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psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
September 24, 2010 - October 3, 2011
Do not put medication safety "on hold" with boarded patients.
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psnet.ahrq.gov/issue/assessing-organisational-culture-quality-and-safety-improvement-national-survey-tools-and
March 08, 2017 - November 13, 2019
Healthcare scandals and the failings of doctors: do official inquiries hold
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - August 14, 2019
Healthcare scandals and the failings of doctors: do official inquiries hold
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
January 14, 2011 - January 2, 2008
Quality and safety in medical care: what does the future hold?
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities
February 15, 2011 - January 2, 2008
Quality and safety in medical care: what does the future hold?
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psnet.ahrq.gov/issue/informatics-opportunities-intersection-patient-safety-and-clinical-informatics
May 27, 2011 - February 10, 2015
Health care information technology vendors' "hold harmless" clause:
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psnet.ahrq.gov/node/44011/psn-pdf
May 06, 2015 - Resident physicians' clinical training and error rate: the
roles of autonomy, consultation, and familiarity with the
literature.
May 6, 2015
Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of
autonomy, consultation, and familiarity with the literature. Adv Health Sc…
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psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
July 24, 2024 - November 13, 2019
Healthcare scandals and the failings of doctors: do official inquiries hold
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psnet.ahrq.gov/node/40702/psn-pdf
October 16, 2012 - Accountability for medical error: moving beyond blame to
advocacy.
October 16, 2012
Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to
advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533.
https://psnet.ahrq.gov/issue/accountability-medical-error-moving…
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psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
November 02, 2010 - Clinician decision support systems (CDSS) hold great promise as a means of promoting appropriate care
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - use the list to aid in decisions about drug therapy and document reasons to discontinue, change, or hold … order form
Columns can indicate whether medication should be continued, discontinued, or placed on hold
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psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
November 29, 2023 - March 28, 2011
WebM&M Cases
Hold the tPA
April 1,
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Physicians also complete the last step described: document reasons or intentions to discontinue, change, or hold … Adding columns indicating whether a medication should be continued, discontinued, or placed on hold minimizes … duplication, drug interactions, and omissions of medications that may have been discontinued or placed on hold
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
January 16, 2019 - February 10, 2015
Health care information technology vendors' "hold harmless" clause:
-
psnet.ahrq.gov/node/34714/psn-pdf
February 18, 2011 - Relation between malpractice claims and adverse events
due to negligence. Results of the Harvard Medical
Practice Study III.
February 18, 2011
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events
Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
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psnet.ahrq.gov/node/38891/psn-pdf
January 04, 2010 - Do calculation errors by nurses cause medication errors
in clinical practice? A literature review.
January 4, 2010
Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review.
Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/issue/review-evidence-harm-self-tests
August 03, 2009 - September 9, 2020
Healthcare scandals and the failings of doctors: do official inquiries hold
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psnet.ahrq.gov/issue/whats-your-kit-safety-checkup-may-be-order
September 24, 2010 - September 29, 2010
Do not put medication safety "on hold" with boarded patients.
-
psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-care
April 21, 2015 - November 13, 2019
Healthcare scandals and the failings of doctors: do official inquiries hold