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psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
May 03, 2023 - Newspaper/Magazine Article
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging.
Citation Text:
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
August 21, 2019 - Newspaper/Magazine Article
When medical error becomes personal, activism becomes painful.
Citation Text:
When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022.
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psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
May 02, 2018 - Newspaper/Magazine Article
Administration of concentrated potassium chloride for injection during a code: still deadly!
Citation Text:
Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
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psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
March 05, 2013 - Government Resource
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs.
Citation Text:
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001. AHRQ …
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psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool
March 09, 2009 - Commentary
Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool.
Citation Text:
Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
December 01, 2019 - Book/Report
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades?
Citation Text:
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? Gangopa…
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psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
December 24, 2008 - Book/Report
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign.
Citation Text:
Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
January 05, 2017 - Study
Awareness and use of a cognitive aid for anesthesiology.
Citation Text:
Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11.
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psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
January 25, 2023 - Commentary
Seeing systems in health care organizations.
Citation Text:
Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9.
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Book/Report
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care.
Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…
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psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
June 15, 2022 - Special or Theme Issue
Improving Usability, Safety and Patient Outcomes With Health Information Technology.
Citation Text:
Improving Usability, Safety and Patient Outcomes With Health Information Technology. Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257…
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digital.ahrq.gov/location/usa-ct-new-haven
January 01, 2023 - USA, CT, New Haven
Using Electronic Health Records to Support Decision-Making in Pediatric Obesity Care
Description
This project will evaluate and compare different tools within electronic health records to assist pediatric primary care clinicians with providing higher quality…
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - Commentary
A nurse-driven system for improving patient quality outcomes.
Citation Text:
Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175.
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digital.ahrq.gov/health-care-theme/medication
January 01, 2023 - Medication
Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents
Description
This project evaluated SMARxT, web-based education modules designed to teach resident physicians how to effectively navigate and counteract pharmaceutical-sponsored messaging with…
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psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
May 01, 2006 - Study
Barriers to nurses' reporting of medication administration errors in Taiwan.
Citation Text:
Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x.
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digital.ahrq.gov/health-care-theme/medication-errors
January 01, 2023 - Medication Errors
Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Description
This research will use artificial intelligence and machine learning to create prediction tools i…
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psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
October 06, 2016 - Government Resource
Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000.
Citation Text:
Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…
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psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences
October 12, 2011 - Study
Putting the 'patient' in patient safety: a qualitative study of consumer experiences.
Citation Text:
Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.20…
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…