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psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
June 15, 2016 - March 4, 2015
Prevention of a wrong-location misadministration through the use of an
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psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are
October 05, 2022 - August 25, 2021
Interventions to prevent falls in older adults: updated evidence report
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Citation Text:
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…
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psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
November 16, 2022 - December 21, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
November 17, 2010 - March 28, 2011
Primary care–relevant interventions to prevent falling in older adults
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psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
March 01, 2023 - Related Resources
Perspectives on Safety
Suicide Prevention … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training
January 12, 2022 - Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall prevention … Simulation-based event analysis improves error discovery and generates improved strategies for error prevention … October 29, 2017
Root cause analysis and actions for the prevention of medical errors
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psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review
October 16, 2019 - January 10, 2017
Evaluation of clinical practice guidelines on fall prevention and management … October 26, 2011
Medication errors in critical care: risk factors, prevention and disclosure
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psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
March 27, 2024 - Study
Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents.
Citation Text:
Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…
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psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
June 10, 2020 - June 10, 2020
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
September 28, 2022 - September 28, 2022
Evaluation of clinical practice guidelines on fall prevention and … Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - October 26, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
March 02, 2016 - May 8, 2017
Evaluation of clinical practice guidelines on fall prevention and management … 2019
Wrong-site nerve blocks: a systematic literature review to guide principles for prevention
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - Study
An analysis of near misses identified by anesthesia providers in the intensive care unit.
Citation Text:
Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.11…
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psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
November 16, 2022 - December 3, 2008
Unit-based clinical pharmacists' prevention of serious medication errors
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psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
April 05, 2023 - Special or Theme Issue
Controlled substance drug diversion by healthcare workers as a threat to patient safety.
Citation Text:
Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…
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psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic
May 23, 2018 - September 7, 2011
Evaluation of clinical practice guidelines on fall prevention and management
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - re going to listen first to Denise Flook, who is the director of workforce development and infection prevention … I work especially with our patient safety on infection prevention initiatives, and Lorna Martin works … So again, if you’re looking at falls, you would use the evidence-based practices to prevent falls.
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psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
October 02, 2024 - October 2, 2024
Patient falls in the operating room: why is this still a problem in 2024
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psnet.ahrq.gov/node/40707/psn-pdf
March 11, 2013 - More than words: patients' views on apology and
disclosure when things go wrong in cancer care.
March 11, 2013
Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure
when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346.
doi:10.1016/j.pec.2011.07.010…