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psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - Commentary
Complexity bias in the prevention of iatrogenic injury: why specific harms
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - across different points of care.(23)
Pharmacists, who have been shown to play an important role in the prevention … To date, such cost-
benefit studies have tended to fall on the side of benefit.(29,30) This case illustrates
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - When the Indications for Drug Administration Blur
June 24, 2020
Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lane-Fall MB, Beidas RS, Pascual JL, et al.
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psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - A Pill Organizing Plight
September 1, 2016
McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/pill-organizing-plight
Case Objectives
Identify patients at high risk for adverse drug events.
List drugs that are considered inappropriate in older patients.
…
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Combine this prevention strategy with a spirit of continuous learning from successes and failures, and … Ideally, an industry would mobilize itself to take a stand on safety and harm prevention issues. … February 12, 2020
Medication errors in critical care: risk factors, prevention and disclosure
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - morbidity to better identify their support needs and research priorities and to identify community-driven prevention … Influential research products include over 100 evidence-based national quality, prevention, and safety … substances, reduction of hospital-acquired conditions, voluntary events reporting, and loss control/prevention … safety, infusion safety, clinical alarms safety, unit-based safety improvement, venous thromboembolism prevention
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - February 26, 2025
Patient Safety Innovations
Suicide Prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Eric Thomas, Sarah Mossburg, Merton Lee | September 24, 2024
Also Read the Essay
View more articles from the same authors.
Citatio…
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psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
April 27, 2016 - Newspaper/Magazine Article
Junior medics bullied to lie about hours: doctors ordered to work without proper training.
Citation Text:
Revill J.
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psnet.ahrq.gov/issue/medical-errors-introduction-concepts
March 06, 2005 - Review
Medical errors: an introduction to concepts.
Citation Text:
Kalra J.
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March 6, 2005
Kalra J.
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - affect blood pressure or heart rate are often ordered to be held
when blood pressures or heart rates fall
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - What Can the Rest of the Health Care System Learn from
the VA's Quality and Safety Transformation?
September 1, 2006
Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety
Transformation? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - at
discharge.(3) When the costs exceed this payment the hospital incurs a loss, and when the costs fall
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psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - dL) postingestion than at 4 hours (150 mg/dL).(11) This is because the measured
concentration will fall
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psnet.ahrq.gov/node/33685/psn-pdf
May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA
May 1, 2009
In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
Editor's note: William B. Weeks, MD, MBA, is Associate Professor of Psychiatry and of Community and
Family M…
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psnet.ahrq.gov/node/49711/psn-pdf
June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of
Patient Wandering
June 1, 2014
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
Case Objectives
Define patie…
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psnet.ahrq.gov/periodic-issue/periodic-issue-278
February 10, 2021 - The authors discuss the role of infection prevention and control procedures, and the potential implications … The authors discuss the role of infection prevention and control procedures, and the potential implications