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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - However, the responsibility hardly falls on the speech therapist alone.
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - The patient denied any history of arrhythmia, syncope, presyncope, dementia, or prior falls.
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psnet.ahrq.gov/issue/seeking-answers-hearing-silence
October 09, 2024 - Commentary
Seeking answers, hearing silence.
Citation Text:
Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535.
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psnet.ahrq.gov/issue/second-victim-review
June 26, 2019 - Review
The second victim: a review.
Citation Text:
Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002.
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psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
January 19, 2011 - Commentary
Patient safety: threats and solutions.
Citation Text:
McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58.
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psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
March 18, 2011 - Study
Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study.
Citation Text:
Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:…
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psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
October 04, 2011 - Commentary
A statewide voluntary patient safety initiative: the Georgia experience.
Citation Text:
Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72.
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psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
October 23, 2019 - Multi-use Website
National Nursing Home COVID Action Network.
Citation Text:
National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - Study
Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.
Citation Text:
Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - Review
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke.
Citation Text:
Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…
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psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
July 19, 2017 - Commentary
An elusive balance — residents' work hours and the continuity of care.
Citation Text:
Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667.
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
December 27, 2018 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2.
Citation Text:
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…
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psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
June 27, 2012 - Commentary
Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.
Citation Text:
Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…
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psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
June 20, 2011 - Study
Voluntarily reported emergency department errors.
Citation Text:
Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12.
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psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
July 29, 2020 - Study
Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.
Citation Text:
Krska J, Gill D, Hansford D. Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. Med Educ. 2006;40(12). d…
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psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
January 18, 2013 - Study
Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval.
Citation Text:
Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…
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psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
October 21, 2020 - Newspaper/Magazine Article
Only 1 in 5 people with opioid addiction get the medications to treat it, study finds.
Citation Text:
Only 1 in 5 people with opioid addiction get the medications to treat it, study finds. Mann B. Health Shots. National Public Radio. August 7, 2023.
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psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
March 02, 2012 - Review
Safety of care by caregivers of cancer patients.
Citation Text:
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011.
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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
January 18, 2023 - Commentary
Leveraging consistent communication tools and organizational values to promote accountability among health care providers.
Citation Text:
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…
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psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
September 23, 2020 - Study
EMS helicopter crashes: what influences fatal outcome?
Citation Text:
Baker SP, Grabowski JG, Dodd RS, et al. EMS helicopter crashes: what influences fatal outcome? Ann Emerg Med. 2006;47(4):351-356.
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