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psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
February 13, 2019 - Study
Reconcilable differences: correcting medication errors at hospital admission and discharge.
Citation Text:
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6.
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psnet.ahrq.gov/issue/safety-overlapping-inpatient-orthopaedic-surgery-multicenter-study
April 24, 2018 - Study
Safety of overlapping inpatient orthopaedic surgery: a multicenter study.
Citation Text:
Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study. J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625.
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psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
August 04, 2021 - Study
Does surgeon fatigue influence outcomes after anterior resection for rectal cancer?
Citation Text:
Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…
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psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
November 25, 2009 - Study
Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution?
Citation Text:
Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems…
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psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
May 05, 2021 - Study
Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department.
Citation Text:
Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…
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psnet.ahrq.gov/issue/decreasing-paediatric-prescribing-errors-district-general-hospital
June 09, 2011 - Study
Decreasing paediatric prescribing errors in a district general hospital.
Citation Text:
Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212.
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - Study
Long-term reduction in adverse drug events: an evidence-based improvement model.
Citation Text:
Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902.
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psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
March 09, 2022 - Study
Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.
Citation Text:
San José-Saras D, Vicente-Guijarro J, Sousa P, et al. Inappropriate hospital admission as a risk factor for the subsequent development of adve…
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psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
June 25, 2014 - Commentary
How organisations contribute to improving the quality of healthcare.
Citation Text:
Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773.
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DOI Google Scholar Pub…
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - Study
Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique.
Citation Text:
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…
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psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
May 20, 2020 - Review
Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials.
Citation Text:
Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …
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psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
June 01, 2022 - Review
Organizational factors that promote error reporting in healthcare: a scoping review.
Citation Text:
Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166.
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psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
March 23, 2022 - Study
CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.
Citation Text:
Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi…
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pso.ahrq.gov/become/establish-policies
August 01, 2021 - SHARE:
More topics in this section
Work With a PSO
How To Choose a PSO
Become a PSO
Assess Eligibility to Become a PSO
Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements
Establish Po…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-baseline.pdf
February 01, 2017 - AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America
AHRQ’s EvidenceNOW: Setting the Target
for Improving Heart Health in America
AHRQ’s EvidenceNOW, a Federal grant initiative, funds seven regional
cooperatives to help more than 1,500 smaller primary care practices
and 5,000 clinicians bui…
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psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
January 22, 2016 - Study
"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.
Citation Text:
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…
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psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
September 18, 2024 - Study
The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes.
Citation Text:
Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…
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psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety
August 03, 2022 - Commentary
The error of omission: a simple checklist approach for improving operating room safety.
Citation Text:
Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0…
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psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
March 11, 2020 - Commentary
The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues.
Citation Text:
Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…