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psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
June 29, 2016 - Government Resource
Report on the Safe Use of Pick Lists in Ambulatory Care Settings.
Citation Text:
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
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psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
May 18, 2011 - Book/Report
Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients.
Citation Text:
Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…
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psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
June 10, 2018 - Newspaper/Magazine Article
Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns.
Citation Text:
Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. ISMP Medication Safety Alert! Acute care edition. November 19, 2020;2…
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psnet.ahrq.gov/issue/dangerous-wrong-route-errors-tranexamic-acid
February 18, 2014 - Press Release/Announcement
Dangerous wrong-route errors with tranexamic acid.
Citation Text:
Dangerous wrong-route errors with tranexamic acid. National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medicat…
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psnet.ahrq.gov/issue/why-do-so-many-black-women-die-pregnancy-one-reason-doctors-dont-take-them-seriously
June 07, 2023 - Newspaper/Magazine Article
Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.
Citation Text:
Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously. Stafford K. AP News. May 23, 2023.
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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - Newspaper/Magazine Article
Death by handwriting.
Citation Text:
Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.
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psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
August 27, 2012 - Study
The quality of pharmacologic care for vulnerable older patients.
Citation Text:
Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20.
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psnet.ahrq.gov/issue/emergency-department-communication-links-and-patterns
October 23, 2013 - Study
Emergency department communication links and patterns.
Citation Text:
Fairbanks RJ, Bisantz A, Sunm M. Emergency department communication links and patterns. Ann Emerg Med. 2007;50(4):396-406.
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psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
December 04, 2016 - Newspaper/Magazine Article
Ten ERs in Colorado tried to curtail opioids and did better than expected.
Citation Text:
Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018.
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psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
March 10, 2021 - Toolkit
Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste.
Citation Text:
Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
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digital.ahrq.gov/goal/knowledge-creation
January 01, 2023 - Knowledge Creation
Improving Healthcare Quality with User-Centric Patient Portals
Description
This project studied patient portals, their use in primary care, and the impact of use on chronic conditions, and identified opportunities to improve adoption of patient portals.
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psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - Newspaper/Magazine Article
A biased test kept thousands of Black people from getting a kidney transplant.
Citation Text:
A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024.
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psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
April 03, 2019 - Commentary
Ashamed to admit it: owning up to medical error.
Citation Text:
Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946.
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psnet.ahrq.gov/issue/health-care-workers-midst-crisis
February 15, 2023 - Sentinel Event Alerts
Health care workers in the midst of crisis.
Citation Text:
Health care workers in the midst of crisis. Sentinel Event Alert. Feb 2, 2021;(62):1-7.
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psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
January 24, 2018 - Newspaper/Magazine Article
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
Citation Text:
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety
January 12, 2022 - Study
Online consultations in cyberpharmacies: completeness and patient safety.
Citation Text:
Orizio G, Schulz PJ, Domenighini S, et al. Online Consultations in Cyberpharmacies: Completeness and Patient Safety. Telemedicine and e-Health. 2009;15(10). doi:10.1089/tmj.2009.0069.
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psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health-records-support-medication-reconciliation
August 08, 2014 - Book/Report
Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation.
Citation Text:
Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Heal…
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - Newspaper/Magazine Article
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.
Citation Text:
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Gammon K. STAT. June 26, 202…
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psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
April 03, 2019 - Newspaper/Magazine Article
The public has been forgiving. But hospitals got some things wrong.
Citation Text:
Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21.
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psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27
December 23, 2020 - Book/Report
Classic
Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020.
Citation Text:
Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Was…