health-care-associated-infections-hai-portal
February 28, 2018 - Multi-use Website
Health Care–Associated Infections (HAI) Portal.
Citation Text:
Health Care–Associated Infections (HAI) Portal. Joint Commission.
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care.
Citation Text:
High Reliability in Health Care. Joint Commission Center for Transforming Healthcare.
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