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psnet.ahrq.gov/node/39106/psn-pdf
June 30, 2011 - While much research has focused on
educational and technological solutions for prescribing errors, this
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psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - cross-disciplinary team of clinicians, clinical engineers, information technologists, and
risk managers focused
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - request-comments-proposed-measures-and-2020-targets-national-action-plan-
adverse-drug-event
National attention has focused
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psnet.ahrq.gov/node/36279/psn-pdf
May 27, 2011 - evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-
entry-system
Increased use of computerized physician order entry (CPOE) systems has focused
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psnet.ahrq.gov/node/38377/psn-pdf
March 21, 2017 - on safety principles such as situational awareness and closed-loop
communication, the intervention focused
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - Past efforts to identify potential
prevention strategies have focused on using specific indicators or
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psnet.ahrq.gov/node/47247/psn-pdf
December 19, 2018 - This project report outlines a bundled approach
to reducing CLASBIs in an intensive care unit that focused
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psnet.ahrq.gov/node/39232/psn-pdf
February 14, 2011 - Research on minimizing these errors has focused
on mitigating the relationship between low health literacy
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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - This
systematic review builds on past studies that focused on specific aspects of HIT, such as computerized
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD | October 1, 2018
View more articles from the same authors.
Citation Text:
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - Check the Anesthesia Machine
Citation Text:
Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - The I-READI Quality and Safety Framework: Strong
Communications Channels and Effective Practices to
Rapidly Update and Implement Clinical Protocols During a
Time of Crisis
March 15, 2023
https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-
and-effective
Summary
…
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - The Dropped Lung
May 1, 2003
Heffner JR. The Dropped Lung. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dropped-lung
The Case
A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been
hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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D…
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psnet.ahrq.gov/node/40326/psn-pdf
May 25, 2011 - impact-computerized-provider-order-entry-systems-medical-imaging-services-
systematic-review
While most research on computerized provider order entry (CPOE) has focused
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psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - https://psnet.ahrq.gov/issue/promises-project
The majority of early patient safety interventions focused
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psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - information-exchange-among-physicians-caring-same-patient-community
Significant attention to gaps in the continuity of care has led to past research focused
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psnet.ahrq.gov/node/40010/psn-pdf
December 21, 2014 - effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
Efforts to reduce the burden of disease caused by health care–associated infections have focused
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psnet.ahrq.gov/node/40636/psn-pdf
November 21, 2011 - The
authors propose that additional, focused team training may be one solution to this persistent problem