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psnet.ahrq.gov/node/39215/psn-pdf
January 03, 2017 - Adverse drug events among hospitalized Medicare
patients: epidemiology and national estimates from a new
approach to surveillance.
January 3, 2017
Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology
and national estimates from a new approach to surveillance. Jt Co…
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psnet.ahrq.gov/node/42883/psn-pdf
September 01, 2016 - Are we heeding the warning signs? Examining providers'
overrides of computerized drug–drug interaction alerts in
primary care.
September 1, 2016
Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of
computerized drug-drug interaction alerts in primary care. PLoS …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation
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Table of Contents
Medications at Trans…
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psnet.ahrq.gov/node/45553/psn-pdf
October 13, 2018 - Computerized prescriber order entry–related patient
safety reports: analysis of 2522 medication errors.
October 13, 2018
Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety
reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322.
doi:1…
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psnet.ahrq.gov/node/37166/psn-pdf
February 03, 2011 - Mortality among hospitalized Medicare beneficiaries in
the first 2 years following ACGME resident duty hour
reform.
February 3, 2011
Meltzer DO, Arora VM. Evaluating Resident Duty Hour Reforms. JAMA. 2007;298(9).
doi:10.1001/jama.298.9.1055.
https://psnet.ahrq.gov/issue/mortality-among-hospitalized-medicare-benef…
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psnet.ahrq.gov/node/43253/psn-pdf
May 01, 2015 - Interim Report: Review of VHA's Patient Wait Times,
Scheduling Practices, and Alleged Patient Deaths at the
Phoenix Health Care System.
May 1, 2015
Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178.
https://psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-s…
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psnet.ahrq.gov/node/45113/psn-pdf
May 11, 2016 - Medical error—the third leading cause of death in the US.
May 11, 2016
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139.
doi:10.1136/bmj.i2139.
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
How many patients die each year due to preventabl…
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Associations between patient factors and adverse events
in the home care setting: a secondary data analysis of
two Canadian adverse event studies.
June 28, 2017
Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home
care setting: a secondary data analysis of two can…
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psnet.ahrq.gov/node/41535/psn-pdf
December 31, 2014 - Understanding and preventing wrong-patient electronic
orders: a randomized controlled trial.
December 31, 2014
Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic
orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl-
201…
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psnet.ahrq.gov/node/45167/psn-pdf
May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR)
Toolkit.
May 25, 2016
Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
Traditionally, health systems have disclosed adverse events to patients only through a …
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psnet.ahrq.gov/node/40483/psn-pdf
September 20, 2011 - Advancing the science of patient safety.
September 20, 2011
Shekelle PG, Pronovost P, Wachter R, et al. Advancing the science of patient safety. Ann Intern Med.
2011;154(10):693-6. doi:10.7326/0003-4819-154-10-201105170-00011.
https://psnet.ahrq.gov/issue/advancing-science-patient-safety
Research on patient safety…
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psnet.ahrq.gov/node/40904/psn-pdf
January 04, 2012 - Effect of illness severity and comorbidity on patient
safety and adverse events.
January 4, 2012
Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety
and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456.
https://psnet.ahrq.gov/issue/eff…
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psnet.ahrq.gov/node/45911/psn-pdf
June 27, 2018 - Use of unsolicited patient observations to identify
surgeons with increased risk for postoperative
complications.
June 27, 2018
Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify
Surgeons With Increased Risk for Postoperative Complications. JAMA Surg. 2017;152(6):522-5…
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psnet.ahrq.gov/node/50794/psn-pdf
January 15, 2020 - Severe illness getting noticed sooner - SIGNS-for-Kids:
developing an illness recognition tool to connect home
and hospital.
January 15, 2020
Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing
an illness recognition tool to connect home and hospital. BMJ O…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety1.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Introduction
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Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
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psnet.ahrq.gov/node/44671/psn-pdf
September 20, 2016 - Primary care physicians' willingness to disclose oncology
errors involving multiple providers to patients.
September 20, 2016
Mazor KM, Roblin DW, Greene SM, et al. Primary care physicians' willingness to disclose oncology errors
involving multiple providers to patients. BMJ Qual Saf. 2016;25(10):787-95. doi:10.113…
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psnet.ahrq.gov/node/47203/psn-pdf
October 25, 2018 - Speaking up about care concerns in the ICU: patient and
family experiences, attitudes and perceived barriers.
October 25, 2018
Bell SK, Roche S, Mueller A, et al. Speaking up about care concerns in the ICU: patient and family
experiences, attitudes and perceived barriers. BMJ Qual Saf. 2018;27(11):928-936. doi:10.1…
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psnet.ahrq.gov/node/47149/psn-pdf
June 06, 2018 - Reducing serious safety events and priority hospital-
acquired conditions in a pediatric hospital with the
implementation of a patient safety program.
June 6, 2018
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired
Conditions in a Pediatric Hospital with the Imp…
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation
Previous Page Next Page
Table of Contents
Medications at Trans…