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psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
February 01, 2017 - Commentary
Administering and monitoring high-alert medications in acute care.
Citation Text:
Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849.
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psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
July 14, 2010 - Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Citation Text:
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …
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psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
January 20, 2010 - Study
Caregiver perspectives on safety in home dementia care.
Citation Text:
Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res. 2007;29(8):993-1014.
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psnet.ahrq.gov/issue/explicitly-addressing-implicit-bias-inpatient-rounds-student-and-faculty-reflections
November 11, 2020 - Commentary
Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.
Citation Text:
Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585.
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psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
November 16, 2022 - Study
Do medication samples jeopardize patient safety?
Citation Text:
Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362.
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - Study
Managing the care of patients discharged from home health: a quiet threat to patient safety?
Citation Text:
Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs-tn
January 01, 2023 - Improving Quality Care for Children with Special Needs
Project Final Report ( PDF , 965.03 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ…
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digital.ahrq.gov/ahrq-funded-projects/interactive-health-communication-program-young-urban-adults-asthma/annual-summary/2012
January 01, 2012 - An Interactive Health Communication Program For Young Urban Adults with Asthma - 2012
Project Name
An Interactive Health Communication Program For Young Urban Adults With Asthma
Principal Investigator
Baptist, Alan
Organization
Regents of the University of Michigan
Fu…
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psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
September 23, 2020 - Review
"Tech-check-tech": a review of the evidence on its safety and benefits.
Citation Text:
Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022.
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
June 14, 2017 - Commentary
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Citation Text:
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - Organizational Policy/Guidelines
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Citation Text:
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…
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psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
August 18, 2021 - Commentary
Bringing change-of-shift report to the bedside: a patient- and family-centered approach.
Citation Text:
Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…
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psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine
October 13, 2010 - Commentary
Medical error reduction and tort reform through private contractually-based quality medicine societies.
Citation Text:
MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…
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psnet.ahrq.gov/issue/simulation-techniques-teaching-time-outs-controlled-trial
June 22, 2016 - Study
Simulation techniques for teaching time-outs: a controlled trial.
Citation Text:
Simulation techniques for teaching time-outs: a controlled trial. Paull DE, Williams L, Sine DM. Patient Saf Qual Healthc. March/April 2016;13:28-37.
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psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - Newspaper/Magazine Article
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good.
Citation Text:
How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020.
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psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
July 01, 2017 - Commentary
Clinical faculty: taking the lead in teaching quality improvement and patient safety.
Citation Text:
Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…
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psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
December 16, 2020 - Government Resource
Critical Deficiencies at the Washington DC VA Medical Center.
Citation Text:
Critical Deficiencies at the Washington DC VA Medical Center. Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130.
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psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
June 22, 2022 - Commentary
HIPAA and patient care: the role for professional judgment.
Citation Text:
Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71.
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psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
January 10, 2011 - Commentary
Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.
Citation Text:
Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix.
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