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psnet.ahrq.gov/issue/findings-naloxone-database-and-its-utilization-improve-safety-and-education-tertiary-care
April 12, 2023 - Study
Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center.
Citation Text:
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Med…
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psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
July 13, 2022 - Book/Report
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.
Citation Text:
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
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digital.ahrq.gov/principal-investigator/blecker-saul-b
January 01, 2023 - Blecker, Saul B.
Seasonal variation in readmission risk for patients hospitalized with cardiopulmonary conditions.
Citation
Blecker S, Kwon JY, Herrin J, Grady JN, Horwitz LI. Seasonal variation in readmission risk for patients hospitalized with cardiopulmonary conditions. J G…
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psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
March 27, 2013 - Commentary
Eleven basic procedures/practices for dental patient safety.
Citation Text:
Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234.
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digital.ahrq.gov/ahrq-funded-projects/disseminating-and-implementing-medsmart-families-emergency-departments
September 30, 2024 - Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Project Description
Implementing a mobile game-based tool in emergency departments (EDs…
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psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
September 30, 2020 - Book/Report
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center.
Citation Text:
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…
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psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams
April 08, 2020 - Press Release/Announcement
Wear face masks with no metal during MRI exams.
Citation Text:
Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020.
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psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event
October 21, 2016 - Press Release/Announcement
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics.
Cita…
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psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
July 19, 2017 - Book/Report
First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic.
Citation Text:
First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…
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psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
August 05, 2020 - Press Release/Announcement
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death.
Citation Text:
FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that…
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psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
June 30, 2011 - Study
Medication safety in older adults: home-based practice patterns.
Citation Text:
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982.
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psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
September 30, 2020 - Book/Report
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died.
Citation Text:
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…
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psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors
March 27, 2019 - Study
Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors.
Citation Text:
Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - Organizational Policy/Guidelines
Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety.
Citation Text:
Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…
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psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
February 29, 2012 - Study
Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.
Citation Text:
Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An analysis of associations with safety cl…
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psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital
July 22, 2020 - Commentary
Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital.
Citation Text:
Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. …
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psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
February 24, 2021 - Review
The radiology impact of healthcare errors during shift work.
Citation Text:
Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007.
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psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
May 20, 2020 - Study
Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.
Citation Text:
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…
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psnet.ahrq.gov/issue/outpatient-prescribing-errors-and-impact-computerized-prescribing
February 18, 2011 - Study
Outpatient prescribing errors and the impact of computerized prescribing.
Citation Text:
Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x.
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psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
January 12, 2022 - Commentary
Two cultures in modern science and technology: for safety and validity does medicine have to update?
Citation Text:
Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…