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psnet.ahrq.gov/node/37909/psn-pdf
February 23, 2009 - Prevalence of adverse drug combinations in a large post-
mortem toxicology database.
February 23, 2009
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem
toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-0261-3.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46457/psn-pdf
December 20, 2017 - Simulation and the diagnostic process: a pilot study of
trauma and rapid response teams.
December 20, 2017
Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and
rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010.
https://psnet.ah…
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psnet.ahrq.gov/node/74015/psn-pdf
October 27, 2021 - Safer Services: A Toolkit for Specialist Mental Health
Services and Primary Care.
October 27, 2021
National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: University of
Manchester; May 31, 2021
https://psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and…
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www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-1
February 01, 2009 - Update on Methods: Insufficient Evidence - Table 1
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Table 1. Insufficient Evidence Statements for Screening of Large Population Sub-groups
From the USPSTF Pocket Guide to C…
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www.ahrq.gov/action-alliance/webinars/addressing-workforce-burnout.html
December 01, 2024 - National Action Alliance Webinar: Addressing Healthcare Workforce Burnout
Summary Burnout among healthcare staff is at a critical level, making the need for effective solutions more urgent than ever. This webinar held on November 12, part of a series on workforce safety and well-being, examined strategies for r…
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psnet.ahrq.gov/node/43184/psn-pdf
May 14, 2014 - Often overlooked problems with handoffs: from the
intensive care unit to the operating room.
May 14, 2014
Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to
the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.0000000000000075.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/844796/psn-pdf
September 18, 2019 - Workplace violence against anesthesiologists: we are not
immune to this patient safety threat.
September 18, 2019
Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;57:123-137.
https://psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-
safety-thre…
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psnet.ahrq.gov/node/48075/psn-pdf
June 19, 2019 - A mismatch made in America.
June 19, 2019
Butcher L. Managed Care. June 2019;28:37-39.
https://psnet.ahrq.gov/issue/mismatch-made-america
Inconsistent patient name entry practices in electronic health records can contribute to wrong-patient
errors. This magazine article reports on the complex nature of addressing …
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psnet.ahrq.gov/node/34644/psn-pdf
December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9-
year experience.
December 23, 2008
Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year
experience. Arch Intern Med. 1997;157(14):1569-76.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…
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psnet.ahrq.gov/node/854387/psn-pdf
October 11, 2023 - Healthcare resilience: a meta-narrative systematic review
and synthesis of reviews.
October 11, 2023
Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and
synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072136.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/840169/psn-pdf
November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce
drug name confusion.
November 16, 2022
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
Mixed case letters are one suggested strategy to reduce look-alike medication na…
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psnet.ahrq.gov/node/837214/psn-pdf
May 25, 2022 - Global Report on Infection Prevention and Control:
Executive Summary.
May 25, 2022
Geneva, Switzerland; World Health Organization; May 5, 2022.
https://psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
Healthcare-acquired infection is a persistent systemic problem. This report r…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…
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psnet.ahrq.gov/node/45264/psn-pdf
September 01, 2016 - Perceived factors associated with sustained improvement
following participation in a multicenter quality
improvement collaborative.
September 1, 2016
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following
Participation in a Multicenter Quality Improvement Collaborative. Jt Co…
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and
addressing the core issue.
February 21, 2024
Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30.
https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
b…
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psnet.ahrq.gov/node/50827/psn-pdf
January 22, 2020 - Becoming a high-reliability organization through shared
learning of safety events
January 22, 2020
Klenklen J. Patient Saf Qual HCare. December 19, 2019.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
High reliability organizations consistently examine wha…
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meps.ahrq.gov/data_files/publications/cb9/cb9.shtml
June 01, 2002 - Examining trends in insurance status, the MEPS data indicate that the percent of the population uninsured
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - complications more quickly and effectively, or (3) be used to facilitate formal epidemiologic
studies examining
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD
October 1, 2013
Also Read an Essay
Citation Text:
In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Safety in Radiology
Antonio Pinto, MD, PhD | October 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…